Academic Journal
Lateral Pressure Application to the Seated Buttocks Largely Maintains Transcutaneous Gas Tensions at the Ischial Tuberosity in a Healthy Cohort.
| Τίτλος: | Lateral Pressure Application to the Seated Buttocks Largely Maintains Transcutaneous Gas Tensions at the Ischial Tuberosity in a Healthy Cohort. |
|---|---|
| Συγγραφείς: | Spiteri M; Department of Bioengineering, Imperial College London, London, UK., Savine L; Tissue Viability, Imperial College Healthcare NHS Trust, London, UK., Worsley PR; Skin Sensing Research Group, School of Health Sciences, University of Southampton, Southampton, UK., Masouros S; Department of Bioengineering, Imperial College London, London, UK. |
| Πηγή: | International wound journal [Int Wound J] 2026 Oct; Vol. 23 (10), pp. e71054. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Blackwell Pub Country of Publication: England NLM ID: 101230907 Publication Model: Print Cited Medium: Internet ISSN: 1742-481X (Electronic) Linking ISSN: 17424801 NLM ISO Abbreviation: Int Wound J Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Oxford : Blackwell Pub., c2004- |
| Ιατρικοί όροι (MeSH): | Blood Gas Monitoring, Transcutaneous*/methods , Pressure Ulcer*/prevention & control , Pressure* , Sitting Position* , Ischium*, Humans ; Male ; Female ; Buttocks ; Adult ; Prospective Studies ; Middle Aged ; Carbon Dioxide ; Cohort Studies ; Young Adult |
| Περίληψη: | This study aimed to evaluate the physiological effectiveness of lateral pressure application in maintaining baseline transcutaneous oxygen (TcPO (© 2026 The Author(s). International Wound Journal published by Medicalhelplines.com Inc and John Wiley & Sons Ltd.) |
| References: | Appl Nurs Res. 2000 Aug;13(3):134-41. (PMID: 10960997) Int Wound J. 2018 Apr;15(2):225-236. (PMID: 29243356) Clin Biomech (Bristol). 2015 Feb;30(2):166-74. (PMID: 25541393) J Tissue Viability. 2018 Feb;27(1):23-31. (PMID: 28446371) Assist Technol. 2024 Sep;36(5):373-377. (PMID: 34813723) Assist Technol. 2020 Sep 2;32(5):277-286. (PMID: 30644792) J Long Term Eff Med Implants. 2004;14(2):81-94. (PMID: 15099186) Int J Nurs Stud. 2021 Aug;120:103976. (PMID: 34090235) J Tissue Viability. 2018 Feb;27(1):16-22. (PMID: 29054302) J Appl Physiol (1985). 2001 Jun;90(6):2231-7. (PMID: 11356787) PLoS One. 2020 Jan 3;15(1):e0227064. (PMID: 31899778) Cochrane Database Syst Rev. 2022 Feb 17;2:CD013644. (PMID: 35174477) Hum Factors. 2012 Dec;54(6):1066-74. (PMID: 23397814) Inquiry. 2023 Jan-Dec;60:469580231215209. (PMID: 38050921) Int J Nurs Stud. 2012 Mar;49(3):345-59. (PMID: 22104042) J Mech Behav Biomed Mater. 2013 Dec;28:427-35. (PMID: 23791952) Cochrane Database Syst Rev. 2015 Sep 03;(9):CD001735. (PMID: 26333288) Comput Methods Biomech Biomed Engin. 2003 Jun;6(3):171-80. (PMID: 12888429) Microcirculation. 2020 Oct;27(7):e12645. (PMID: 32603524) J Wound Care. 2018 Aug 2;27(8):467-474. (PMID: 30086254) Int Wound J. 2016 Oct;13(5):809-20. (PMID: 25469585) Am J Crit Care. 2014 Nov;23(6):494-500; quiz 501. (PMID: 25362673) Int J Prev Med. 2020 Oct 05;11:171. (PMID: 33312480) J Wound Ostomy Continence Nurs. 2015 Jul-Aug;42(4):338-45. (PMID: 25933123) J Wound Care. 1995 Jul;4(7):302-4. (PMID: 7627795) Age Ageing. 1998 Mar;27(2):217-21. (PMID: 16296682) Int J Nurs Stud. 2011 Nov;48(11):1339-48. (PMID: 21601854) Int Wound J. 2022 Mar;19(3):692-704. (PMID: 34382331) Am J Phys Med Rehabil. 1991 Aug;70(4):172-7. (PMID: 1878173) Biomed Eng Online. 2018 Apr 12;17(1):40. (PMID: 29650012) J Spinal Cord Med. 2007;30(5):497-507. (PMID: 18092567) J Tissue Viability. 2024 Nov;33(4):992-998. (PMID: 39232983) Spinal Cord. 2003 Dec;41(12):692-5. (PMID: 14639449) Ann Biomed Eng. 2015 Feb;43(2):336-47. (PMID: 25533770) J Biomech. 2007;40(7):1443-54. (PMID: 16920122) Cochrane Database Syst Rev. 2026 Jun 4;6:CD009958. (PMID: 42240176) Clin Biomech (Bristol). 2016 Dec;40:27-32. (PMID: 27794259) Adv Skin Wound Care. 2020 Mar;33(3):146-154. (PMID: 32058440) J Wound Ostomy Continence Nurs. 2008 Nov-Dec;35(6):571-7. (PMID: 19018196) Appl Nurs Res. 2019 Aug;48:58-62. (PMID: 31266609) Spinal Cord. 2015 Jun;53(6):471-5. (PMID: 25600309) Clin Phys Physiol Meas. 1988 Feb;9(1):33-40. (PMID: 3359742) J Tissue Viability. 2025 Aug;34(3):100920. (PMID: 40354718) Med Pharm Rep. 2023 Apr;96(2):123-130. (PMID: 37197280) |
| Contributed Indexing: | Keywords: perfusion; pressure ulcer; primary prevention; sitting position; transcutaneous oximetry |
| Substance Nomenclature: | 142M471B3J (Carbon Dioxide) |
| Entry Date(s): | Date Created: 20260924 Date Completed: 20260924 Latest Revision: 20260927 |
| Update Code: | 20260927 |
| PubMed Central ID: | PMC13612159 |
| DOI: | 10.1111/iwj.71054 |
| PMID: | 42785792 |
| Βάση Δεδομένων: | MEDLINE |
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| Items | – Name: Title Label: Title Group: Ti Data: Lateral Pressure Application to the Seated Buttocks Largely Maintains Transcutaneous Gas Tensions at the Ischial Tuberosity in a Healthy Cohort. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AU" term="%22Spiteri+M%22">Spiteri M</searchLink>; Department of Bioengineering, Imperial College London, London, UK.<br /><searchLink fieldCode="AU" term="%22Savine+L%22">Savine L</searchLink>; Tissue Viability, Imperial College Healthcare NHS Trust, London, UK.<br /><searchLink fieldCode="AU" term="%22Worsley+PR%22">Worsley PR</searchLink>; Skin Sensing Research Group, School of Health Sciences, University of Southampton, Southampton, UK.<br /><searchLink fieldCode="AU" term="%22Masouros+S%22">Masouros S</searchLink>; Department of Bioengineering, Imperial College London, London, UK. – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22101230907%22">International wound journal</searchLink> [Int Wound J] 2026 Oct; Vol. 23 (10), pp. e71054. – Name: TypePub Label: Publication Type Group: TypPub Data: Journal Article – Name: Language Label: Language Group: Lang Data: English – Name: TitleSource Label: Journal Info Group: Src Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Blackwell+Pub%22">Blackwell Pub </searchLink><i>Country of Publication: </i>England <i>NLM ID: </i>101230907 <i>Publication Model: </i>Print <i>Cited Medium: </i>Internet <i>ISSN: </i>1742-481X (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2217424801%22">17424801 </searchLink><i>NLM ISO Abbreviation: </i>Int Wound J <i>Subsets: </i>MEDLINE – Name: PublisherInfo Label: Imprint Name(s) Group: PubInfo Data: <i>Original Publication</i>: Oxford : Blackwell Pub., c2004- – Name: SubjectMESH Label: MeSH Terms Group: Su Data: <searchLink fieldCode="MM" term="%22Blood+Gas+Monitoring%2C+Transcutaneous%22">Blood Gas Monitoring, Transcutaneous*</searchLink>/<searchLink fieldCode="MM" term="%22Blood+Gas+Monitoring%2C+Transcutaneous+methods%22">methods</searchLink> <br /><searchLink fieldCode="MM" term="%22Pressure+Ulcer%22">Pressure Ulcer*</searchLink>/<searchLink fieldCode="MM" term="%22Pressure+Ulcer+prevention+%26+control%22">prevention & control</searchLink> <br /><searchLink fieldCode="MM" term="%22Pressure%22">Pressure*</searchLink> <br /><searchLink fieldCode="MM" term="%22Sitting+Position%22">Sitting Position*</searchLink> <br /><searchLink fieldCode="MM" term="%22Ischium%22">Ischium*</searchLink><br /><searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Male%22">Male</searchLink> ; <searchLink fieldCode="MH" term="%22Female%22">Female</searchLink> ; <searchLink fieldCode="MH" term="%22Buttocks%22">Buttocks</searchLink> ; <searchLink fieldCode="MH" term="%22Adult%22">Adult</searchLink> ; <searchLink fieldCode="MH" term="%22Prospective+Studies%22">Prospective Studies</searchLink> ; <searchLink fieldCode="MH" term="%22Middle+Aged%22">Middle Aged</searchLink> ; <searchLink fieldCode="MH" term="%22Carbon+Dioxide%22">Carbon Dioxide</searchLink> ; <searchLink fieldCode="MH" term="%22Cohort+Studies%22">Cohort Studies</searchLink> ; <searchLink fieldCode="MH" term="%22Young+Adult%22">Young Adult</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: This study aimed to evaluate the physiological effectiveness of lateral pressure application in maintaining baseline transcutaneous oxygen (TcPO<subscript>2</subscript>) and carbon dioxide (TcPCO<subscript>2</subscript>) tensions in the buttocks during sitting, compared with a conventional static foam cushion. Secondary aims were to determine whether body mass index (BMI) influenced the physiological response when lateral pressure was applied and to investigate the relationship between transcutaneous oximetry and underbody interface pressure. A prospective, controlled, repeated-measures laboratory study was conducted with 30 healthy adults. Participants underwent two 20-min sitting conditions: sitting on static foam alone and sitting on static foam with lateral pressure applied by a prototype device. Transcutaneous gas tensions were measured at the right ischial tuberosity using an oximeter and normalised to unloaded standing baselines. Tissue responses were categorised according to the Chai and Bader tissue-response criteria, where changes in gas tensions of &lt; 25% are Category 1, least risk, and changes of > 25% are Category 3, highest risk. Underbody interface pressures were recorded using a pressure-mapping array. Statistical comparisons between conditions were performed using paired parametric or non-parametric tests as appropriate. Mean and peak underbody interface pressures were significantly reduced (p &lt; 0.0001) when lateral pressure was applied. Lateral pressure significantly reduced the mean change in TcPCO<subscript>2</subscript> compared to static foam alone (11.9% ± 25.6% and 47.8% ± 72.9%, respectively, p &lt; 0.0001) and reduced the change in TcPO<subscript>2</subscript> to -29.5% ± 23.5% compared to -50.4% ± 34.8% with static foam alone (p &lt; 0.0001). Eleven participants exhibited a Category 3 ischaemic response on static foam, compared with only two when lateral pressure was applied. Twenty-nine of 30 participants moved to a more favourable or unchanged tissue-response category when lateral pressure was applied. No correlation was found between interface pressure and changes in gas tensions. No significant differences were observed between BMI groups. Application of lateral pressure during sitting maintained tissue perfusion at the ischial tuberosity more effectively than static foam alone. These findings support the physiological rationale for applying lateral pressure as a novel strategy for pressure-ulcer prevention in seated patients.<br /> (© 2026 The Author(s). International Wound Journal published by Medicalhelplines.com Inc and John Wiley & Sons Ltd.) – Name: Ref Label: References Group: RefInfo Data: Appl Nurs Res. 2000 Aug;13(3):134-41. (PMID: <searchLink fieldCode="PM" term="%2210960997%22">10960997)</searchLink><br />Int Wound J. 2018 Apr;15(2):225-236. (PMID: <searchLink fieldCode="PM" term="%2229243356%22">29243356)</searchLink><br />Clin Biomech (Bristol). 2015 Feb;30(2):166-74. (PMID: <searchLink fieldCode="PM" term="%2225541393%22">25541393)</searchLink><br />J Tissue Viability. 2018 Feb;27(1):23-31. (PMID: <searchLink fieldCode="PM" term="%2228446371%22">28446371)</searchLink><br />Assist Technol. 2024 Sep;36(5):373-377. (PMID: <searchLink fieldCode="PM" term="%2234813723%22">34813723)</searchLink><br />Assist Technol. 2020 Sep 2;32(5):277-286. (PMID: <searchLink fieldCode="PM" term="%2230644792%22">30644792)</searchLink><br />J Long Term Eff Med Implants. 2004;14(2):81-94. (PMID: <searchLink fieldCode="PM" term="%2215099186%22">15099186)</searchLink><br />Int J Nurs Stud. 2021 Aug;120:103976. (PMID: <searchLink fieldCode="PM" term="%2234090235%22">34090235)</searchLink><br />J Tissue Viability. 2018 Feb;27(1):16-22. (PMID: <searchLink fieldCode="PM" term="%2229054302%22">29054302)</searchLink><br />J Appl Physiol (1985). 2001 Jun;90(6):2231-7. (PMID: <searchLink fieldCode="PM" term="%2211356787%22">11356787)</searchLink><br />PLoS One. 2020 Jan 3;15(1):e0227064. (PMID: <searchLink fieldCode="PM" term="%2231899778%22">31899778)</searchLink><br />Cochrane Database Syst Rev. 2022 Feb 17;2:CD013644. (PMID: <searchLink fieldCode="PM" term="%2235174477%22">35174477)</searchLink><br />Hum Factors. 2012 Dec;54(6):1066-74. (PMID: <searchLink fieldCode="PM" term="%2223397814%22">23397814)</searchLink><br />Inquiry. 2023 Jan-Dec;60:469580231215209. (PMID: <searchLink fieldCode="PM" term="%2238050921%22">38050921)</searchLink><br />Int J Nurs Stud. 2012 Mar;49(3):345-59. (PMID: <searchLink fieldCode="PM" term="%2222104042%22">22104042)</searchLink><br />J Mech Behav Biomed Mater. 2013 Dec;28:427-35. (PMID: <searchLink fieldCode="PM" term="%2223791952%22">23791952)</searchLink><br />Cochrane Database Syst Rev. 2015 Sep 03;(9):CD001735. (PMID: <searchLink fieldCode="PM" term="%2226333288%22">26333288)</searchLink><br />Comput Methods Biomech Biomed Engin. 2003 Jun;6(3):171-80. (PMID: <searchLink fieldCode="PM" term="%2212888429%22">12888429)</searchLink><br />Microcirculation. 2020 Oct;27(7):e12645. (PMID: <searchLink fieldCode="PM" term="%2232603524%22">32603524)</searchLink><br />J Wound Care. 2018 Aug 2;27(8):467-474. (PMID: <searchLink fieldCode="PM" term="%2230086254%22">30086254)</searchLink><br />Int Wound J. 2016 Oct;13(5):809-20. (PMID: <searchLink fieldCode="PM" term="%2225469585%22">25469585)</searchLink><br />Am J Crit Care. 2014 Nov;23(6):494-500; quiz 501. (PMID: <searchLink fieldCode="PM" term="%2225362673%22">25362673)</searchLink><br />Int J Prev Med. 2020 Oct 05;11:171. (PMID: <searchLink fieldCode="PM" term="%2233312480%22">33312480)</searchLink><br />J Wound Ostomy Continence Nurs. 2015 Jul-Aug;42(4):338-45. (PMID: <searchLink fieldCode="PM" term="%2225933123%22">25933123)</searchLink><br />J Wound Care. 1995 Jul;4(7):302-4. (PMID: <searchLink fieldCode="PM" term="%227627795%22">7627795)</searchLink><br />Age Ageing. 1998 Mar;27(2):217-21. (PMID: <searchLink fieldCode="PM" term="%2216296682%22">16296682)</searchLink><br />Int J Nurs Stud. 2011 Nov;48(11):1339-48. (PMID: <searchLink fieldCode="PM" term="%2221601854%22">21601854)</searchLink><br />Int Wound J. 2022 Mar;19(3):692-704. (PMID: <searchLink fieldCode="PM" term="%2234382331%22">34382331)</searchLink><br />Am J Phys Med Rehabil. 1991 Aug;70(4):172-7. (PMID: <searchLink fieldCode="PM" term="%221878173%22">1878173)</searchLink><br />Biomed Eng Online. 2018 Apr 12;17(1):40. (PMID: <searchLink fieldCode="PM" term="%2229650012%22">29650012)</searchLink><br />J Spinal Cord Med. 2007;30(5):497-507. (PMID: <searchLink fieldCode="PM" term="%2218092567%22">18092567)</searchLink><br />J Tissue Viability. 2024 Nov;33(4):992-998. (PMID: <searchLink fieldCode="PM" term="%2239232983%22">39232983)</searchLink><br />Spinal Cord. 2003 Dec;41(12):692-5. (PMID: <searchLink fieldCode="PM" term="%2214639449%22">14639449)</searchLink><br />Ann Biomed Eng. 2015 Feb;43(2):336-47. (PMID: <searchLink fieldCode="PM" term="%2225533770%22">25533770)</searchLink><br />J Biomech. 2007;40(7):1443-54. (PMID: <searchLink fieldCode="PM" term="%2216920122%22">16920122)</searchLink><br />Cochrane Database Syst Rev. 2026 Jun 4;6:CD009958. (PMID: <searchLink fieldCode="PM" term="%2242240176%22">42240176)</searchLink><br />Clin Biomech (Bristol). 2016 Dec;40:27-32. (PMID: <searchLink fieldCode="PM" term="%2227794259%22">27794259)</searchLink><br />Adv Skin Wound Care. 2020 Mar;33(3):146-154. (PMID: <searchLink fieldCode="PM" term="%2232058440%22">32058440)</searchLink><br />J Wound Ostomy Continence Nurs. 2008 Nov-Dec;35(6):571-7. (PMID: <searchLink fieldCode="PM" term="%2219018196%22">19018196)</searchLink><br />Appl Nurs Res. 2019 Aug;48:58-62. (PMID: <searchLink fieldCode="PM" term="%2231266609%22">31266609)</searchLink><br />Spinal Cord. 2015 Jun;53(6):471-5. (PMID: <searchLink fieldCode="PM" term="%2225600309%22">25600309)</searchLink><br />Clin Phys Physiol Meas. 1988 Feb;9(1):33-40. (PMID: <searchLink fieldCode="PM" term="%223359742%22">3359742)</searchLink><br />J Tissue Viability. 2025 Aug;34(3):100920. (PMID: <searchLink fieldCode="PM" term="%2240354718%22">40354718)</searchLink><br />Med Pharm Rep. 2023 Apr;96(2):123-130. (PMID: <searchLink fieldCode="PM" term="%2237197280%22">37197280)</searchLink> – Name: SubjectMinor Label: Contributed Indexing Group: Data: <i>Keywords: </i>perfusion; pressure ulcer; primary prevention; sitting position; transcutaneous oximetry – Name: NumberCAS Label: Substance Nomenclature Group: ID Data: 142M471B3J (Carbon Dioxide) – Name: DateEntry Label: Entry Date(s) Group: Date Data: <i>Date Created: </i>20260924 <i>Date Completed: </i>20260924 <i>Latest Revision: </i>20260927 – Name: DateUpdate Label: Update Code Group: Date Data: 20260927 – Name: PubmedCentralID Label: PubMed Central ID Group: ID Data: PMC13612159 – Name: DOI Label: DOI Group: ID Data: 10.1111/iwj.71054 – Name: AN Label: PMID Group: ID Data: 42785792 |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/iwj.71054 Languages: – Code: eng Text: English PhysicalDescription: Pagination: StartPage: e71054 Subjects: – SubjectFull: Humans Type: general – SubjectFull: Male Type: general – SubjectFull: Female Type: general – SubjectFull: Buttocks Type: general – SubjectFull: Adult Type: general – SubjectFull: Prospective Studies Type: general – SubjectFull: Middle Aged Type: general – SubjectFull: Carbon Dioxide Type: general – SubjectFull: Cohort Studies Type: general – SubjectFull: Young Adult Type: general – SubjectFull: Blood Gas Monitoring, Transcutaneous methods Type: general – SubjectFull: Pressure Ulcer prevention & control Type: general – SubjectFull: Pressure Type: general – SubjectFull: Sitting Position Type: general – SubjectFull: Ischium Type: general Titles: – TitleFull: Lateral Pressure Application to the Seated Buttocks Largely Maintains Transcutaneous Gas Tensions at the Ischial Tuberosity in a Healthy Cohort. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Spiteri M – PersonEntity: Name: NameFull: Savine L – PersonEntity: Name: NameFull: Worsley PR – PersonEntity: Name: NameFull: Masouros S IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 10 Text: 2026 Oct Type: published Y: 2026 Identifiers: – Type: issn-electronic Value: 1742-481X Numbering: – Type: volume Value: 23 – Type: issue Value: 10 Titles: – TitleFull: International wound journal Type: main |
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