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N/A N=15 Prevention

Alternating Pressure Overlay on Weight Bearing Tissue Tolerance in People With Spinal Cord Injury

Spinal Cord Injuries · Pressure Ulcer

Enrolled (actual)
15
Serious AEs
Results posted
Jun 2021
Primary outcome: Primary: Sacral Skin Blood Flow During Supine Lying — 12.65; 15.54; 11.96 arbitrary unit

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Dabir Air overlay (Device)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
University of Illinois at Chicago
Primary completion
Mar 2019

Outcome Measures

OutcomeResultp-value
PRIMARY
Sacral Skin Blood Flow During Supine Lying
12.65; 15.54; 11.96
PRIMARY
Heel Skin Blood Flow During Supine Lying
15.10; 27.92; 10.43
PRIMARY
Sacral Peak Interface Pressure During Supine Lying
89.27; 51.47; 114.13
PRIMARY
Sacral Averaged Interface Pressure During Supine Lying
57.21; 36.16; 81.50
PRIMARY
Heel Peak Interface Pressure During Supine Lying
52.49; 26.79; 53.05
PRIMARY
Heel Averaged Interface Pressure During Supine Lying
37.88; 14.60; 34.83
SECONDARY
Post Alternating Pressure Sacral Skin Blood Flow
15.78; 11.96
SECONDARY
Post Alternating Pressure Sacral Peak Interface Pressure
104.62; 114.13
SECONDARY
Post Alternating Pressure Sacral Averaged Interface Pressure
81.07; 81.50
SECONDARY
Post Alternating Pressure Heel Skin Blood Flow
16.31; 10.43
SECONDARY
Post Alternating Pressure Heel Peak Interface Pressure
47.69; 53.05
SECONDARY
Post Alternating Pressure Heel Averaged Interface Pressure
30.35; 34.83

Summary

The purpose of this study is to test if the newly-developed Dabir alternating pressure (AP) overlay could be beneficial to preventing skin damage during daily activities, such as lying in bed. Specifically, the study is being done to test if the Dabir AP overlay could be used to increase skin tolerance when lying in bed for an extended period of time (40 minutes), including reducing pressure and increasing skin blood flow (amount of blood supply to oxygen and nutrients to skin) as compared to regular operation room (OR) overlay. A total of 20 participants with spinal cord injury will be recruited. Subjects will undergo study procedures including: AP and Control protocols. Skin blood flow and interface pressure will be collected non-invasively (from outside the body) during both protocols. During AP protocols, subject will be asked to lie on side (10 min), on back on AP overlay (40 min), on side (30 min), on back on OR overlay (40 min), and on side (10 min). During Control protocol, subject will be asked to lie on side (10 min), on back on OR overlay (40 min), and on side (10 min). Subject will then proceed to vascular control measures, including: non-invasive skin blood flow and tissue oxygen measurements with mild heating and electrical stimulation. Findings from this study will help us understand the effectiveness of the AP overlay on skin blood flow response during prolonged lying in bed.

Eligibility Criteria

Inclusion Criteria

  • have had spinal cord injury for more than one year
  • have injury level at T10 or above
  • not ambulatory and use a wheelchair for mobility
  • none smokers or able to refrain from smoking four hours prior to and during the study

Exclusion Criteria

  • current pressure ulcer
  • history of diabetes mellitus
  • history of cardiovascular diseases
  • history of hypertension
  • history of pulmonary diseases
  • pregnant women (based on a positive pregnancy test)
  • Non-English speakers
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03317288). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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