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James Y. Tung, PhD; Brent Stead, PhD, MBA; William Mann, MBA; Ba’ Pham, PhD; Milos R. Popovic, PhD

Assistive technologies for self-managed pressure ulcer prevention in spinal cord injury: A scoping review. James Y. Tung, PhD; Brent Stead, PhD, MBA; William Mann, MBA; Ba’ Pham, PhD; Milos R. Popovic, PhD. Aim

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James Y. Tung, PhD; Brent Stead, PhD, MBA; William Mann, MBA; Ba’ Pham, PhD; Milos R. Popovic, PhD

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  1. Assistive technologies for self-managed pressure ulcer prevention in spinal cord injury: A scoping review James Y. Tung, PhD; Brent Stead, PhD, MBA; William Mann, MBA; Ba’ Pham, PhD; Milos R. Popovic, PhD

  2. Aim • Review key concepts and appraise current technology related to self-managed prevention of pressure ulcers (PUs) in individuals with spinal cord injury (SCI). • Relevance • PUs in individuals with SCI are a persistent and costly problem. • Continued development of new technologies that support and sustain self-managed care is an important prevention strategy.

  3. Method • Literature search of PubMed and Web of Science: • Articles published between 1975 and 2012. • Search terms: {“pressure ulcer” AND “spinal cord injury”} AND {“self-management” OR “technology”}.

  4. Results • Identified 4 technology categories that support self-management. • Computer-based education: • Demonstrated improved short-term knowledge gains (2 studies). • Interface pressure mapping: • Demonstrated improved adherence to pressure-relief schedules up to 3 mo (5 studies). • Electrical stimulation: • Confirmed improved tissue tolerance after 8 wk of training (3 studies). • Telemedicine programs: • Demonstrated improved independence and reduced hospital visits over 6 mo (2 studies).

  5. Conclusion • Self-management technologies demonstrated low-to-moderate effectiveness in addressing a subset of risk factors. • Effectiveness of technologies in preventing PUs is limited due to a lack of incidence reporting. • Recommendation: • Develop integrated technologies that address multiple risk factors.

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