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Titre : | What Lies Beneath: Why Some Pressure Injuries May Be Unpreventable for Individuals With Spinal Cord Injury (2019) |
Auteurs : | David P. Lemmer ; Nannette Alvarado ; Kristi Henzel |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 100, n° 6, 2019) |
Article en page(s) : | p. 1042-1049 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Escarre ; Marqueurs biologiques ; Rééducation et réadaptation ; Traumatismes de la moelle épinière |
Résumé : |
Objective
To investigate intersections between pressure injury (PrI) history, muscle composition, and tissue health responses under physiologically relevant loading conditions for individuals with spinal cord injury (SCI). Design Repeated measures study design with annual follow-up for up to 3 years. Setting Tertiary care center. Participants Persons with SCI (N=38). Exclusion criteria included having an open pelvic region PrI at the time of recruitment, presence of systemic disease, and/or known sensitivity to contrast. Interventions Not applicable. Main Outcome Measures Gluteal muscle composition, ischial interface pressures, tissue oxygenation. Results Ischial region mean interface pressures are the same for individuals with or without a PrI history. Tissue oxygenation is lower during sitting for persons with a PrI history. Individuals with >15% gluteal intramuscular fat were statistically highly significantly (P<.001 more likely to have a history of severe or recurrent pri. intramuscular adipose tissue levels within the gluteal muscle may remain low over time in region be almost entirely replaced by imat. current study cohort it was found that composition also continues change even for individuals with long-standing sci.> Conclusions Soft-tissue compositional changes, specifically IMAT, provides a reliable indicator of PrI history and may provide a key to personalized PrI risk status for persons with SCI. The current findings confirm that interface pressure mapping alone is a limited indicator for PrI development. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999318315120 |