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Bruising frequency and patterns in children with physical disabilities.

Amy P Goldberg1, Jane Tobin, Janet Daigneau

  • 1Department of Pediatrics, Hasbro Children's Hospital, Providence, Rhode Island 02906, USA. agoldberg@lifespan.org

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|July 22, 2009
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Summary

Children with physical disabilities bruise differently than typical children, with factors like age and mobility being less relevant. Muscle tone, cognition, and equipment are more important considerations for bruising in this population.

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Area of Science:

  • Pediatric medicine
  • Disability studies
  • Dermatology

Background:

  • Bruising patterns in children with physical disabilities are not well-established.
  • Understanding these patterns is crucial for accurate assessment and care.

Purpose of the Study:

  • To gather normative data on bruising in children with physical disabilities.
  • To identify factors associated with bruising in this population.

Main Methods:

  • Conducted skin examinations on 50 children (ages 4-20) with physical/cognitive disabilities over 15 months.
  • Collected demographic, medical, functional (WeeFIM), and equipment data.
  • Compared findings to a previously studied nondisabled population.

Main Results:

  • Children with disabilities had a higher likelihood of bruising than nondisabled children.
  • No significant relationship found between bruise occurrence and age, BMI, functional mobility, self-care, cognition, or muscle tone.
  • Bruising patterns differed between disabled and nondisabled children, though certain areas were rarely bruised in both groups.

Conclusions:

  • Bruising frequency and patterns differ in children with disabilities compared to their typical peers.
  • Age and mobility are less predictive of bruising in disabled children.
  • Muscle tone, cognition, and equipment use are key factors to consider when evaluating bruises in children with significant disabilities.