The impaired response of spinal cord injured individuals to repeated surface pressure loads

作者: Hilarie H. Cranmer , Steven V. Fisher , Robert P. Patterson , Rolf R. Engel

DOI: 10.5555/URI:PII:000399939390272C

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摘要: Abstract Three cyclic pressure loads (10 minutes "on" and 5 "off") of 30 or 75mmHg were applied to the flat anterior surface tibia on 11 able bodied (AB) nine spinal cord injured (SCI) subjects. Transcutaneous PO 2 (TcPO ) PCO (TcPCO ), laser Doppler (LD) skin blood flow, velocity, volume, depth leg indentation (LI) recorded. In AB subjects mean TcPO decreased from 31.5 27.2mmHg with 30mmHg load, contrast for SCI 32.3 7.3mmHg (significantly different group at p , LD LI data support hypothesis that have a reduced vascular response loading thus may be more susceptible develop sores physiological reasons. The greatest difference is in load range where autoregulation can observed.

参考文章(21)
R Sirett, R Lim, T A Conine, D Daechsel, Clinical trial of foam cushions in the prevention of decubitis ulcers in elderly patients. Journal of Rehabilitation Research and Development. ,vol. 25, pp. 19- 26 ,(1988)
Halstead Ls, Claus-Walker J, Metabolic and endocrine changes in spinal cord injury: IV. Compounded neurologic dysfunctions. Archives of Physical Medicine and Rehabilitation. ,vol. 63, pp. 632- 638 ,(1982)
Anneliese Ott, Inflammation and Transcutaneous Measurement of Oxygen Pressure in Dermatology Advances in Experimental Medicine and Biology. ,vol. 220, pp. 79- 82 ,(1987) , 10.1007/978-1-4613-1927-6_14
Gladys P. Rodriguez, Jacqueline Claus-Walker, Mary C. Kent, Samuel Stal, Adrenergic receptors in insensitive skin of spinal cord injured patients. Archives of Physical Medicine and Rehabilitation. ,vol. 67, pp. 177- 180 ,(1986) , 10.1016/0003-9993(86)90073-0
G Allen. Holloway, Dennis W. Watkins, Laser Doppler measurement of cutaneous blood flow. Journal of Investigative Dermatology. ,vol. 69, pp. 306- 309 ,(1977) , 10.1111/1523-1747.EP12507665
WALTER . SEILER, HANNES B. STAHELIN, Skin oxygen tension as a function of imposed skin pressure: implication for decubitus ulcer formation. Journal of the American Geriatrics Society. ,vol. 27, pp. 298- 301 ,(1979) , 10.1111/J.1532-5415.1979.TB06043.X
Samuel L. Stover, Renate E. Gay, William Koopman, Vinod Sahgal, Leslie L. Gale, Dermal fibrosis in spinal cord injury patients Arthritis & Rheumatism. ,vol. 23, pp. 1312- 1317 ,(1980) , 10.1002/ART.1780231115
George C. Xakellis, Rita A. Frantz, Manuel Arteaga, Steven Meletiou, A comparison of changes in the transcutaneous oxygen tension and capillary blood flow in the skin with increasing compressive weights. American Journal of Physical Medicine & Rehabilitation. ,vol. 70, pp. 172- 177 ,(1991) , 10.1097/00002060-199108000-00002