Postural management system for bedbound patients

Haworth, Lauren A; Sumner, Simon C; Mercado-Palomino, Elia; Mbuli, Alex M; Stockley, Rachel C; Chohan, Ambreen

Abstract

Objectives To explore the potential effectiveness of postural management system considering peak contact pressure and user perceptions. Methods Fifteen healthy participants were screened using a modified Red Flags Screening tool. Conformat® system was used to analyze contact pressure under the shoulder and buttocks and was recorded for 10 minutes in supine and side-lying positions with and without a postural management system. Participants were asked about their comfort and restrictiveness using a numerical rating scale. Results In side-lying position, the peak contact pressure at greater trochanter was significantly lower when a postural management system was applied. In supine position, the peak contact pressure at shoulders was respectively lower. In turn, the peak contact pressure at ischial tuberosity was significantly higher lower when a postural management system was applied. The postural management system did not affect the level of perceived comfort. Participants reported that they felt more restricted with the intervention. Conclusions A postural management system reduced pressure at the shoulders in supine-lying position and at the greater trochanter in side-lying position lowering the risk of pressure injury formation. A postural management system may reduce the economic burden of health problems associated with poor positioning, enhance patient care, and reduce the risks associated with manual handling techniques when repositioning.

Citation

Haworth, L. A., Sumner, S. C., Mercado-Palomino, E., Mbuli, A. M., Stockley, R. C., & Chohan, A. (2019). Postural management system for bedbound patients. PRM+ Journal of Quantitative Research in Rehabilitation Medicine, 2(2), 24-28

• Journal Article Type: Article
• Acceptance Date: Aug 21, 2019
• Online Publication Date: Aug 24, 2019
• Publication Date: Aug 24, 2019
• Deposit Date: Sep 4, 2019
• Publicly Available Date: Sep 4, 2019
• Journal: PRM+
• Electronic ISSN: 2489-8457
• Peer Reviewed: Peer Reviewed
• Volume: 2
• Issue: 2
• Pages: 24-28
• Keywords: postural management; contracture; spasticity; sleep system
• Public URL: http://researchrepository.napier.ac.uk/Output/2111425