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Evaluation of antidecubitus mattresses

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Abstract

Pressure sores are a current problem in hospitals and care of the elderly, leading to protracted hospital stays and a high care burden. The trauma for the patients is severe, and the cost of pressure sore prevention and treatment, is considerable. Antidecubitus mattresses are used for prevention and in treatment, but they also contribute to the cost of treating pressure sores. The problem highlighted in the review is that the mattresses' effectiveness in preventing and treating pressure sores has not been sufficiently evaluated. When antidecubitus mattresses are evaluated, it is often only with regard to aspects of the interface pressure and the mattresses' ability to redistribute the pressure. The review points out the important observation that, to be able to evaluate the efficacy of the antidecubitus mattress, the mattress's effect on tissue viability needs to be studied. The parameters that ought to be considered when evaluating a support surface are: interface pressure, pressure and blood flow distribution, temperature and humidity in the skin-support surface interface. The authors propose that the effect on tissue viability of external loading can be assessed by simultaneous measurement of the interface pressure and tissue perfusion.

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References

  • Allen, V., Ryan, D. W., Lomax, N., andMurray, A. (1993a): ‘Accuracy of interface pressure measurement systems’,J. Biomed. Eng.,15, pp. 344–348

    Google Scholar 

  • Allen, V., Ryan, D. W., andMurray, A. (1993b): ‘Repeatability of subject/bed interface pressure measurements’,J. Biomed. Eng.,15, pp. 329–332

    Google Scholar 

  • Allen, V., Ryan, D. W., andMurray, A. (1994): ‘Measurements of interface pressure between body sites and the surfaces of four specialised air mattresses’,Br. J. Clin. Pharmacol.,48, pp. 125–129

    Google Scholar 

  • Allman, R. M., Goode, P. S., Patrick, M. M., Burst, N., andBartolucci, A. A. (1995): ‘Pressure ulcer risk factors among hospitalized patients with activity limitation’,JAMA,273, pp. 865–870

    Article  Google Scholar 

  • Bader, D. L., andGant, C. A. (1988): ‘Changes in transcutaneous oxygen tension as a result of prolonged pressures at the sacrum’,Clin. Phys. Physiol. Meas.,9, pp. 33–40

    Article  Google Scholar 

  • Bader, D. L. (1990): ‘The recovery characteristics of soft tissues following repeated loading’,J. Rehabil. Res. Dev.,27, pp. 141–150

    Google Scholar 

  • Baldwin, K. M. (2000): ‘Transcutaneous oximetry and skin surface temperature as objective measures of pressure ulcer risk’,Adv. Skin Wound Care,14, pp. 26–31

    Google Scholar 

  • Bennett, L., Kavner, D., Lee, B. K., andTrainor, F. A. (1979): ‘Shear vs pressure as causative factors in skin blood flow occlusion’,Arch. Phys. Med. Rehabil.,60, pp. 309–314

    Google Scholar 

  • Bennett, L., Kavner, D., Lee, B. Y., Trainor, F. S., andLewis, J. M. (1981): ‘Skin blood flow in seated geriatric patients’,Arch. Phys. Med. Rehabil.,62, pp. 392–398

    Google Scholar 

  • Bennett, L., Kavner, D., Lee, B. Y., Trainor, F. S. andLewis, J. M. (1984): ‘Skin stress and blood flow in sitting paraplegic patients’,Arch. Phys. Med. Rehabil.,65, pp. 186–190

    Google Scholar 

  • Bennett, L., andLee, B. Y. (1988): ‘Vertical shear existence in animal pressure threshold experiments’,Decubitus,1, pp. 18–24

    Google Scholar 

  • Bergstrom, N., Braden, B. J., Laguzza, A., andHolman, V. (1987): ‘The Braden scale for predicting pressure sore risk’,Nursing Res.,36, pp. 205–210

    Google Scholar 

  • Bergstrom, N., andBraden, B. (1992): ‘A prospective study of pressure sore risk among institutionalized elderly’,J. Am. Geriatr. Soc.,40, pp. 747–758

    Google Scholar 

  • Berjian, R. A., Douglass, H. O., Holoke, E. D., Goodwin, P. M., andPriore, R. L. (1983): ‘Skin pressure measurements on various mattress surfaces in cancer patients’,Am. J. Phys. Med.,62, pp. 217–226

    Google Scholar 

  • Binzoni, T., Leung, T. S., Boggett, D., andDelpy, D. (2003): ‘Non-invasive laser Doppler perfusion measurements of larger tissue volumes and human skeletal muscle blood RMS velocity’,Phys. Med. Biol.,48, pp. 2527–2549

    Article  Google Scholar 

  • Bliss, M. R. (1993): ‘Aetiology of pressure sores’,Rev. Clin. Gerontol.,3, pp. 379–397

    Google Scholar 

  • Braverman, I. M., Keh, A., andGoldminz, D. (1990): ‘Correlation of laser Doppler wave patterns with underlying microvascular anatomy’,J Invest Dermatol.,95, pp. 283–286

    Google Scholar 

  • Bridel, J. (1993): ‘The aetiology of pressure sores’,J. Wound Care,2, pp. 230–238

    Google Scholar 

  • Brienza, D. M., andGeyer, M. J. (2000): ‘Understanding support surface technologies’,Adv. Skin Wound Care,13, pp. 237–243

    Google Scholar 

  • Brienza, D. M., Geyer, M. J., Karg, P., andJan, Y.-K. (2001): ‘State of the science white paper on tissue integrity management’.A State of the Science Conf. on Seating Issues for Persons with Disabilities, Orlando, Florida, US

  • Christensson, L., Unosson, M., andEk, A.-C. (1999): ‘Malnutrition in elderly people newly admitted to a community resident home’,J. Nutr. Health Aging,3, pp. 133–139

    Google Scholar 

  • Clark, M., andRowland, L. B. (1989a): ‘Comparison of contact pressures measured at the sacrum of young and elderly subjects’,J. Biomed. Eng.,11, pp. 197–199

    Google Scholar 

  • Clark, M., andRowland, L. B. (1989b): ‘Preventing pressure sores: Matching patient and mattress using interface pressure measurements’,Decubitus,2, pp. 34–39

    Google Scholar 

  • Clark, M. (1994): ‘Problems associated with the measurement of interface (or contact) pressure’,J. Tissue Viability,4, pp. 37–42

    Google Scholar 

  • Cochran, G., Van, B., andPalmieri, V. (1980): ‘Development of test methods for evaluation of wheelchair cushions’,Bull. Prosthet. Res.,17, pp. 9–30

    Google Scholar 

  • Daniel, R. K., Priest, D. L., andWheatley, D. C. (1981): ‘Etiologic factors in pressure sores: An experimental model’,Arch. Phys. Med. Rehabil.,62, pp. 492–498

    Google Scholar 

  • Daniel, R. K., Wheatley, D., andPriest, D. (1985): ‘Pressure sores and paraplegia: An experimental model’,Ann. Plast. Surg.,51, pp. 41–49

    Google Scholar 

  • Dinsdale, S. M. (1973): ‘Decubitus ulcers in swine: Light and electron microscopy study of pathogenesis’,Arch. Phys. Med. Rehabil.,54, pp. 51–56

    Google Scholar 

  • Dinsdale, S. M. (1974): ‘Decubitus ulcers: Role of pressure and friction in causation’,Arch. Phys. Med. Rehabil.,55, pp. 147–152

    Google Scholar 

  • Edsberg, L. E., Natiella, J. R., Baier, R. E., andEarle, J. (2001): ‘Microstructural characteristics of human skin subjected to static versus cyclic pressures’,J Rehabil. Res. Dev.,38

  • Ek, A.-C., andBoman, G. (1982): ‘A descriptive study of pressure sores: the prevalence of pressure sores and the characteristics of patients’,J. Adv. Nurs.,7, pp. 51–57

    Google Scholar 

  • Ek, A.-C., Lewis, D. H., Zetterqvist, H., andSvensson, P.-G. (1984): ‘Skin blood flow in an area at risk for pressure sore’,Scand. J. Rehabil. Med.,16, pp. 85–89

    Google Scholar 

  • Ek, A.-C. (1987a): ‘Prevention, treatment and healing of pressure sores in long-term care patients’,Scand. J. Caring Sci.,1, pp. 7–13.

    Google Scholar 

  • Ek, A.-C. (1987b): ‘Prediction of pressure sore development’,Scand. J. Caring Sci.,1, pp. 77–84

    Google Scholar 

  • Ek, A.-C., Gustavsson, G., andLewis, D. H. (1987): ‘Skin blood flow in relation to external pressure and temperature in the supine position on a standard hospital mattress’,Scand. J. Rehabil. Med.,19, pp. 121–126

    Google Scholar 

  • Epuap (1999): ‘European Pressure Ulcer Advisory Panel Guidelines on treatment of pressure ulcers’,Epuap Rev. 1, pp. 31–33

    Google Scholar 

  • Eriksson, E. (1980): ‘Etiology: microcirculatory effects of pressure’, inConstantian, M. B. (Ed.): ‘Pressure ulcers: principles and techniques of management’ (Little Brown & Co., 1980), pp. 7–14

  • Feldman, D. L., Sepka, R. S., andKlitzman, B. (1993): ‘Tissue oxygenation and blood flow on specialized and conventional hospital beds’,Ann. Plast. Surg.,30, pp. 441–444

    Google Scholar 

  • Ferguson-Pell, M., andCardi, M. D. (1993): ‘Prototype development and comparative evaluation of wheelchair pressure mapping system’,Assist. Technol.,5, pp. 78–91

    Google Scholar 

  • Fisher, S. V., Szymke, T. E., Apte, S. Y., andKosiak, M. (1978): ‘Wheelchair cushion effect on skin temperature’,Arch. Phys. Med. Rehabil.,59, pp. 68–72

    Google Scholar 

  • Fletcher, J. (2001): ‘What can we learn from interface pressure measurements?’J. Wound Care,10, pp. 29–32

    Google Scholar 

  • Frantz, R., andXakellis, G. C. (1989): ‘Characteristics of skin blood flow over the trochanter under constant, prolonged pressure’,Am. J. Phys. Med. Rehabil.,68, pp. 272–276

    Google Scholar 

  • Frantz, R., Xakellis, G. C., andArteaga, M. (1993): ‘The effects of prolonged pressure on skin blood flow in elderly patients at risk for pressure ulcers’,Decubitus,6, pp. 16–20

    Google Scholar 

  • Gibson, L. (2002): ‘Perceptions of pressure ulcers among young men with a spinal injury’,Br. J. Commun. Nurs.,7, pp. 451–60

    Google Scholar 

  • Goossens, R. H. M., Snijders, C. J., Dijke, G. A. H. V., andOuden, A. H. D. (1993): ‘A new instrument for the measurement of forces on beds and seats’,J. Biomed. Eng.,15, pp. 409–412

    Google Scholar 

  • Goossens, R. H. M., Zegers, R., Dijke, G. A. H. V., andSnijders, C. J. (1994): ‘Influence of shear on skin oxygen tension’,Clin. Physiol.,14, pp. 111–118

    Google Scholar 

  • Goossens, R. H. M., Snijders, C. J., Holscher, T. G., Heerens, W. C., andHolman, A. E. (1997): ‘Shear stress measured on beds and wheelchairs’,Scand. J. Rehabil. Med.,29, pp. 131–136

    Google Scholar 

  • Gunningberg, L., Lindholm, C., Carlsson, M., andSjödén, P.-O. (2000): ‘The development of pressure ulcers in patients with hip fractures: inadequate nursing documentation is still a problem’,J. Adv. Nurs.,31, pp. 1155–1164

    Article  Google Scholar 

  • Gunther, R. A., andClark, M. (2000): ‘The effect of a dynamic pressure-redistributing bed support surface upon systemic lymph flow and composition’,Suppl. J. Tissue Viabil.,10, pp. 10–15

    Google Scholar 

  • Guyton, A. C. (1996): ‘Energetics and metabolic rate’, inGuyton, A. C. (Ed.): ‘Textbook of medical physiology’ (W. B. Saunders Company, Philadelphia, US, 1996), p. 908

    Google Scholar 

  • Herrman, E. C., Knapp, C. F., Donofrio, J. C., andSalcido, R. (1999): ‘Skin perfusion responses to surface pressure-induced ischemia: Implication for the developing pressure ulcer’,J. Rehabil. Res. Dev.,36, pp. 0–0

    Google Scholar 

  • Hochmann, D., Diesing, P., andBoenick, U. (2002): ‘Evaluierung der messmethoden zur bewertung des therapeutischen nutzens von antidekubitus-systemen’,Biomed. Tech.,47, pp 816–819

    Google Scholar 

  • Holley, L. K., Long, J., Stewart, J., andJones, R. F. (1979): ‘A new pressure measuring system for cushions and beds — with a review of the literature’,Paraplegia,17, pp. 461–474

    Google Scholar 

  • Husain, T. (1953): ‘An experimental study of some pressure effects on tissue with reference to the bed-sore problem’,J. Pathol. Bacteriol.,33, p. 347

    Google Scholar 

  • Jacobs, M. A. (1989): ‘Comparison of capillary blood flow using a regular hospital bed mattress, ROHO® mattress, and Mediscus® bed’,Rehabil. Nurs.,14, pp. 270–272

    Google Scholar 

  • Jakobsson, A., andNilsson, G. E. (1993): ‘Prediction of sampling depth and photon pathlength in laser Doppler flowmetry’,Med. Biol. Eng. Comput.,31, pp. 301–307

    Google Scholar 

  • Jay, R. (1995): ‘Pressure and shear: Their effects on support surface choice’,Ostomy/Wound Manag.,41, pp. 36–45

    Google Scholar 

  • Kett, R. L., andLevine, S. P. (1987): ‘A dynamic model of tissue deflection in a seated individual’.Resna 10th Ann. Conf., San Jose, California, US, pp. 524–526

  • Kosiak, M. (1959): ‘Etiology and pathology of ischemic ulcers’,Arch. Phys. Med. Rehabil., pp. 62–69

  • Kosiak, M. (1961): ‘Etiology of decubitus ulcers’,Arch. Phys. Med. Rehabil., pp. 19–29

  • Krouskop, T. A., Reddy, N. P., Spencer, W. A., andSecor, J. W. (1978): ‘Mechanisms of decubitus ulcer formation — An hypothesis’,Med. Hypotheses,4, pp. 37–39

    Article  Google Scholar 

  • Krouskop, T. A., andGarber, S. L. (1990): ‘Interface pressure measurements’,J. Enterostomal Ther.,17, p. 182

    Google Scholar 

  • Krouskop, T. A., andRijswijk, L. V. (1995): ‘Standardizing performance-based criteria for support surfaces’,Ostomy/Wound Management,41, pp. 34–45

    Google Scholar 

  • Langemo, D. K., Melland, H., Hanson, D., Olson, B., andHunter, S. (2000): ‘The lived experience of having a pressure ulcer: A qualitative analysis’,Adv. Skin Wound Care,13, pp. 225–235

    Google Scholar 

  • Le, K. M., Madsen, B. L., Barth, P. W., Ksander, G. A., Angell, J. B., andVistnes, L. M. (1984): ‘An in-depth look at pressure sores using monolithic silicon pressure sensors’,Plast. Reconstr. Surg.,74, pp. 745–754

    Google Scholar 

  • Levine, J. M., Simpson, M., andMcDonald, R. J. (1989): ‘Pressure sores. A plan for primary care prevention’,Geriatrics,44, pp. 75–90

    Google Scholar 

  • Lindan, O. (1961): ‘Etiology of decubitus ulcers: An experimental study’,Arch. Phys. med. Rehabil., pp. 774–783

  • Lindgren, M., Unosson, M., andEk, A.-C. (2000): ‘Pressure sore prevalence within a public health services area’,Int. J. Nursing Prac.,6, pp. 333–337

    Google Scholar 

  • Lindgren, M., Unosson, M., Krantz, A.-M., andEk, A.-C. (2002): ‘A risk assessment scale for the prediction of pressure sore development: reliability and validity’,J. Adv. Nurs.,38, pp. 190–199

    Article  Google Scholar 

  • Lindgren, M., Unosson, M., Fredrikson, M., andEk, A.-C. (2004): ‘Immobility — a major risk factor for development of pressure ulcers among adult hospitalized patients: a prospective study’,Scand. J. Caring Sci.,18, pp. 57–64

    Article  Google Scholar 

  • Lindholm, C., Bergsten, A., andBerglund, E. (1999): ‘Chronic wounds and nursing care’,J. Wound Care,8, pp. 5–10

    Google Scholar 

  • Lindholm, C., Bergsten, A., andBerglund, E. (1999): ‘Chronic wounds and nursing care’,J. Wound Care,8, pp. 5–10

    Google Scholar 

  • Liu, M. H., Grimm, D. R., Teodorescu, V. Kronowitz, S. J., andBauman, W. A. (1999): ‘Transcutaneous oxygen tension in subjects with paraplegia with and without pressure ulcers: A preliminary report’,J. Rehabil. Res. Dev.,36

  • Lyder, C. H., Shannon, R., Empleo-Frazier, O., Mcgehee, D., andWhite, C. (2002): ‘A comprehesive program to prevent pressure ulcers in long-term care: Exploring costs and outcomes’,Ostomy/Wound Manag.,48, pp. 52–62

    Google Scholar 

  • Maklebust, J., Mondoux, L., andSieggreen, M. (1986): ‘Pressure relief characteristics of various support surfaces used in prevention and treatment of pressure ulcers’,J. Enterostomal Ther.,13, pp. 85–89

    Google Scholar 

  • Marum, R. J. V., Meijer, J. H., Ooms, M. E., Kostense, P. J., Eijk, J. T. V., andRibbe, M. W. (2001): ‘Relationship between internal risk factors for development of decubitus ulcers and the blood flow response following pressure load’,Angiology,52, pp. 409–416

    Google Scholar 

  • Mayrovitz, H. N., andSims, N. (2001): ‘Biophysical effects of water and synthetic urine on skin’,Adv. Skin Wound Care,14, pp. 302–308

    Google Scholar 

  • Mayrovitz, H. N., andSims, N. (2002): ‘Effects of different cyclic pressurization and relief patterns on heel skin blood perfusion’,Adv. Skin Wound Care,15, pp. 158–164

    Google Scholar 

  • McLeod, A. G. (1997): ‘Principles of alternating pressure surfaces’,Adv. Wound Care,10

  • Miller, G. E., andSeale, J. (1981): ‘Lymphatic clearance during compressive loading’,Lymphology,14, pp. 161–166

    Google Scholar 

  • Murray, A., andMarjanovic, D. (1997): ‘Optical assessment of recovery of tissue blood supply after removal of externally applied pressure’,Med. Biol. Eng. Comput.,35, pp. 425–427

    Google Scholar 

  • Newson, T. P., Pearcy, M. J., andRolfe, P. (1981): ‘Skin surface PO2 measurement and the effect of externally applied pressure’.Arch. Phys. Med. Rehabil.,62, pp. 390–392

    Google Scholar 

  • Nicholson, G. P., Scales, J. T., Clark, R. P., andCalcina-Goff, M. L. D. (1999): ‘A method for determining the heat transfer and water vapour permeability of patient support systems’,Med. Eng. Phys.,21, pp. 701–712

    Article  Google Scholar 

  • Niitsuma, J., Yano, H., andTogawa, T. (2003): ‘Experimental study of decubitus formation in the rabbit ear lobe’,J. Rehabil. Res. Dev.,40, pp. 67–72

    Google Scholar 

  • Nola, G. T., andVistnes, L. M. (1980): ‘Differential response of skin and muscle in the experimental production of pressure sores’,Plast. Reconstr. Surg.,66, pp. 728–733

    Google Scholar 

  • Norton, D., McLaren, R., andExton-Smith, A. N. (1979): ‘An investigation of geriatric problems in hospital’ (Churchill Livingstone, London, UK, 1979)

    Google Scholar 

  • Öberg, P. Å. (1990): ‘Innovations and precautions’, inSheperd, A. P. andÖberg, P. A. (Eds.): ‘Laser-Doppler blood flowmetry’ (Kluwer Academic Publishers, Norwell, USA), p. 94

    Google Scholar 

  • Patel, S., Knapp, C. F., Donofrio, J. C., andSalcido, R. (1999): ‘Temperature effects on surface pressure-induced changes in rat skin perfusion: Implications in pressure ulcer development’,J. Rehabil. Res. Dev.,36, pp. 0–0

    Google Scholar 

  • Reddy, N. P., Cochran, G. V. B., andKrouskop, T. A. (1981b): ‘Interstitial fluid flow as a factor in decubitus ulcer formation’,J. Biomech.,14, pp. 879–881

    Article  Google Scholar 

  • Reddy, N. P., Palmieri, V., andCochran, G. V. B. (1981a): ‘Subcutaneous interstitial fluid pressure during external loading’,Am. J. Physiol.,240, pp. R327-R329

    Google Scholar 

  • Reddy, N. P., Palmieri, V., andCochran, G. V. B. (1984): ‘Evaluation of transducer performance for buttock-cushion interface pressure measurements’,J. Rehabil. Res. Dev.,21, pp. 43–50

    Google Scholar 

  • Rithalia, S., andKenney, L. (2000): ‘Hospital bed mattresses: an overview of technical aspects’,J. Med. Eng. Technol.,24, pp. 32–39

    Google Scholar 

  • Rithalia, S. V., Heath, G. H., andGonsalkorale, M. (2000): ‘Assessment of alternating-pressure air mattresses using a time-based pressure threshold technique and continuous measurements of transcutaneous gases’,J. Tissue Viability,10, pp. 13–19

    Google Scholar 

  • Rithalia, S. V. S., andGonsalkorale, M. (2000): ‘Quantification of pressure relief using interface pressure and tissue perfusion in alternating pressure air mattresses’,Arch. Phys. Med. Rehabil.,81, pp. 1364–1369

    Article  Google Scholar 

  • Rondorf-Klym, L. M., andLangemo, D. (1993): ‘Relationship between body weigh, body position, support surface, and tissue interface pressure at the sacrum’,Decubitus,6, pp. 22–30

    Google Scholar 

  • Sachse, R. E., Fink, S. A., andKlitzman, B. (1998): ‘Multimodality evaluation of pressure relief surfaces’,Plast. Reconstr. Surg.,102, pp. 2381–2387

    Google Scholar 

  • Sacks, A. H., Ksander, G., O'Neill, H., andPerkash, I. (1988): ‘Difficulties in laser Doppler measurement of skin blood flow under applied external pressure’,J Rehabil. Res. Dev.,25, pp. 19–24

    Google Scholar 

  • Salcido, R., Donofrio, J. C., Fisher, S. B., Legrand, E. K., Dickey, K., Carney, J. M., Schosser, R., andLiang, R. (1994): ‘Histopathology of pressure ulcers as a result of sequential computer-controlled pressure sessions in a fuzzy rat model’,Adv. Wound Care,7, pp. 23–40

    Google Scholar 

  • Sanada, H., Kanagawa, K., Inagaki, M., Imae, J., Nishimura, M., Yoshio, K., andHiramatsu, T. (1995): ‘A study on the prevention of pressure ulcers: The relationship between transcutaneous PO2 in the sacral region and predictive factors for pressure ulcer development’,Wounds,7, pp. 17–23

    Google Scholar 

  • Sanada, H., Nagakawa, T., Yamamoto, M., Higashidani, K., Tsuru, H., andSugama, J. (1997): ‘The role of skin blood flow in pressure ulcer development during surgery’,Adv. Wound Care,10, pp. 29–34

    Google Scholar 

  • Sandberg, M., Zhang, Q., Styf, J., Gerdle, B. andLindberg, L.-G. (2005): ‘Non-invasive monitoring of muscle blood perfusion by photopletysmography: − evaluation of a new application’,Acta Physiol Scand.,183, pp. 335–343

    Article  Google Scholar 

  • Schubert, V., andFagrell, B. (1989): ‘Local skin pressure and its effects on skin microcirculation as evaluated by laser-Doppler fluxmetry’,Clin. Physiol.,9, pp. 535–545

    Google Scholar 

  • Schubert, V. (1991): ‘Hypotension as a risk factor for the development of pressure sores in elderly subjects’,Age Ageing,20, pp. 255–261

    Google Scholar 

  • Seiler, W. O., andStähelin, H. B. (1979): ‘Skin oxygen tension as a function of imposed skin pressure: Implication for decubitus ulcer formation’,J. Am. Geriatr. Soc.,XXVII, pp. 298–301

    Google Scholar 

  • Stewart, S. F. C., Palmieri, V., andCochran, G. V. B. (1980): ‘Wheelchair cushion effect on skin temperature, heat flux, and relative humidity’,Arch. Phys. Med. Rehabil.,61, pp. 229–233

    Google Scholar 

  • Sulzberger, M. B., Cortese, T. A., Fishman, L., andWiley, H. S. (1966): ‘Studies on blister produced by friction’,J. Invest. Dermatol.,47, pp. 456–465

    Google Scholar 

  • Tenland, T., Salerud, E. G., Nilsson, G. E., andÖberg, P. Å. (1983): ‘Spatial and temporal variations in human skin blood flow’,Int J Microcirc: Clin Exp,2, pp. 81–90

    Google Scholar 

  • Wårdell, K., Jakobsson, A., andNilsson, G. E. (1993): ‘Laser Doppler perfusion imaging by dynamic light scattering’,IEEE Trans. Biomed. Eng.,40, pp. 309–316

    Google Scholar 

  • Wårdell, K., Braverman, I. M., Silverman, D. G., andNilsson, G. E. (1994): ‘Spatial heterogeneity in normal skin perfusion recorded with laser Doppler imaging and flowmetry’,Microvasc. Res.,48, pp. 26–38

    Google Scholar 

  • Whittemore, R. (1998): ‘Pressure-reduction support surfaces: A review of the literature’,J. Wound, Ostomy Continence Nurs.,25, pp. 6–25

    Google Scholar 

  • Witkowski, J. A., andParish, L. C. (1982): ‘Histopathology of the decubitus ulcer’,J. Am. Acad. Dermatol.,6, pp. 1014–1021

    Google Scholar 

  • Wywialowski, E. F. (1999): ‘Tissue perfusion as a key underlying concept of pressure ulcer development and treatment’,J. Vasc. Nurs.,17, pp. 12–16

    Article  Google Scholar 

  • Xakellis, G. C., Frantz, R. A., Arteaga, M., andMeletiou, S. (1991): ‘A comparison of changes in the transcutaneous oxygen tension and capillary blood flow in the skin with increasing compressive weights’,Am. J. Phys. Med. Rehabil.,70, pp. 172–177

    Google Scholar 

  • Xakellis, G. C., Frantz, R. A., Arteaga, M., andMeletiou, S. (1993): ‘Dermal blood flow response to constant pressure in healthy older and younger subjects’,J. Gerontol.,48, pp. M6-M9

    Google Scholar 

  • Zhang, M., andRoberts, V. C. (1993): ‘The effect of shear forces externally applied to skin surface on underlying tissues’,J. Biomed. Eng.,15, pp. 451–456

    Google Scholar 

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  1. Department of Computer Science & Electronics, Mälardalen University, Västerås, Sweden

    A. Jonsson, M. Lindén & Y. Bäcklund

  2. Department of Medicine & Care Nursing Science, Faculty of Health Sciences, Linköping University, Linköping, Sweden

    M. Lindgren & L. -Å. Malmqvist

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  1. A. Jonsson
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Jonsson, A., Lindén, M., Lindgren, M. et al. Evaluation of antidecubitus mattresses. Med. Biol. Eng. Comput. 43, 541–547 (2005). https://doi.org/10.1007/BF02351025

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