Pressure sores with associated spasticity: a clinical challenge

Bishara S Atiyeh; Shady N Hayek

doi:10.1111/j.1742-4801.2005.00075.x

Back

Pressure sores with associated spasticity: a clinical challenge

Journal article

Open access

Peer reviewed

Pressure sores with associated spasticity: a clinical challenge

Bishara S Atiyeh and Shady N Hayek

International wound journal, Vol.2(1), pp.77-80

03/2005

DOI: 10.1111/j.1742-4801.2005.00075.x

PMCID: PMC7951294

PMID: 16722856

Files and links (1)

url

https://doi.org/10.1111/j.1742-4801.2005.00075.xView

Published (Version of record) Open Access

Abstract

Paraplegic and quadriplegic patients particularly those suffering from spinal cord injuries are at a high risk of developing pressure ulcerations. Unlike pressure ulcers in geriatric patients, which usually can be controlled with pressure relieving devices and local wound care, pressure ulceration complicating spinal cord injuries should be viewed from another perspective. Clinical management is also more complex because of the associated spasticity. Although it is now recognised that spasticity control is critical for management of patients with cerebral or spinal cord diseases or injuries, published risk assessment studies and risk assessment pressure sore scales fail to recognise spasticity as a major risk factor. Identification of spasticity should heighten the awareness of medical and paramedical personnel and have a positive impact on prevention as well as on treatment of pressure sores in this particularly difficult group of patients. We present our experience with a young quadriplegic patient with severe spasticity presenting with a large infected ischial pressure sore. All surgical as well as conservative attempts to achieve healing failed because of our failure to recognise the importance of spasticity control in the overall treatment scheme. Spasticity control should be included as a prerequisite for any treatment protocol of such patients.

Adult

Bandages

Cervical Vertebrae - injuries

Follow-Up Studies

Humans

Male

Pressure Ulcer - etiology

Pressure Ulcer - therapy

Quadriplegia - complications

Skiing - injuries

Spinal Fractures - complications

Surgical Flaps

Wound Healing

Details

Title: Subtitle: Pressure sores with associated spasticity: a clinical challenge
Creators: Bishara S Atiyeh - American University of Beirut
Shady N Hayek - American University of Beirut Medical Center
Resource Type: Journal article
Publication Details: International wound journal, Vol.2(1), pp.77-80
DOI: 10.1111/j.1742-4801.2005.00075.x
PMID: 16722856
PMCID: PMC7951294
ISSN: 1742-4801
eISSN: 1742-481X
Language: English
Date published: 03/2005
Academic Unit: Surgery
Record Identifier: 9984701805202771

Metrics

4 Record Views