Perfusion of buttock skin in healthy volunteers after long and short repetitive loading evaluated by laser Doppler perfusion imager
2007 (English)In: Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery, ISSN 0284-4311, E-ISSN 2000-656X, Vol. 41, no 6, 297-302 p.Article in journal (Refereed) Published
Frequent unloading is vital to avoid pressure ulcers of the seat area in patients with injuries to the spinal cord. The duration of unloading is probably as important as that of the sitting period in the prophylaxis of pressure ulcers. The aim of this study was to investigate the microcirculatory reactions after occlusion of the buttock skin after repeated ischaemic provocation. The perfusion of buttock skin was studied with a laser Doppler perfusion imager (LDPI) in healthy people after short and long periods of sitting (repeated four times). The perfusion increased significantly during the consecutive loadings compared with the first loading, and this effect was more profound after the long load. Repeated periods of ischaemia of the buttock skin without allowing the tissues to recover resulted in increasing reactive hyperaemia, and are therefore probably more damaging than single loadings. This is important when establishing clinical guidelines for the prophylaxis of pressure ulcers in patients with spinal cord injuries.
Place, publisher, year, edition, pages
2007. Vol. 41, no 6, 297-302 p.
Decubitus ulcer, Laser Doppler perfusion imaging, Reactive hyperaemia, Repetitive loading, Sitting pressure, Spinal cord injury
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-47789DOI: 10.1080/02844310701633249OAI: oai:DiVA.org:liu-47789DiVA: diva2:268685