Loading...
Please wait, while we are loading the content...
Similar Documents
Evaluation of Tissue Health and Interventions for the Prevention of Pressure Ulcers in Persons with Spinal Cord Injury
| Content Provider | Semantic Scholar |
|---|---|
| Author | Wu, Gary A. |
| Copyright Year | 2013 |
| Abstract | Study Aim: Some individuals with spinal cord injury (SCI) remain pressure ulcer (PU) free whilst others experience a recurring cycle of tissue breakdown. Detailed analysis of gluteal muscle characteristics may provide insights to local tissue viability variability. The study hypothesis was that SCI individuals have altered muscle composition compared to able-bodied (AB). Materials: Ten AB and ten SCI received a supine pelvic CT scan, with contrast. Methods: Cross-sectional area (CSA) and overall muscle volume were derived using image analysis. Gluteal muscle tissue type was classified at the S2/S3 sacral vertebrae midpoint, the superior greater trochanters margin (GT) and the inferior ischial tuberosities margin (IT) using the linear transformation Hounsfield Unit scale. Results: SCI gluteal CSA was less than for AB throughout the muscle, with the greatest relative atrophy at the IT (48%). Average AB gluteal volume was nearly double SCI. Eight SCI had over 20% infiltrative adipose tissue, three with over 50%. SCI gluteal CSA and intramuscular fat infiltration were significantly negatively correlated (p<0.05). SCI IT axial slices showed less lean muscle and higher intramuscular fat infiltration than more proximally (p<0.05). |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://etd.ohiolink.edu/rws_etd/document/get/case1365168146/inline |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
