Journal of Healthcare Engineering, 2021 · DOI: https://doi.org/10.1155/2021/4496416 · Published: December 1, 2021
This study investigates how the thickness of the fat layer in the buttocks affects pressure and load distribution when sitting, particularly for people with spinal cord injuries who are at risk of developing pressure ulcers. The researchers used computer models to simulate buttocks with different fat thicknesses sitting on various cushions to see how the fat affects the pressure on the skin and the stress within the deeper tissues. The findings suggest that while fat can help reduce pressure on the skin when sitting on hard surfaces, it doesn't always accurately reflect the stress on deeper tissues, especially in those with thicker fat layers.
Cushion design should account for varying subcutaneous fat thicknesses to effectively reduce internal muscle stress.
Medical imaging and subject-specific finite element modeling can optimize cushion selection for DTI prevention.
Contact pressure measurements alone are insufficient for estimating internal tissue stress, especially in individuals with thicker fat tissue.