A Test of the Effectiveness of Dynamic Cushions for Treatment of Pressure Ulcers Following Spinal Cord Injury
Principal Investigator: Steven Kirshblum, MD
Contact (if different):
Institution: Kessler Medical Rehabilitation Research and Education
Funding source: NIDRR
Status: Open
Last Updated: 11/01/00

Objective: The objective of this study is to test the effectiveness of a dynamic cushion, specifically the Ergo Dynamic Seating (EDS) System, by allowing individuals with SCI who have acquired moderate and severe pressure ulcers (Grade II-IV) that require bed rest for healing, to maintain their use of wheelchairs thus diminishing the medical morbidity associated with inactivity (bed rest), while enhancing pressure ulcer healing. The sample will contain individuals with chronic SCI with a grade II-IV pressure ulcer undergoing inpatient or home management of their wounds. Patients will be randomly assigned to either a bed rest group or the dynamic cushion group. It is hypothesized that a much smaller proportion of patients that use the dynamic cushion will require surgery to repair the pressure ulcer over the proportion of patients in the bedrest condition. Other outcomes such as decreased overall cost, decreased depression, and decreased medical morbidity will also be a secondary result of the treatment with dynamic cushions.