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Pressure sores -- the problem...This article first appeared in Bedsore Biomechanics and is reproduced by kind permission of Palgrave Macmillan, Macmillan Publishers Ltd

The problem is that when the surface of the body is denervated, it is liable to break down from a number of widely different mechanical stresses. The obvious common factor of denervation or loss of sensation has allowed many workers to assume that loss of nerves is the most significant element in th...

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Published in:Journal of Tissue Viability Vol. 16; no. 2; pp. 9 - 12
Main Author: Brand PW
Format: review Journal Article
Published: Elsevier B.V. 2006 May
Online Access:View this record in EBSCOhost
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      dt: 2006 May
      vid: 16
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      pub: Elsevier B.V.
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        atl: Pressure sores -- the problem...This article first appeared in Bedsore Biomechanics and is reproduced by kind permission of Palgrave Macmillan, Macmillan Publishers Ltd
      aug:
        au: Brand PW
        affil: Rehabilitation Branch, Department of Health, Education and Welfare, Public Health Service, US Public Health Service Hospital, Carville, LA, USA.
      sug:
        subj:
          Pressure Ulcer Etiology
          Animal Studies
          Foot Innervation
          Ischemia Etiology
          Necrosis Etiology
          Pressure Adverse Effects
          Rats
          Skin Pathology
      ab: The problem is that when the surface of the body is denervated, it is liable to break down from a number of widely different mechanical stresses. The obvious common factor of denervation or loss of sensation has allowed many workers to assume that loss of nerves is the most significant element in the aetiology of these pressure sores. Hence, the term 'trophic' ulcer, which suggests that some trophic, or nourishing, element is missing from tissues which are not supported by intact nerves. The nature of this trophic factor is not understood and therefore its influence is difficult to measure and still more difficult to control. We have found that a more fruitful approach to the problem is to concentrate upon the biology and the mechanics of the breakdown of normal surface tissues, and then see if it is very different from the biology and mechanics of the breakdown of denervated tissues.
      pubtype: Academic Journal
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        review
        Journal Article
      ougenre: Article
    language: English
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