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lüll A systematic review of therapeutic interventions for pressure ulcers after spinal cord injury Regan MA; Teasell RW; Wolfe DL; Keast D; Mortenson WB; Aubut JAArch Phys Med Rehabil 2009[Feb]; 90 (2): 213-31OBJECTIVE: To systematically review evidence on the prevention and treatment of pressure ulcers in those with a spinal cord injury (SCI). DATA SOURCES: For this evidence-based review, the following data sources were used: MEDLINE/PubMed, CINAHL, EMBASE, and PsycINFO. STUDY SELECTION: To be selected for inclusion in the current review, there had to have been an intervention, studies had to have 3 or more subjects, and 50% or more of the participating group had to have an SCI. DATA EXTRACTION: Data extracted included study design, subject demographics, inclusion and exclusion criteria, study type, sample size, outcome measures used, and study results. DATA SYNTHESIS: Articles selected for this review were organized into 1 of 2 categories: prevention or treatment. Within each broad category, several smaller ones were created, and articles were grouped according to the prevention (direct or indirect) or treatment intervention discussed. CONCLUSIONS: Of the 26 articles selected for inclusion in the systematic review, 7 were randomized controlled trials (RCTs) that dealt with treatment for pressure ulcers, and there was 1 RCT on prevention. Despite the cost-effectiveness of prevention, little research exists on preventative interventions, and what does exist is mostly level 4 evidence. More research is needed for both prevention and treatment, but especially the former.|Clinical Trials as Topic[MESH]|Electric Stimulation Therapy/methods[MESH]|Equipment and Supplies[MESH]|Health Behavior[MESH]|Humans[MESH]|Laser Therapy/methods[MESH]|Paralysis/complications[MESH]|Patient Education as Topic/organization & administration[MESH]|Pressure Ulcer/etiology/*prevention & control/*therapy[MESH]|Radiation[MESH]|Spinal Cord Injuries/*complications[MESH]|Telemedicine/organization & administration[MESH]|Wound Healing[MESH] |