The Affects of Shoulder Angle on Pelvic Interface Pressure in the Lateral Position

2.50
Hdl Handle:
http://hdl.handle.net/10755/154129
Type:
Presentation
Title:
The Affects of Shoulder Angle on Pelvic Interface Pressure in the Lateral Position
Abstract:
The Affects of Shoulder Angle on Pelvic Interface Pressure in the Lateral Position
Conference Sponsor:Sigma Theta Tau International
Conference Year:2008
Author:Tanaka, Noriyoshi, BSN, RN
P.I. Institution Name:Tokai University Hospital / Tokai University
Title:Clinical Nurse
Co-Authors:Takeshi Toya, MA
[Research Paper or Poster Presentation] PURPOSE: The purpose of this study was to determine the degree of shoulder angle, which affects pelvic interface pressure in the lateral position. BACKGROUND: The 30 degree lateral tilt position is widely used to prevent pressure ulcers by reducing localized pressure over bony prominences. In this position, the shoulder angle is kept within a narrow angular range to decompress axillary vessels and nerves. However, various degrees of shoulder angle affecting pelvic interface pressure have not been fully evaluated. METHODS: Thirty-five healthy adults (BMI 21.44 +/- 2.80) participated in this study. For baseline measurement, they were in the supine position lying on a standard mattress with legs elevated by pillows. Using a XSENSOR body pressure mapping pad, the pelvic interface pressure was measured with the pelvic tilt fixed at 30 degrees and the degree of shoulder angle increased in 10 degree increments from 0 to 70 degrees. RESULTS: The supine position with 0 degree shoulder angle and a 30 degree pelvic tilt resulted in the lowest interface pressure. With the shoulder angle above 60 degrees, a significant difference of pelvic interface pressure was found (p < 0.05). However, there were no significant differences in pelvic interface pressure when measured with the shoulder angle at below 50 degrees. CONCLUSION: Keeping the shoulder angle within 0 to 50 degrees and the pelvic tilt fixed at 30 degrees may reduce pelvic interface pressure. Consequently, the positioning of patients will be determined based on individual needs or their physical conditions. Positioning the shoulder at an angle above 60 degrees may increase the risk of skin damage to the pelvic interface when the pelvic tilt is fixed at a 30 degree angle.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Affects of Shoulder Angle on Pelvic Interface Pressure in the Lateral Positionen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154129-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Affects of Shoulder Angle on Pelvic Interface Pressure in the Lateral Position</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Tanaka, Noriyoshi, BSN, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Tokai University Hospital / Tokai University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Nurse</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">noritana@is.icc.u-tokai.ac.jp</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Takeshi Toya, MA</td></tr><tr><td colspan="2" class="item-abstract">[Research Paper or Poster Presentation] PURPOSE: The purpose of this study was to determine the degree of shoulder angle, which affects pelvic interface pressure in the lateral position. BACKGROUND: The 30 degree lateral tilt position is widely used to prevent pressure ulcers by reducing localized pressure over bony prominences. In this position, the shoulder angle is kept within a narrow angular range to decompress axillary vessels and nerves. However, various degrees of shoulder angle affecting pelvic interface pressure have not been fully evaluated. METHODS: Thirty-five healthy adults (BMI 21.44 +/- 2.80) participated in this study. For baseline measurement, they were in the supine position lying on a standard mattress with legs elevated by pillows. Using a XSENSOR body pressure mapping pad, the pelvic interface pressure was measured with the pelvic tilt fixed at 30 degrees and the degree of shoulder angle increased in 10 degree increments from 0 to 70 degrees. RESULTS: The supine position with 0 degree shoulder angle and a 30 degree pelvic tilt resulted in the lowest interface pressure. With the shoulder angle above 60 degrees, a significant difference of pelvic interface pressure was found (p &lt; 0.05). However, there were no significant differences in pelvic interface pressure when measured with the shoulder angle at below 50 degrees. CONCLUSION: Keeping the shoulder angle within 0 to 50 degrees and the pelvic tilt fixed at 30 degrees may reduce pelvic interface pressure. Consequently, the positioning of patients will be determined based on individual needs or their physical conditions. Positioning the shoulder at an angle above 60 degrees may increase the risk of skin damage to the pelvic interface when the pelvic tilt is fixed at a 30 degree angle.</td></tr></table>en_GB
dc.date.available2011-10-26T12:45:57Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:45:57Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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