Spasticity and dementia increase the risk of pressure ulcers

Efraim Jaul, Hagai Factor, Sharon Karni, Tehilla Schiffmiller, Oded Meiron

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


The aim of this study was to identify and characterise the association between the prevalence of pressure ulcers, spasticity levels, and advanced dementia in disable elderly patients. Data were obtained from the patient medical files. Patients were hospitalised in the geriatric skilled nursing department. A total of 40 frail elderly patients, bedbound and suffering from advanced chronic diseases, advanced dementia, and high-grade pressure ulcers, were examined. Pressure ulcer grades and spasticity in advanced dementia versus non-dementia patients were evaluated. Logistic regression indicated that only advanced dementia and spasticity were significantly associated with the development of pressure ulcers versus those without dementia or without spasticity. Patients with advanced dementia displayed a significantly higher prevalence of severe spasticity. In multivariate logistic regression analyses, spasticity was significantly associated with pressure ulcers. The strong association of spasticity with the onset of pressure ulcers in advanced dementia should encourage clinicians to implement preventative measures to delay the onset of pressure ulcers.

Original languageEnglish
Pages (from-to)847-851
Number of pages5
JournalInternational Wound Journal
Issue number3
StatePublished - Jun 2019
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2019 Inc and John Wiley & Sons Ltd


  • dementia
  • immobility
  • pressure ulcers
  • spasticity


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