Hygro-thermo-mechanical performance of wheelchair cushion technologies in the prevention of pressure ulcers and moisture-associated skin damages.

This study aims at investigating the effects of three different wheelchair cushion technologies at the patient–wheelchair interface. To this end, eight participants were recruited to remain in an unrelieved seated position on a wheelchair successively equipped with three different cushions (foam, ai...

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Publicado en:Assistive Technology Vol. 35; no. 1; pp. 64 - 74
Autores principales: Bogard, Fabien, Polidori, Guillaume, Murer, Sébastien, Maalouf, Chadi, Blancheteau, Yannick, Quinart, Hervé, Beaumont, Fabien
Formato: equations & formulas research tables/charts Journal Article
Publicado: Taylor & Francis Ltd 2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2023
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      pub: Taylor & Francis Ltd
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        10.1080/10400435.2021.1949406
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        atl: Hygro-thermo-mechanical performance of wheelchair cushion technologies in the prevention of pressure ulcers and moisture-associated skin damages.
      aug:
        au:
          Bogard, Fabien
          Polidori, Guillaume
          Murer, Sébastien
          Maalouf, Chadi
          Blancheteau, Yannick
          Quinart, Hervé
          Beaumont, Fabien
        affil: MATIM Laboratory, University of Reims Champagne Ardenne, Reims, France
      sug:
        subj:
          Pressure Ulcer Prevention and Control
          Skin Diseases Prevention and Control
          Wheelchairs
          Pillows and Cushions
          Interface Pressure Evaluation
          Humidity Evaluation
          Skin Temperature Evaluation
          Human
          Male
          Adult
          Middle Age
          Descriptive Statistics
          Funding Source
          Adaptive Seating
          Equipment Design
          Equipment Reliability Evaluation
          Thermography
          Wheelchair Fitting
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
      ab: This study aims at investigating the effects of three different wheelchair cushion technologies at the patient–wheelchair interface. To this end, eight participants were recruited to remain in an unrelieved seated position on a wheelchair successively equipped with three different cushions (foam, air-cell-based and gel), for a duration of 45 min. Interface pressure, temperature (measured with infrared thermography) and relative humidity were measured at the seat interface, at different timestamps. Experimental results show that foam cushion is significantly more efficient in reducing contact peak pressure (p <.01), while the gel cushion displays higher heat evacuation capabilities. In terms of relative humidity, no significant difference is observed among the three technologies (p >.29): all of them evacuate around only 10% of the total humidity compared to the reference situation (i.e., without cushion). Besides, a complementary numerical simulation corresponding to the steady state of the patient-wheelchair structure clearly highlights the temperature volume field at the underside of the seat, which acts like a thermal barrier and contributes to heat accumulation. Besides, an air flow at the underside of the chair in motion is shown to significantly reduce heat accumulation.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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