Journal Articles

The bodyCushion has been featured in articles and studies for therapeutic massage. In advancing our mission to advocate the benefits of orthopedic positioning, we appreciate the exposure that these articles bring.

Prone Position in ARDS: a Simple Maneuver Still Underused

(by Davide Chiumello, Silvia Coppola and Sara Froio)

Intensive Care Med (2018) 44:241–243

(by Tom Owens, founder of Body Support Systems)
Science of Massage Institute, Journal of Massage Science, 2016, #4

Tools for Physicians: bodyCushion™
(by Dr. Alan Kadish)

Townsend Letter for Doctors and Patients, February/March 2003 (p166)

(by Jeffrey R. Cram, Ph.D, Itamar Vinitzky, Ph.D)
Journal of Myofascial Therapy, Vol. 1, No. 3, October 1994



QMJ Qatar Medical Journal

Practical Proning on ECMO

Kathleen J.R. Daly 2017

The prone position has been used successfully for many years to improve oxygenation in patients who require mechanical ventilatory support for management of acute respiratory distress syndrome (ARDS). Proning improves oxygenation by optimizing lung recruitment and ventilation – perfusion matching. A proning session can be for more than 16 hours.

Daly KJR. Practical Proning on ECMO, Qatar Medical Journal, 4th Annual ELSO-SWAC Conference Proceedings 2017.swacelso.19


Intensive Care Med (2018)

Prone Position in ARDS (acute respiratory distress syndrome)

A recent international multicenter prospective study enrolling 29,144 patients concluded that positioning all moderate/severe ARDS patients should be considered to improve outcomes, irrespective of the level of hypoxemia- to attenuate ventilator-induced lung injury and improve hemodynamics.

The study found that currently, in clinical practice, positioning the ARDS patient prone is still considered as a rescue maneuver. On the contrary, the study states, it (prone positioning) should be considered for all moderate/severe ARDS patients, again, irrespective of the level of hypoxemia – to attenuate ventilator-induced lung injury and improve hemodynamics.

In these studies, when positioning patients prone, only rudimentary elements for positioning were utilized. These included two large bolsters and sometimes pillows. It can fairly be surmised that optimizing the patient’s prone position by providing support on the bony frame of the patient’s torso can only better assure effective treatment and positive outcome. Providing support for the patient’s torso in this way (as with the MEDICAL BODYCUSHION) affords maximal patient comfort by way of positioning considerations which include: unloading the patient’s spine, allowing freedom of breath for the diaphragm, affording reduced pressure to the breasts and abdomen, providing comfort for the patient’s face with adjustable angle of support for the patient’s cervical spine, and open support under the face adequate for accommodating intubation.

The above synopsis is taken from:

Prone position in ARDS: a simple maneuver still underused                                                            

DavidChiumello1.2*, Silvia Coppola2 and Sara Froio2

Published online 13 January 2018 Springer / CrossMark

Conclusion: The Medical bodyCushion for Pregnancy and the Medical bodyCushion for Pain Management are ideal for meeting the requirement of patients being prone for the treatment of ARDS.


Ann Transl Med 2017

Prone positioning acute respiratory distress syndrome patients

Claude Guerin

Prone positioning ARDS patients consists in placing the patient face down and continuing mechanical ventilation in this position for a long period of time, like 16 consecutive hours.

This strategy has eventually been found efficient to improve patient outcome in selected ARDS patients.

In this review, rationale is presented and then the evidence of using prone position in ARDS patients.

Conclusions: Prone position is a key component of lung protective ventilation and should be used as a first line therapy in association with low tidal volume and neuromuscular blocking agents in patients with severe ARDS.


American Journal of Emergency Medicine

How safe is the prone position in acute respiratory distress syndrome at late pregnancy?

This article discusses the mechanism of prone ventilation with special references to safety management of acute respiratory distress syndrome (ARDS) in the third trimester of pregnancy.

This article reports that lung compliance was improved during prone positioning. Discusses prone ventilation for more than 16 hours. This discussion reports using large rollers below the chest and iliac bone. (It can be surmised that the anatomical support of the Medical bodyCushion for Pregnancy would have improved the patient experience and very possibly the outcome, as well).

The article states that prone positioning has been used to improve oxygenation in patients since 1976.

The article also states that other possible benefits of prone ventilation are decreased compression on lung by heart, better lymphatic drainage, good secretion mobilization, and release of compression of major vessels by gravid uterus, and that prone positioning over 8 hours resulted in persistent improvement of oxygenation. (… and reports)… The maternal prone position can provide complete relief of uterine compression of the large vessels.