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May 29, 2026Proceedings of the Institution of Mechanical Engineers Part H Journal of Engineering in Medicine

Interface pressure reduction in the sacral and ischial regions during neuromuscular electrical stimulation at 60° head-of-bed elevation

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Authors

MYMomoyo YoshikawaYYYoshiyuki YoshikawaMUMikiko Uemura

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Overview

Randomized trial examines NMES effects on pressure in sacral and ischial regions, suggesting beneficial implications for at-risk populations.

Key Points

  • This study aims to determine if NMES applied to gluteus maximus with or without hamstrings can reduce interface pressure in specific regions during 60° head elevation.
  • Twenty healthy adults participated in a randomized trial with three conditions: control, NMES on gluteus maximus, and NMES on both gluteus maximus and hamstrings.
  • Interface pressure was measured for 3 minutes under each condition, with pressure indices calculated for sacral and ischial regions.
  • Data analysis involved one-way repeated-measures ANOVA with Bonferroni-adjusted post hoc comparisons.
  • Sacral peak pressure index (PPI) was significantly lower with both NMES conditions compared to the control (p < 0.001).
  • Ischial PPI was significantly lower with combined NMES compared to control and gluteus maximus-only conditions (p < 0.001).
  • No significant difference in ischial PPI was found between control and gluteus maximus-only conditions.

Cite This Study

Yoshikawa et al. (2026) studied this question.

synapsesocial.com/papers/6a192f1bfab5b468c4418691https://doi.org/10.1177/09544119261452443
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