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1. Citation: Groah, S. L., Schladen, M., Pineda, C. G., & Hsieh, C. H. (2015). Prevention of Pressure Ulcers Among People With Spinal Cord Injury: A Systematic Review. PM & R: The Journal of Injury, Function, and Rehabilitation, 7(6), 613-636. doi:10.1016/j.pmrj.2014.11.014
Keywords: pressure sore, pressure ulcer, pressure relief, pressure release
Abstract: Evaluates the effectiveness of bed and wheelchair positioning and repositioning as well as pressure relief maneuvers for the prevention of pressure ulcers (PUs) in both the spinal cord injury (SCI) and non-SCI populations. Finds, in 49 studies, conflicting results and insufficient evidence for optimal bed and seated positioning and turning and pressure relief maneuvers to prevent PUs. Cites evidence that suggests avoiding the 90 degrees lateral position because of high pressures and PU risk over the trochanters, and that reclining during sitting carries an increased risk of shear forces on the skin. Concludes that the current evidence does not support definite guidelines on positioning or repositioning techniques for PU prevention in bed or during sitting, and that PU risk is highly individualized.
Full-Text Availability Options:full text available for a fee
Link to Full Text:https://www.ncbi.nlm.nih.gov/pubmed/?term=25529614
https://www.sciencedirect.com/science/article/abs/pii/S1934148214015524
Record Updated:2016-11-17
 

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