Off-loading pressure relief with foam cut out cushions: experiences from Rancho los Amigos National Rehabilitation Center

This paper explores the efficacy of the cushion fitting technique using foam cut out cushions for off-loading bony prominences in the sitting position, with a particular focus on reducing the high risk of developing pressure injuries among aging wheelchair users. This technique, historically employe...

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Main Authors: Jan Furumasu, Robyn Buckner, Christine Mata, Philip Requejo
Format: Article
Language:English
Published: Medical Journals Sweden 2023-11-01
Series:Journal of Rehabilitation Medicine - Clinical Communications
Subjects:
Online Access:https://medicaljournalssweden.se/jrm-cc/article/view/18706
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author Jan Furumasu
Robyn Buckner
Christine Mata
Philip Requejo
author_facet Jan Furumasu
Robyn Buckner
Christine Mata
Philip Requejo
author_sort Jan Furumasu
collection DOAJ
description This paper explores the efficacy of the cushion fitting technique using foam cut out cushions for off-loading bony prominences in the sitting position, with a particular focus on reducing the high risk of developing pressure injuries among aging wheelchair users. This technique, historically employed at Rancho Los Amigos National Rehabilitation Center, has shown promising results in reducing pressure injuries for patients with spinal cord injuries. However, its widespread adoption remains limited. This manuscript aims to raise awareness about foam cut out cushions, its historical context, and its contemporary relevance by presenting customized solutions for individual patients with specific deformities. Key clinical points are highlighted, emphasizing the importance of skilled clinicians in the fitting process and the need to consider foam cut out cushions alongside other preventive measures. Case examples illustrate successful outcomes, demonstrating improved pelvic stability, posture, and off-loading of bony prominences. By promoting foam cut out cushions as a valuable cushioning option, this manuscript equips clinicians with knowledge to utilize this technique effectively.
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spelling doaj.art-ca57f8c1a482459ba7a6f779a47d1f5e2023-11-14T13:05:41ZengMedical Journals SwedenJournal of Rehabilitation Medicine - Clinical Communications2003-07112023-11-01610.2340/jrmcc.v6.18706Off-loading pressure relief with foam cut out cushions: experiences from Rancho los Amigos National Rehabilitation CenterJan Furumasu0Robyn Buckner1Christine Mata2Philip Requejo3Department of Physical Therapy, Rancho Los Amigos National Rehabilitation Center, Downey, CA, United StatesDepartment of Physical Therapy, Rancho Los Amigos National Rehabilitation Center, Downey, CA, United StatesDepartment of Physical Therapy, Rancho Los Amigos National Rehabilitation Center, Downey, CA, United StatesRancho Research Institute, Rancho Los Amigos National Rehabilitation Center, 7601 E. Imperial Highway, Downey, CA 90242, USAThis paper explores the efficacy of the cushion fitting technique using foam cut out cushions for off-loading bony prominences in the sitting position, with a particular focus on reducing the high risk of developing pressure injuries among aging wheelchair users. This technique, historically employed at Rancho Los Amigos National Rehabilitation Center, has shown promising results in reducing pressure injuries for patients with spinal cord injuries. However, its widespread adoption remains limited. This manuscript aims to raise awareness about foam cut out cushions, its historical context, and its contemporary relevance by presenting customized solutions for individual patients with specific deformities. Key clinical points are highlighted, emphasizing the importance of skilled clinicians in the fitting process and the need to consider foam cut out cushions alongside other preventive measures. Case examples illustrate successful outcomes, demonstrating improved pelvic stability, posture, and off-loading of bony prominences. By promoting foam cut out cushions as a valuable cushioning option, this manuscript equips clinicians with knowledge to utilize this technique effectively. https://medicaljournalssweden.se/jrm-cc/article/view/18706wheelchair cushionseatingoff-loadingpressure reliefmobilitymagnetic resonance imaging
spellingShingle Jan Furumasu
Robyn Buckner
Christine Mata
Philip Requejo
Off-loading pressure relief with foam cut out cushions: experiences from Rancho los Amigos National Rehabilitation Center
Journal of Rehabilitation Medicine - Clinical Communications
wheelchair cushion
seating
off-loading
pressure relief
mobility
magnetic resonance imaging
title Off-loading pressure relief with foam cut out cushions: experiences from Rancho los Amigos National Rehabilitation Center
title_full Off-loading pressure relief with foam cut out cushions: experiences from Rancho los Amigos National Rehabilitation Center
title_fullStr Off-loading pressure relief with foam cut out cushions: experiences from Rancho los Amigos National Rehabilitation Center
title_full_unstemmed Off-loading pressure relief with foam cut out cushions: experiences from Rancho los Amigos National Rehabilitation Center
title_short Off-loading pressure relief with foam cut out cushions: experiences from Rancho los Amigos National Rehabilitation Center
title_sort off loading pressure relief with foam cut out cushions experiences from rancho los amigos national rehabilitation center
topic wheelchair cushion
seating
off-loading
pressure relief
mobility
magnetic resonance imaging
url https://medicaljournalssweden.se/jrm-cc/article/view/18706
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AT christinemata offloadingpressurereliefwithfoamcutoutcushionsexperiencesfromrancholosamigosnationalrehabilitationcenter
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