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Gluteal neuromuscular stimulation in therapy and prophylaxis of recurrent sacral pressure ulcers
1Klinik für Allgemeine Neurochirurgie der Universität zu Köln, Joseph-Stelzmannstr, Köln, Germany.
Study Design:
Case study.
Objective:
Positive influence of electrostimulation on the healing process of the gluteal decubital ulcers.
Setting:
Department of Neurosurgery, University of Cologne, Germany.
Method:
The present study reports on the effects of the electrostimulation of the floor-of-the-pelvis-muscles by means of an anal electrode. This procedure was shown to have a positive influence on the healing process of the gluteal decubital ulcers sustained by a patient with incomplete sensomotor paraplegia. Apart from the contraction of the floor-of-the-pelvis-muscles, we observed a contraction of the gluteal muscles on both sides.
Results:
The ulcers, which had been resisting conventional treatments for months, showed signs of a beginning healing tendency. After 4 weeks both ulcers were completely healed up.
Conclusion:
Because of its easy handling and its good amicability, electrostimulation of the gluteal region - one of the most common localisations of pressure-caused ulcers - by means of an anal electrode might be put to good effect even in prophylaxis in the treatment of paraplegic patients.