Arch Phys Med Rehabil. 1990 Mar;71(3):210-5.

Electric muscle stimulation for pressure sore prevention: tissue shape variation.

Levine SP, Kett RL, Cederna PS, Brooks SV.

Source

Department of Physical Medicine and Rehabilitation, Medical School, University of Michigan, Ann Arbor.

Abstract

This study measured changes in tissue shape and deformation at the seating interface produced by electric muscle stimulation (EMS) of the gluteus maximus. The purpose of the study was to investigate the application of EMS for pressure sore prevention. Limitations of pressure measurements for analysis of load distribution are discussed and a rationale developed for using tissue shape and deformation to further characterize the seating interface. Ultrasonic imaging of the seating interface is described under three conditions: buttocks suspended, external load applied with no EMS, and external load applied with bilateral EMS of the buttocks. Results show that low level stimulation of the gluteus maximus produces substantial changes in the shape of the loaded buttocks and an external contour more nearly shaped like the suspended buttocks. It is concluded that EMS produces buttock tissue undulation and shape reconfiguration which may assist in preventing pressure sores over the seating surface.

PMID:: 2180391; [PubMed - indexed for MEDLINE]

Publication Types, MeSH Terms

Publication Types

Research Support, U.S. Gov't, Non-P.H.S.

MeSH Terms

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Medical

Pressure Sores - MedlinePlus Health Information

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Related citations in PubMed

Electrical muscle stimulation for pressure variation at the seating interface. [J Rehabil Res Dev. 1989]
Electrical muscle stimulation for pressure variation at the seating interface.
Levine SP, Kett RL, Cederna PS, Bowers LD, Brooks SV. J Rehabil Res Dev. 1989 Fall; 26(4):1-8.
Blood flow in the gluteus maximus of seated individuals during electrical muscle stimulation. [Arch Phys Med Rehabil. 1990]
Blood flow in the gluteus maximus of seated individuals during electrical muscle stimulation.
Levine SP, Kett RL, Gross MD, Wilson BA, Cederna PS, Juni JE. Arch Phys Med Rehabil. 1990 Aug; 71(9):682-6.
The effect of surface electric stimulation of the gluteal muscles on the interface pressure in seated people with spinal cord injury. [Arch Phys Med Rehabil. 2008]
The effect of surface electric stimulation of the gluteal muscles on the interface pressure in seated people with spinal cord injury.
van Londen A, Herwegh M, van der Zee CH, Daffertshofer A, Smit CA, Niezen A, Janssen TW. Arch Phys Med Rehabil. 2008 Sep; 89(9):1724-32.
Review Electrical stimulation for pressure sore prevention and wound healing. [Assist Technol. 2000]
Review Electrical stimulation for pressure sore prevention and wound healing.
Bogie KM, Reger SI, Levine SP, Sahgal V. Assist Technol. 2000; 12(1):50-66.
Review Seat cushion design for elderly wheelchair users based on minimization of soft tissue deformation using stiffness and pressure measurements. [IEEE Trans Rehabil Eng. 1996]
Review Seat cushion design for elderly wheelchair users based on minimization of soft tissue deformation using stiffness and pressure measurements.
Brienza DM, Karg PE, Brubaker CE. IEEE Trans Rehabil Eng. 1996 Dec; 4(4):320-7.

See reviews... See all...

Cited by 2 PubMed Central articles

Review A systematic review of therapeutic interventions for pressure ulcers after spinal cord injury. [Arch Phys Med Rehabil. 2009]
Review A systematic review of therapeutic interventions for pressure ulcers after spinal cord injury.
Regan MA, Teasell RW, Wolfe DL, Keast D, Mortenson WB, Aubut JA, Spinal Cord Injury Rehabilitation Evidence Research Team. Arch Phys Med Rehabil. 2009 Feb; 90(2):213-31.
Review Pressure sores. [BMJ. 1994]
Review Pressure sores.
Vohra RK, McCollum CN. BMJ. 1994 Oct 1; 309(6958):853-7.

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