Reduction of sitting pressures with custom contoured cushions.

Previous research indicated that matching a cushion to the shape of the buttocks results in less tissue distortion and lower interface pressures. A system was developed to measure body contours and fabricate a cushion to match the measured contour. This project fabricated contoured foam cushions for 11 persons with spinal cord lesions (C5-L3). Mean pressures were compared on two flat and two contoured foams with different degrees of stiffness. Deflection characteristics on flat foam were compared to deflection on contoured foam in order to analyze loading differences. Material studies were determined by examining the load-deflection curves for flat foams of 1-, 2-, and 3-inch thicknesses. It was found that sitting on contoured foam resulted in a lower pressure distribution than sitting on flat foam (p less than 0.05), and sitting on a soft foam (ILD = 45) resulted in a lower pressure distribution than sitting on a stiffer foam (ILD = 55) (p less than 0.05). Results of the deflection measurements and compression tests were used to explain the loading differences at the seat interface of flat and contoured cushions. Loaded contoured foam demonstrated increased enveloping of the buttocks, decreased foam compression, and a more uniform pressure distribution. These attributes are typical of a safer sitting surface and may indicate less tissue distortion.