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2006, Number 1

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Rev Mex Ing Biomed 2006; 27 (1)

Hydraulic seat with movement to prevent pressure ulcers

González CE, Cardiel E, Muñoz R, Villanueva D, Urrutia R, Hernández PR
Full text How to cite this article

Language: Spanish
References: 7
Page: 38-44
PDF size: 162.96 Kb.


Key words:

Pressure ulcers, pressure sores, ischemic sores, seats, cushions.

ABSTRACT

A design of a hydraulic seat to stimulate critical body zones long-term submitted to pressures is presented. The device is based on induced random movement to favor blood irrigation mainly. Some studies have reported that pressure ulcers are ischemic sores. These sores are developed because of limited movements in people constrained to a wheelchair. They are produced in body sites which are long-term submitted to pressure or shearing strain. Available devices for pressure ulcers prevention follow a redistribution concept in high risk zones. This concept has been considered important but incomplete because people need movements to change posture and consequently to improve blood irrigation or muscle activation. A seat development is presented in this work. The device is formed by a cushion with six hydraulic lines working with peristaltic movement induced by an electro-mechanism. The system instruments a wheelchair. The seat arrangement not only releases ischiatic tuberosities from pressure, but also produces a pressure redistribution and a stimulation, by movement, on the body surface of support. Five subjects were submitted to the hydraulic seat. A map of pressure distribution of the support area in sitting position was obtained. Pressure maps were captured with and without seat. Results indicated that a redistribution of pressure and a release of pressure for the ischiatic tuberosities were obtained. Moreover, peristaltic movement on the hydraulic lines improves the quality of blood irrigation.


REFERENCES

  1. Barton F, Barton M. The management and prevention of pressure sores. London, Faber & Faber, 1981.

  2. Landis E. Micro-injection studies of capillary blood pressure in human skin. Heart 1930; 15: 209-228.

  3. Wolsley CJ, Hill PD. Review of interface pressure measurement to stablish a protocol for their use in the assessment of patient support surfaces. J Tissue Viability 2000: 10 (2): 53-57.

  4. INEGI. XI Censo General de Población y Vivienda, 1990. Aguascalientes, Ags. 1992. INEGI. Conteo de Población y Vivienda, 1995. Aguascalientes, Ags. 1997. INEGI. XII Censo General de Población y Vivienda, 2000. Aguascalientes, Ags. 2001. CONAPO. Proyecciones de la Población de México.

  5. Cullum N, McInnes E, Bell-Syer SEM, Legood R. Support surfaces for pressure ulcer prevention (Cochrane Review). In: The Cochrane Library, Issue 3, 2004. Chichester, UK: John Wiley & Sons, Ltd.

  6. Hobson DA. Comparative effects of posture on pressure and shear at the body-seat interface. J Rehabil Res Dev 1992; 29 (4): 21-31.

  7. Cullum N, Deeks J, Sheldon TA, Song F, Fletcher AW. Beds, mattresses and cushions for pressure sore prevention and treatment (Cochrane Review). In: The Cochrane Library, Issue 2, 2004. Chichester, UK: John Wiley & Sons, Ltd.




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C?MO CITAR (Vancouver)

Rev Mex Ing Biomed. 2006;27