{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T06:35:05Z","timestamp":1765780505033,"version":"3.48.0"},"reference-count":34,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T00:00:00Z","timestamp":1765756800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pressure injuries (PIs) significantly affect the health and social participation of individuals with spinal cord injury (SCI). Anti-decubitus cushions help prevent these injuries by distributing weight and reducing peak pressures. Evidence supports air cushions as the most effective solution for pressure relief during sitting. In recent years, in order to enhance their effectiveness, these cushions have incorporated dynamic and intelligent systems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To analyse and compare sitting pressure values while using a commercially available dynamic intelligent air cushion\u2014specifically the Nubolo\u00ae|Med\u2014versus other high-end air cushions. Methods: The sample comprised 41 individuals with chronic, complete traumatic SCI, presenting various risk factors for pressure injuries. Measurements were conducted using the Nubolo\u00ae|Med cushion, participants\u2019 usual high-end air cushions, and a CONFORMatSYSTEM mat for pressure recording. Outcome variables were peak pressure (PP), normalized peak pressure (PP\/CA), average pressure (AP), and contact area (CA), measured on the Nubolo\u00ae|Med and on participants\u2019 usual cushion. A comparative analysis was subsequently carried out between the two conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      No significant differences were found between the two conditions in the AP and CA variables. However, statistically significant differences were observed in the PP [static cushion: 38.04(12.46) mmHg vs. Nubolo\u00ae|Med: 31.81(9.57) mmHg;\n                      <jats:italic>z<\/jats:italic>\n                      =\u202f4.38,\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt;\u202f0.001,\n                      <jats:italic>r<\/jats:italic>\n                      =\u202f\u22120.73] and PP\/CA [static cushion: 0.080(0.024) mmHg\/mm\n                      <jats:sup>2<\/jats:sup>\n                      vs. Nubolo\u00ae|Med: 0.065(0.016) mmHg\/mm\n                      <jats:sup>2<\/jats:sup>\n                      ;\n                      <jats:italic>z<\/jats:italic>\n                      =\u202f\u22123.99,\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt;\u202f0.001,\n                      <jats:italic>r<\/jats:italic>\n                      =\u202f0.67] variables.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings indicate that the Nubolo\u00ae|Med cushion showed lower peak sitting pressures compared to high-end static air cushions in individuals with complete SCI.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2025.1637106","type":"journal-article","created":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T06:30:34Z","timestamp":1765780234000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparative analysis of sitting pressures in individuals with spinal cord injury: static vs. dynamic air cushions"],"prefix":"10.3389","volume":"13","author":[{"given":"Irene","family":"Corral-L\u00f3pez","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adri\u00e0","family":"Marco-Ahull\u00f3","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e9sar","family":"Rubio-Belmonte","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xurxo","family":"Segura-Navarro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan Manuel","family":"Pozo-Alegre","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Llu\u00efsa","family":"Montesinos-Magraner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,12,15]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"223","DOI":"10.4103\/0019-5413.177576","article-title":"ISCOS\u2014textbook on comprehensive management of spinal cord injuries","volume":"50","author":"Jain","year":"2016","journal-title":"Indian J Orthop"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1038\/sc.2017.90","article-title":"Comorbidity and physical activity in people with paraplegia: a descriptive cross-sectional study","volume":"56","author":"Montesinos-Magraner","year":"2018","journal-title":"Spinal Cord"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"206","DOI":"10.1111\/j.1742-481X.2011.00877.x","article-title":"Pattern of presentation of pressure ulcers in traumatic spinal cord injured patients in university college hospital, Ibadan","volume":"9","author":"Iyun","year":"2012","journal-title":"Int Wound J"},{"key":"ref4","doi-asserted-by":"publisher","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 Phys Med Rehabil"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"244","DOI":"10.4103\/0970-0358.101287","article-title":"Pressure ulcers: back to the basics","volume":"45","author":"Agrawal","year":"2012","journal-title":"Indian J Plast Surg"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"681","DOI":"10.1080\/10790268.2018.1474682","article-title":"The problem of preventing pressure 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Salud","author":"Garc\u00eda-Fern\u00e1ndez","year":"2024"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/S1280-4703(09)70448-7","article-title":"Complicaciones de las posiciones quir\u00fargicas","volume":"35","author":"Deleuze","year":"2009","journal-title":"EMC Anest Reanim"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1097\/00004356-199406000-00003","article-title":"Pressure ulcer prophylaxis in elderly patients using polyurethane foam or jay\u00ae wheelchair cushions","volume":"17","author":"Conine","year":"1994","journal-title":"Int J Rehabil Res"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1038\/sc.1992.67","article-title":"The effectiveness of a pressure clinic in preventing pressure sores","volume":"30","author":"Dover","year":"1992","journal-title":"Paraplegia"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"107","DOI":"10.3233\/TAD-2002-14305","article-title":"Psychosocial impact of assistive devices scale (PIADS)","volume":"14","author":"Jutai","year":"2002","journal-title":"Technol Disabil"}],"container-title":["Frontiers in Public 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