Pressure Sore Risk Management in Children with Cerebral Palsy: Local and Whole Body Thermoregulation Strategies, Material Interface and Care Protocols

坐在轮椅上的患者的压疮是疼痛的，可能会导致严重的感染，损害儿童的生活质量，以及 他们的家庭，而且对医疗保健系统来说是昂贵的(Pham等人。2011年)。脑性瘫痪(CP)儿童有 由于肌肉痉挛，代谢率相对较高。这一点，再加上所有或大部分时间都要坐轮椅 可用于汗液蒸发的皮肤表面积减少(Moreau等人)。2002年，Majd等人。1997)，升级 皮肤浸泡(潮湿)并增加压疮的风险(McCaskey&Gerdes，2011；Johnson等人)。1995年)。 目前，还没有公认的护理方案旨在减少皮肤浸渍和伴随的压疮风险。 在坐轮椅的CP儿童中。本项目将研究导致坐轮椅的儿童患有脑瘫的因素 有患压疮的风险。例如特定于CP的温度调节挑战、轮椅-座椅接口和 将研究座椅技术以及适当的护理方案，以确定它们如何促进发展 在这一弱势群体中的压疮。结果将导致新颖和创新的接口技术(即， 身体-座椅接口应用程序)；它们还将为保健提供者、物理治疗师、教练、 教师和家长，旨在降低患有脑瘫和其他坐轮椅的儿童的压疮风险 人口。通过降低压疮的风险，受CP影响的家庭将能够更好地管理他们的护理 减少残疾的不利影响，极大地提高儿童和他们的生活质量 家人。

Pressure sores in wheelchair-bound patients are painful, may cause serious infections, impair quality of life for children and their families, and are expensive to the health-care system (Pham et al. 2011). Children with cerebral palsy (CP) have relatively high metabolic rates due to muscle spasticity. This, combined with being wheelchair-bound for all or most of the day and with a reduced skin surface area available for sweat evaporation (Moreau et al. 2002, Majd et al. 1997), escalates skin maceration (wetness) and increases the risks for pressure sores (McCaskey & Gerdes, 2011; Johnson et al. 1995). Presently, no accepted care protocols exist aimed at reducing skin maceration and the concomitant risk of pressure sores among wheelchair-bound children with CP. This project will examine the factors putting wheelchair-bound children with CP at risk for pressure sores. Factors such as CP-specific temperature regulation challenges, wheelchair-seat interfaces and seat technologies, along with appropriate care protocols will be studied to determine how they contribute to the development of pressure sores in this vulnerable population. The results will lead to novel and innovative interface technologies (i.e., body-seat interface application); They will also inform guidelines for health-care providers, physiotherapists, coaches, teachers and parents, aimed at reducing the risk of pressure sores in children with CP and other wheelchair-bound populations. By reducing the risk of pressure sores, families impacted by CP will be better able to manage the care of their children, lessen the adverse effects of the disability and attain a vastly improved quality of life for the children and their families.