Journal of Tissue Viability
Volume 19, Issue 2 , Pages 35-42 , May 2010

The importance of internal strain as opposed to interface pressure in the prevention of pressure related deep tissue injury

  • C.W.J. Oomens

      Affiliations

    • Department of Biomedical Engineering, Eindhoven University of Technology, P/O Box 513 5600 MB Eindhoven, The Netherlands
    • Corresponding Author InformationCorresponding author. Tel.: +31 402472818; fax: +31 402447355.
    • ,
  • Sandra Loerakker

      Affiliations

    • Department of Biomedical Engineering, Eindhoven University of Technology, P/O Box 513 5600 MB Eindhoven, The Netherlands
    • ,
  • D.L. Bader

      Affiliations

    • Dept. of Engng. & IRC in Biomedical Materials, Queen Mary University of London, Mile End Road, London, E1 4NS, United Kingdom

References 

  1. Stekelenburg A, Oomens C, Bader D. Compression-induced tissue damage: animal models. In:  Bader D,  Bouten C,  Colin D,  Oomens C editor. Pressure ulcer research, current and future perspectives. Springer Verlag; 2005;p. 187–204
  2. Daniel RK, Priest DL, Wheatley DC. Etiologic factors in pressure sores: an experimental model. Arch Phys Med Rehabil. 1981;62(10):492–498
  3. Kosiak M. Etiology and pathology of ischemic ulcers. Arch Phys Med Rehabil. 1959;62–69
  4. Reswick JB, Rogers JE. In:  Kenedi RM,  Cowden JM editor. Bedsore biomechanics. Baltimore: University Park Press; 1976;p. 301–310
  5. Kosiak M. Etiology of decubitus ulcers. Arch Phys Med Rehabil. 1961;19–29
  6. Dinsdale SM. Decubitus ulcers in swine: light and electron microscopy study of pathogenesis. Arch Phys Med Rehabil. 1973;54(2):51–56
  7. Salcido R, Donofrio JC, Fisher SB, LeGrand EK, Carney JM, Schosser R, et al. Evaluation of ibuprofen for pressure ulcer prevention: application of a rat pressure ulcer model. Adv Wound Care. 1995;8(4):30–3234, 38–40
  8. Bosboom EMH. Deformation as a trigger for pressure sore related muscle damage, PhD-thesis Eindhoven University of Technology, Eindhoven, The Netherlands, 2001.
  9. Stekelenburg A. Mechanisms associated with deep tissue injury induced by sustained compressive loading, PhD-thesis Eindhoven University of Technology, Eindhoven, The Netherlands, 2005.
  10. Linder-Ganz E, Shabshinb N, Itzchakb Y, Gefen A. Assessment of mechanical conditions in sub-dermal tissues during sitting: A combined experimental-MRI and finite element approach. J Biomech. 2007;40:1443–1454
  11. Stekelenburg A, Oomens CWJ, Strijkers GJ, de Graaf LAHJ, Bader DL, Nicolay K. A new MR-compatible loading device to study in-vivo muscle damage development in rats due to compressive loading. Med Eng Phys. 2006;28:331–338
  12. Loerakker S, Stekelenburg A, Strijkers GJ, Rijpkema JJM, Baaijens FPT, Bader DL, et-al. Effect of loading regime on deformation-induced damage development in skeletal muscle tissue. Ann Biomed Engng, in press.
  13. Stekelenburg A, Strijkers GJ, Parusel H, Bader DL, Nicolay K, Oomens CWJ. The role of ischemia and deformation in the onset of compression induced. J Appl Physiol. 2007;102(5):2002–2011
  14. Ceelen KK, Stekelenburg A, Loerakker S, Strijkers GJ, Bader DL, Nicolaij K, et al. Compression-induced damage and internal tissue strains are related. J Biomech. 2008;41(16):3399–3404
  15. Bader DL. The impact of bioengineering in tissue viability research. J Tissue Viability. 2002;12(4):126–128
  16. Stekelenburg A, Gawlitta D, Bader DL, Oomens CWJ. Deep tissue injury: how deep is our understanding?. - Arch Phys Med Rehabil. 2008;89:1410–1413
  17. Bennett L, Kavner D, Lee BK, Trainor FA. Shear vs pressure as causative factors in skin blood flow occlusion. Arch Phys Med Rehabil. 1979;60(7):309–314

PII: S0965-206X(09)00054-0

doi: 10.1016/j.jtv.2009.11.002

Journal of Tissue Viability
Volume 19, Issue 2 , Pages 35-42 , May 2010

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