Uncovering Pressure Ulcer Incidence

Langemo, Diane; Anderson, Julie; Volden, Cecilia

doi:10.1097/00004650-200401000-00008

Cited by 4 publications

(4 citation statements)

References 3 publications

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“…This highlights one of the difficulties people with SCI face in performing some of the recommended repositioning maneuvers to alleviate pressure, and may partly explain the consistent pressure ulcer incidence rates reported among this population over the years. 8,29,39 In a similar study conducted in our laboratory, Gyawali et al 20 tested the effects of the bursting and continuous IES protocols in volunteers with SCI who had varying degrees of muscle atrophy, and were seated on a specialized wheelchair cushion. The effectiveness of IES in redistributing pressure in those volunteers was similar to the one reported in this study.…”

Section: Ies Decreases Pressure Around Bony Prominencesmentioning

confidence: 99%

Effects of Intermittent Electrical Stimulation on Superficial Pressure, Tissue Oxygenation, and Discomfort Levels for the Prevention of Deep Tissue Injury

et al. 2010

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The overall goal of this project is to develop effective methods for the prevention of deep tissue injury (DTI). DTI is a severe type of pressure ulcer that originates at deep bone-muscle interfaces as a result of the prolonged compression of tissue. It afflicts individuals with reduced mobility and sensation, particularly those with spinal cord injury. We previously proposed using a novel electrical stimulation paradigm called intermittent electrical stimulation (IES) for the prophylactic prevention of DTI. IES-induced contractions mimic the natural repositioning performed by intact individuals, who subconsciously reposition themselves as a result of discomfort due to prolonged sitting. In this study, we investigated the effectiveness of various IES paradigms in reducing pressure around the ischial tuberosities, increasing tissue oxygenation throughout the gluteus muscles, and reducing sitting discomfort in able-bodied volunteers. The results were compared to the effects of voluntary muscle contractions and conventional pressure relief maneuvers (wheelchair push-ups). IES significantly reduced pressure around the tuberosities, produced significant and long-lasting elevations in tissue oxygenation, and significantly reduced discomfort produced by prolonged sitting. IES performed as well or better than both voluntary contractions and chair push-ups. The results suggest that IES may be an effective means for the prevention of DTI.

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Section: Ies Decreases Pressure Around Bony Prominencesmentioning

confidence: 99%

Effects of Intermittent Electrical Stimulation on Superficial Pressure, Tissue Oxygenation, and Discomfort Levels for the Prevention of Deep Tissue Injury

et al. 2010

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“…Chronic wounds affect millions of people globally. Epidemiologic reports from various countries estimate that pressure injuries (PIs) develop in as many as 31% to 52% of patients with central nervous system injuries, 1,2 4.1% to 32.2% of older adults in residential care facilities, 3–5 and 13.1% to 45.5% of patients in intensive care wards 6,7 . Further, PIs are diagnosed in 5% to 53% of patients who underwent surgery lasting longer than 2 hours, and this rate increases with the length of the procedure 7,8 …”

Section: Introductionmentioning

confidence: 99%

Electrical Stimulation in the Treatment of Pressure Injuries: A Systematic Review of Clinical Trials

Szołtys-Brzezowska,

Bańkowska,

Piejko

et al. 2023

Adv Skin Wound Care

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GENERAL PURPOSETo provide information on evidence-based practice regarding the use of electrical stimulation for pressure injury management.TARGET AUDIENCEThis continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care.LEARNING OBJECTIVES/OUTCOMESAfter participating in this educational activity, the participant will:1. Apply clinical practice recommendations related to the use of electrical stimulation in the treatment of pressure injuries.2. Identify issues related to the use of electrical stimulation to treat pressure injuries.

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“…1 Now five centuries later, clinicians and researchers alike, have worked to prevent or ameliorate pressure ulcers, they have identified the "bed sore" or pressure ulcer risk factors, outlined prevention strategies, and developed treatment programs at the cost of billions of dollars annually. 2,3 Yet, despite these advances, the pressure ulcer still plagues modern medicine. Older individuals are especially at risk.…”

Section: Introductionmentioning

confidence: 99%

Pressure Ulcers and Endothelial Dysfunction

Struck

Wright

2007

Journal of Nutrition For the Elderly

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Pressure ulcers were first described in the medical literature in the mid-16th century. Today, in the 21st century, pressure ulcers continue to cause pain and suffering to patients and increase the cost of medical care. Researchers and clinicians have used significant time and money to develop prevention and treatment strategies for pressure ulcers. Accepted risk factors for pressure ulcer development include pressure, shear force, friction, moisture and malnutrition. Yet despite procedures to help minimize these risk factors, pressure ulcers are still problematic. Endothelial dysfunction, which is a well-documented cardiovascular risk factor, has been proposed as another risk factor for pressure ulcers. Yet little is known about how pressure ulcers and endothelial dysfunction are linked. In this article we explore the literature to build an argument that research into the role of endothelial function is a plausible line of translational investigation that would contribute greatly to the knowledge base that guides present-day practices in the prevention and treatment of pressure ulcers.

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Uncovering Pressure Ulcer Incidence

Cited by 4 publications

References 3 publications

Effects of Intermittent Electrical Stimulation on Superficial Pressure, Tissue Oxygenation, and Discomfort Levels for the Prevention of Deep Tissue Injury

Effects of Intermittent Electrical Stimulation on Superficial Pressure, Tissue Oxygenation, and Discomfort Levels for the Prevention of Deep Tissue Injury

Electrical Stimulation in the Treatment of Pressure Injuries: A Systematic Review of Clinical Trials

Pressure Ulcers and Endothelial Dysfunction

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