{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T02:52:22Z","timestamp":1790736742405,"version":"4.1.0"},"reference-count":26,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2018,8,1]],"date-time":"2018-08-01T00:00:00Z","timestamp":1533081600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"funder":[{"DOI":"10.13039\/100009157","name":"National Institute on Disability, Independent Living, and Rehabilitation Research","doi-asserted-by":"publisher","award":["H133E080003"],"award-info":[{"award-number":["H133E080003"]}],"id":[{"id":"10.13039\/100009157","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009157","name":"National Institute on Disability, Independent Living, and Rehabilitation Research","doi-asserted-by":"publisher","award":["90IF0120-01-00"],"award-info":[{"award-number":["90IF0120-01-00"]}],"id":[{"id":"10.13039\/100009157","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Ride Designs"},{"name":"Robert H. Graebe Foundation"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Tissue Viability"],"published-print":{"date-parts":[[2018,8]]},"DOI":"10.1016\/j.jtv.2018.04.001","type":"journal-article","created":{"date-parts":[[2018,5,9]],"date-time":"2018-05-09T20:48:00Z","timestamp":1525898880000},"page":"162-172","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":29,"title":["Measuring the impact of cushion design on buttocks tissue deformation: An MRI approach"],"prefix":"10.1016","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9747-5683","authenticated-orcid":false,"given":"Sharon E.","family":"Sonenblum","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen H.","family":"Sprigle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas R.","family":"Hetzel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3008-6592","authenticated-orcid":false,"given":"John","family":"McKay Cathcart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"11","key":"10.1016\/j.jtv.2018.04.001_bib1","doi-asserted-by":"crossref","first-page":"1516","DOI":"10.1016\/j.apmr.2006.08.329","article-title":"Data-based models of how pressure ulcers develop in daily-living contexts of adults with spinal cord injury","volume":"87","author":"Clark","year":"2006","journal-title":"Arch Phys Med Rehabil"},{"issue":"12","key":"10.1016\/j.jtv.2018.04.001_bib2","doi-asserted-by":"crossref","first-page":"2312","DOI":"10.1016\/j.apmr.2014.08.003","article-title":"Impact of pressure ulcers on individuals living with a spinal cord injury","volume":"95","author":"Lala","year":"2014","journal-title":"Arch PM&R (Phys Med Rehabil)"},{"issue":"5","key":"10.1016\/j.jtv.2018.04.001_bib3","first-page":"225","article-title":"The lived experience of having a pressure ulcer: a qualitative analysis","volume":"13","author":"Langemo","year":"2000","journal-title":"Adv Skin Wound Care"},{"issue":"6","key":"10.1016\/j.jtv.2018.04.001_bib4","doi-asserted-by":"crossref","first-page":"331","DOI":"10.12968\/jowc.2014.23.6.331","article-title":"Quality of life and self-esteem in patients with paraplegia and pressure ulcers: a controlled cross-sectional study","volume":"23","author":"Lourenco","year":"2014","journal-title":"J Wound Care"},{"issue":"5","key":"10.1016\/j.jtv.2018.04.001_bib5","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1080\/10790268.2008.11754570","article-title":"Predictors of pressure ulcer recurrence in veterans with spinal cord injury","volume":"31","author":"Guihan","year":"2008","journal-title":"J Spinal Cord Med"},{"issue":"3","key":"10.1016\/j.jtv.2018.04.001_bib6","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1080\/1025584031000121034","article-title":"Can loaded interface characteristics influence strain distributions in muscle adjacent to bony prominences?","volume":"6","author":"Oomens","year":"2003","journal-title":"Comput Meth Biomech Biomed Eng"},{"issue":"3","key":"10.1016\/j.jtv.2018.04.001_bib7","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1682\/JRRD.2010.05.0102","article-title":"Assessing evidence supporting redistribution of pressure for pressure ulcer prevention: a review","volume":"48","author":"Sprigle","year":"2011","journal-title":"J Rehabil Res Dev"},{"issue":"2","key":"10.1016\/j.jtv.2018.04.001_bib8","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1007\/s10439-014-1202-6","article-title":"Pressure induced deep tissue injury explained","volume":"43","author":"Oomens","year":"2015","journal-title":"Ann Biomed Eng"},{"issue":"4","key":"10.1016\/j.jtv.2018.04.001_bib9","doi-asserted-by":"crossref","first-page":"1168","DOI":"10.1152\/japplphysiol.00389.2011","article-title":"The effects of deformation, ischemia, and reperfusion on the development of muscle damage during prolonged loading","volume":"111","author":"Loerakker","year":"2011","journal-title":"J Appl Physiol"},{"issue":"6","key":"10.1016\/j.jtv.2018.04.001_bib10","doi-asserted-by":"crossref","first-page":"1946","DOI":"10.1152\/japplphysiol.00889.2005","article-title":"Compression-induced deep tissue injury examined with magnetic resonance imaging and histology","volume":"100","author":"Stekelenburg","year":"2006","journal-title":"J Appl Physiol"},{"issue":"1","key":"10.1016\/j.jtv.2018.04.001_bib11","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/j.jtv.2012.11.001","article-title":"3-dimensional buttocks response to sitting: a case report","volume":"22","author":"Sonenblum","year":"2013","journal-title":"J Tissue Viability"},{"issue":"2","key":"10.1016\/j.jtv.2018.04.001_bib12","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/j.jtv.2015.03.003","article-title":"3D anatomy and deformation of the seated buttocks","volume":"24","author":"Sonenblum","year":"2015","journal-title":"J Tissue Viability"},{"issue":"4","key":"10.1016\/j.jtv.2018.04.001_bib14","first-page":"449","article-title":"Development of uniform terminology and procedures to describe wheelchair cushion characteristics","volume":"38","author":"Sprigle","year":"2001","journal-title":"J Rehabil Res Dev"},{"issue":"3","key":"10.1016\/j.jtv.2018.04.001_bib16","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1080\/10400435.2014.986772","article-title":"Measurement of load redistribution properties of wheelchair cushions using a compliant cushion loading indenter","volume":"27","author":"Kumar","year":"2015","journal-title":"Assist Technol"},{"issue":"1","key":"10.1016\/j.jtv.2018.04.001_bib17","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/j.jtv.2017.04.001","article-title":"An MRI investigation of the effects of user anatomy and wheelchair cushion type on tissue deformation","volume":"27","author":"Brienza","year":"2018","journal-title":"J Tissue Viability"},{"issue":"3","key":"10.1016\/j.jtv.2018.04.001_bib18","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1016\/j.jtv.2017.05.002","article-title":"Off loading wheelchair cushion provides best case reduction in tissue deformation as indicated by MRI","volume":"26","author":"Call","year":"2017","journal-title":"J Tissue Viability"},{"issue":"2","key":"10.1016\/j.jtv.2018.04.001_bib19","doi-asserted-by":"crossref","first-page":"136","DOI":"10.4103\/1119-3077.198313","article-title":"MRI-based detailed evaluation of the anatomy of the human coccyx among Turkish adults","volume":"20","author":"Tetiker","year":"2017","journal-title":"Niger J Clin Pract"},{"issue":"1","key":"10.1016\/j.jtv.2018.04.001_bib20","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1080\/10400435.2003.10131889","article-title":"Reliability of bench tests of interface pressure","volume":"15","author":"Sprigle","year":"2003","journal-title":"Assist Technol"},{"issue":"1","key":"10.1016\/j.jtv.2018.04.001_bib21","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.jtv.2013.12.005","article-title":"An air-cell-based cushion for pressure ulcer protection remarkably reduces tissue stresses in the seated buttocks with respect to foams: finite element studies","volume":"23","author":"Levy","year":"2014","journal-title":"J Tissue Viability"},{"issue":"1","key":"10.1016\/j.jtv.2018.04.001_bib22","first-page":"22","article-title":"A computer modeling study to evaluate the potential effect of air cell-based cushions on the tissues of bariatric and diabetic patients","volume":"62","author":"Levy","year":"2016","journal-title":"Ostomy\/Wound Manag"},{"issue":"5","key":"10.1016\/j.jtv.2018.04.001_bib23","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1080\/03091900601165256","article-title":"The false premise in measuring body-support interface pressures for preventing serious pressure ulcers","volume":"31","author":"Gefen","year":"2007","journal-title":"J Med Eng Technol"},{"issue":"2","key":"10.1016\/j.jtv.2018.04.001_bib24","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/j.jtv.2009.11.002","article-title":"The importance of internal strain as opposed to interface pressure in the prevention of pressure related deep tissue injury","volume":"19","author":"Oomens","year":"2010","journal-title":"J Tissue Viability"},{"issue":"2","key":"10.1016\/j.jtv.2018.04.001_bib25","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0191868","article-title":"Buttock tissue response to loading in men with spinal cord injury","volume":"13","author":"Sonenblum","year":"2018","journal-title":"PLoS One"},{"issue":"4","key":"10.1016\/j.jtv.2018.04.001_bib26","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1016\/S0003-9993(98)90138-1","article-title":"Seat cushion optimization: a comparison of interface pressure and tissue stiffness characteristics for spinal cord injured and elderly patients","volume":"79","author":"Brienza","year":"1998","journal-title":"Arch Phys Med Rehabil"},{"issue":"11","key":"10.1016\/j.jtv.2018.04.001_bib27","doi-asserted-by":"crossref","first-page":"828","DOI":"10.1038\/sc.2013.91","article-title":"Prevalence, location, grade of pressure ulcers and association with specific patient characteristics in adult spinal cord injury patients during the hospital stay: a prospective cohort study","volume":"51","author":"Scheel-Sailer","year":"2013","journal-title":"Spinal Cord"},{"issue":"3\u20134","key":"10.1016\/j.jtv.2018.04.001_bib28","doi-asserted-by":"crossref","first-page":"694","DOI":"10.1111\/jocn.14019","article-title":"The prevalence and specific characteristics of hospitalised pressure ulcer patients: a multicentre cross-sectional study","volume":"27","author":"Zhou","year":"2018","journal-title":"J Clin Nurs"}],"container-title":["Journal of Tissue Viability"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0965206X17301481?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0965206X17301481?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2018,8,21]],"date-time":"2018-08-21T17:53:22Z","timestamp":1534874002000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0965206X17301481"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8]]},"references-count":26,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,8]]}},"alternative-id":["S0965206X17301481"],"URL":"https:\/\/doi.org\/10.1016\/j.jtv.2018.04.001","relation":{},"ISSN":["0965-206X"],"issn-type":[{"value":"0965-206X","type":"print"}],"subject":[],"published":{"date-parts":[[2018,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Measuring the impact of cushion design on buttocks tissue deformation: An MRI approach","name":"articletitle","label":"Article Title"},{"value":"Journal of Tissue Viability","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jtv.2018.04.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 Tissue Viability Society. Published by Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}