Význam tlakové mapy (pressure mapping system) pro pacienty s mobilitou na vozíku
| Title in English | The Relevance of Pressure Mapping System in Wheelchair Mobility |
|---|---|
| Authors | |
| Year of publication | 2016 |
| Type | Article in Periodical |
| Magazine / Source | Česká a slovenská neurologie a neurochirurgie |
| MU Faculty or unit | |
| Citation | |
| Doi | http://dx.doi.org/10.14735/amcsnn2016S15 |
| Field | Other medical specializations |
| Keywords | wheelchair mobility; spinal cord injury; pressure mapping system Conformat; pressure ulcers; sitting posture |
| Description | Aim: The aim of the study was to evaluate the use of the Pressure Mapping System (PMS) to comprehensively evaluate spinal cord-injured (SCI) patients with wheelchair mobility. Materials and methods: A cohort of 29 patients with both traumatic and non-traumatic aetiology was analysed. The patients were examined at the spinal outpatient clinic for life-long care at the University Hospital Brno in 2015. The examination included detailed medical history, clinical evaluation while sitting in a wheelchair, laying and sitting on an examination couch, clinical evaluation of pressure on a seating cushion using PMS, photo documentation of sitting in a wheelchair. Results: Of the total of 21 men and eight women with SCI, 26 had a traumatic lesion (20 men and six women). Three (one man and two women) had non-traumatic aetiology. All were mobile on a mechanical wheelchair. The distribution of pressure on a seating cushion showed that the pressure under ischial tuberosities was lower than 100 mm Hg in 10 patients (mean 80 ± 24 mm Hg left, 91 ± 24 mm Hg right). Unilateral pathology of pressure above 100 mm Hg under an ischial tuberosity was found in 12 patients (mean 93 ± 21 mm Hg left, 103 ± 36 mm Hg right). We found bilateral pathology of pressure over 100 mm Hg under both ischial tuberosities in seven patients (mean 128 ± ± 19 mm Hg left and 117 ± 21 mm Hg right). Statistically signifi cant diff erences in pressure were only found under the left ischial tuberosity. Conclusion: We verified that examination with PMS is an appropriate element of comprehensive assessment of patients with wheelchair mobility. |