Factors Associated with Medical Device Related Pressure Ulcer Caused by Ankle Foot Orthosis

Hideyuki Ogawa; Naohito Nishio; Ryohei Makino; Yuki Echizenya; Miwako Otsuka; Katsumi Nakano

Return

Factors Associated with Medical Device Related Pressure Ulcer Caused by Ankle Foot Orthosis

VernacularTitle:下肢装具による医療関連機器圧迫創傷に関連する要因
Author: Hideyuki OGAWA ¹ ; Naohito NISHIO ¹ ; Ryohei MAKINO ¹ ; Yuki ECHIZENYA ¹ ; Miwako OTSUKA ² ; Katsumi NAKANO ¹
Author Information

1. Department of Physical Therapy, Saitama Prefectural Rehabilitation Center
2. Department of Nursing, Saitama Prefectural Rehabilitation Center
Keywords: stroke; pressure sore; lower extremity orthosis; sensory disturbance; medical device related pressure ulcer
From:The Japanese Journal of Rehabilitation Medicine 2021;58(7):828-836
CountryJapan
Language:Japanese
Abstract: Purpose：We investigated the factors associated with medical device-related pressure ulcer (MDRPU) due to lower extremity orthosis in patients undergoing convalescent rehabilitation for stroke.Methods：This retrospective study included patients with stroke who wore ankle foot orthosis in the convalescent rehabilitation ward. We measured the following items at admission：Brunnstrom recovery stage, presence of sensory disturbance, exhibition of unilateral spatial neglect, functional independence measures at admission and discharge, and presence of MDRPU. In the statistical analysis, logistic regression analysis was performed to identify the significant factors associated with MDRPU.Results：Ninety-five participants were enrolled in this study (mean age：54.9 ± 11.6 years, Male：78.9%). In logistic regression analysis, Age (odds ratio＝1.05, 95% confidence interval＝1.01-1.10, p＜0.05) and the presence of sensory disturbance (odds ratio＝5.17, 95% confidence interval＝1.39-19.28, p＜0.05) at admission was extracted as the cause of MDRPU.Conclusion：Sensory disturbance at admission is associated with MDRPU in patients undergoing convalescent rehabilitation for stroke who wear ankle foot orthosis.