Neuromuscular problems in the burn patient: Cause and prevention

P. A. Helm, G. Pandian, E. Heck

Research output: Contribution to journalArticle

45 Scopus citations

Abstract

Neuromuscular complications of the burn patient that occur during hospitalization frequently are overlooked. Eighty-eight patients with signs of weakness or complaints of easy fatigability were examined clinically and electrodiagnostically. The most frequently diagnosed neuromuscular abnormality in this study was generalized peripheral neuropathy. Other specific neuromuscular problems, in order of frequency of occurrence, were found to involve the deltoid muscle, peroneal nerve, ulnar nerve, median nerve, and brachial plexus. These lesions are found to be commonly due to (1) poor positioning, both in bed and in the operating room, and (2) heavy bulk dressings over superficial nerves. Thus, it is concluded that many of these injuries offer a significant potential for prevention through attention to physiologic positioning and meticulous patient care.

Original languageEnglish (US)
Pages (from-to)451-453
Number of pages3
JournalArchives of Physical Medicine and Rehabilitation
Volume66
Issue number7
StatePublished - Jan 1 1985

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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