OFF-LOADING PRESSURE RELIEF WITH FOAM CUT OUT CUSHIONS: EXPERIENCES FROM RANCHO LOS AMIGOS NATIONAL REHABILITATION CENTER

This paper explores the efficacy of the cushion fitting technique using foam cut out cushions for off-loading bony prominences in the sitting position, with a particular focus on reducing the high risk of developing pressure injuries among aging wheelchair users. This technique, historically employed at Rancho Los Amigos National Rehabilitation Center, has shown promising results in reducing pressure injuries for patients with spinal cord injuries. However, its widespread adoption remains limited. This manuscript aims to raise awareness about foam cut out cushions, its historical context, and its contemporary relevance by presenting customized solutions for individual patients with specific deformities. Key clinical points are highlighted, emphasizing the importance of skilled clinicians in the fitting process and the need to consider foam cut out cushions alongside other preventive measures. Case examples illustrate successful outcomes, demonstrating improved pelvic stability, posture, and off-loading of bony prominences. By promoting foam cut out cushions as a valuable cushioning option, this manuscript equips clinicians with knowledge to utilize this technique effectively. LAY ABSTRACT This paper investigates the effectiveness of using foam cut out cushions to relieve pressure on bony areas while sitting, especially for elderly wheelchair users who are prone to developing pressure injuries. This study delves into the historical background of foam cut out cushions and emphasizes their relevance in addressing the needs of modern patients. By customizing the cushions according to individual requirements, this research highlights a successful alternative for providing personalized cushion solutions to wheelchair users. The findings underscore the importance of adopting the cushion fitting technique to reduce pressure-related health risks, making it a valuable approach for enhancing the comfort and well-being of aging wheelchair users.