2018/01/01 by A. Moreau-Gaudry, O. Chenu, M. Dang +13
Health Professions · Medicine · Physics and Astronomy · #Clinical trial #Diabetic Foot Ulcer Assessment and Management #Intervention (counseling) #Paraplegia #Pressure Ulcer Prevention and Management #Randomized controlled trial #Reduction (mathematics) #Session (web analytics) #Spinal Cord Injury Research #Spinal cord injury #physics.med-ph
paper · pdf · doi:10.1109/jtehm.2018.2842746
published as IEEE Journal of Translational Engineering in Health and Medicine, IEEE, 2018, 6, pp.1 - 11
openalex publication_date 2018/01/01 · arxiv created 2018/11/22 · arxiv updated 2018/11/26 · openalex created_date 2025/10/10 · openalex updated_date 2026/08/05
Pressure ulcers (PU) are known to be a high-cost disease with a risk of severe morbidity. This paper evaluates a new clinical strategy based on an innovative medical device [Tongue Display Unit (TDU)] that implements perceptive supplementation in order to reduce prolonged excessive pressure, recognized as one of the main causes of PU. A randomized, controlled, and parallel-group trial was carried out with 12 subjects with spinal cord injuries (SCI). Subjects were assigned to the control (without TDU, [Formula: see text]) or intervention (with TDU, [Formula: see text]) group. Each subject took part in two sessions, during which the subject, seated on a pressure map sensor, watched a movie for one hour. The TDU was activated during the second session of the intervention group. Intention-to-treat analysis showed that the improvement in adequate weight shifting between the two sessions was higher in the intervention group (0.84 [0.24; 0.89]) than in the control group (0.01 [-0.01; 0.09]; [Formula: see text]) and that the ratio of prolonged excessive pressure between the two sessions was lower in the intervention group (0.74 [0.37; 1.92]) than in the control group (1.72 [1.32; 2.56]; [Formula: see text]). The pressure map sensor was evaluated as being convenient for use in daily life; however, this was not the case for the TDU. This paper shows that persons with SCI could benefit from a system based on perceptive supplementation that alerts and guides the user on how to adapt their posture in order to reduce prolonged excessive pressure, one of the main causes of PU.