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Treatment of pressure ulcers by serial casting in patients with severe spasticity of cerebral origin.

Abstract：

OBJECTIVE:To assess the effectiveness of serial casting in the treatment of pressure ulcers caused by severe spasticity. DESIGN:Case series. SETTING:A clinic for the rehabilitation of persons with neurologic disorders. PATIENTS:Nine patients with 11 pressure ulcers resulting from severe cerebral spasticity, the ulcers being intractable to conventional management because of repeated friction and/or inaccessibility. INTERVENTION:Serial casting of the limb(s) with the pressure ulcer(s), with either fenestration or a cast arch providing access to the wound. MAIN OUTCOME MEASURES:Improved healing of pressure ulcers, as quantified with the National Pressure Ulcer Advisory Panel classification system. RESULTS:Within a mean of 4.6 weeks, 7 ulcers healed completely and 4 improved markedly. The casting caused no complications. Moreover, extension deficits improved markedly in all patients (105 degrees +/- 27 degrees to 17 degrees +/- 10 degrees ). CONCLUSION:Serial casting may be a valuable tool in the treatment of pressure ulcers at the extremities of patients with severe cerebral spasticity.

journal_name

Arch Phys Med Rehabil

journal_title

Archives of physical medicine and rehabilitation

authors

Pohl M,Rückriem S,Strik H,Hörtinger B,Meissner D,Mehrholz J,Pause M

doi

10.1053/apmr.2002.27474

subject

Has Abstract

pub_date

2002-01-01 00:00:00

pages

35-9

issue

1

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(02)93766-4

journal_volume

83

pub_type

杂志文章

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