A survey of protective cushion usage in individuals with spinal cord injury while traveling in a motor vehicle and on a commercial airliner

The Journal of Spinal Cord Medicine, 2014 · DOI: 10.1179/2045772314Y.0000000195 · Published: January 1, 2014

Spinal Cord Injury Assistive Technology Dermatology

Simple Explanation

This study looks at whether people with spinal cord injuries (SCI) use special cushions when they're traveling in cars or airplanes. These cushions are important for preventing pressure sores. The survey found that while most people with SCI use these cushions in their wheelchairs, they often don't use them when sitting in car or airplane seats. This is concerning because sitting without proper support can lead to pressure sores, which are a common and serious problem for people with SCI.

Study Duration

Not specified

Participants

42 full-time wheelchair users with chronic (>1 year) SCI

Evidence Level

Level IV, Survey

Key Findings

1
Almost all participants used prescribed wheelchair cushions in their wheelchairs.
2
The majority (92.6%) of participants who transferred to a motor vehicle seat did not use a prescribed cushion.
3
Most participants (82.6%) traveling by airplane did not use a prescribed specialty cushion.

Research Summary

The study aimed to determine if individuals with SCI use prescribed wheelchair cushions when traveling in motor vehicles or on commercial airlines. The survey revealed that most participants do not use prescribed cushions when seated in motor vehicles or on airplanes, despite using them in their wheelchairs. The authors suggest further research is needed to determine appropriate pressure levels and educate patients on preventing pressure ulcers during travel.

Practical Implications

Increased Awareness

Highlight the need to educate individuals with SCI about the importance of using pressure-relieving cushions during travel.

Further Research

Conduct studies to measure pressure distribution on standard car and airplane seats to inform cushion recommendations.

Clinical Guidelines

Develop specific guidelines for cushion use during travel for individuals with SCI.

Study Limitations

1
The study did not ask why participants did not use cushions while traveling.
2
The study did not correlate cushion use with the subsequent development of pressure ulcers.
3
Small sample size limits the generalizability of the findings.

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