Prevention and Treatment of Pressure Ulcers Using Electrical Stimulation

摘要: Skin-related secondary disabilities, especially pressure ulcers, are a common problem for wheelchair users such as individuals with spinal cord injury (SCI), resulting in great discomfort and significant medical care costs. Pressure ulcers typically arise areas of the body where prolonged shear forces being exerted on soft tissue over bony prominences, sacrum ischial tuberosities, inhibiting blood oxygen supply ultimately causing ischaemia necrosis. Individuals SCI at increased risk due to factors reduced mobility, microcirculation, impaired sympathetic function, atrophy paralysed muscles, disturbed muscle pump function (also see Chap. 6). In addition, sensation, often not aware necessity relieve pressure. Although it has been shown that special cushioning systems can provide an improved redistribution pressure, reviewed Chaps. 5 6, still prevalent population. The predisposition patients flaccid paralysis ulcer development outlined 5. It is theoretically possible electrical stimulation (ES) ES- induced exercise help reduce since they have increase mass, capillary density skin flow (BF). first purpose this chapter, therefore, discuss how ES contribute reduction incidence. second evaluate be helpful healing once preventative measures failed.