Source:http://linkedlifedata.com/resource/pubmed/id/20437325
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2010-5-3
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pubmed:abstractText |
Deep tissue injury (DTI) is a severe type of pressure ulcer, in which damage initiates under intact skin, in soft tissues that are mechanically deformed by load-bearing bony prominences. Sitting-acquired DTI typically occurs in the gluteus muscles that could sustain deformations by the weight-bearing ischial tuberosities (ITs). No clinical method currently exists for measuring internal tissue deformations; so design and selection of wheelchair cushions are based mostly on measuring sitting pressures. Our objective was to evaluate the influence of different commercial cushions on internal soft-tissue deformations under the ITs, using weight-bearing magnetic resonance imaging (MRI). We specifically compared muscle, superficial fat, and effective (muscle and fat together) tissue deformations while subjects (n = 10) sat on four cushions (two viscoelastic and two foam) and directly on a rigid support. Deformations were maximal in muscle tissue (mean approximately 70%), twice more the amount than in fat (approximately 30%). Effective soft-tissue deformations were approximately 50% to approximately 60%. Although cushions mildly reduced muscle deformations in the order of 10%, theoretically, our interpretation suggests that this deformation level adds safe sitting time. This study demonstrated that weight-bearing MRI is applicable for evaluating wheelchair cushions and, in the future, may be a tool to systematically support cushion design and selection.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
1938-1352
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
47
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
31-42
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pubmed:meshHeading |
pubmed-meshheading:20437325-Adipose Tissue,
pubmed-meshheading:20437325-Adult,
pubmed-meshheading:20437325-Buttocks,
pubmed-meshheading:20437325-Female,
pubmed-meshheading:20437325-Humans,
pubmed-meshheading:20437325-Magnetic Resonance Imaging,
pubmed-meshheading:20437325-Male,
pubmed-meshheading:20437325-Muscle, Skeletal,
pubmed-meshheading:20437325-Pressure,
pubmed-meshheading:20437325-Pressure Ulcer,
pubmed-meshheading:20437325-Protective Devices,
pubmed-meshheading:20437325-Viscoelastic Substances,
pubmed-meshheading:20437325-Weight-Bearing,
pubmed-meshheading:20437325-Wheelchairs
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pubmed:year |
2010
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pubmed:articleTitle |
Use of weight-bearing MRI for evaluating wheelchair cushions based on internal soft-tissue deformations under ischial tuberosities.
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pubmed:affiliation |
Department of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer, Israel.
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pubmed:publicationType |
Journal Article
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