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

Jan Furumasu; Robyn Buckner; Christine Mata; Philip Requejo

doi:10.2340/jrmcc.v6.18706

Authors

Jan Furumasu Department of Physical Therapy, Rancho Los Amigos National Rehabilitation Center, Downey, CA, United States
Robyn Buckner Department of Physical Therapy, Rancho Los Amigos National Rehabilitation Center, Downey, CA, United States
Christine Mata Department of Physical Therapy, Rancho Los Amigos National Rehabilitation Center, Downey, CA, United States
Philip Requejo Rancho Research Institute, Rancho Los Amigos National Rehabilitation Center, 7601 E. Imperial Highway, Downey, CA 90242, USA

DOI:

https://doi.org/10.2340/jrmcc.v6.18706

Keywords:

wheelchair cushion, seating, off-loading, pressure relief, mobility, magnetic resonance imaging

Abstract

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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