title: Recent skin injuries in children with motor disabilities.
abstract: OBJECTIVE
  To determine the frequency of recent skin injuries in children with neuromotor disabilities and its association with disability.
  
  
  METHODS
  Cross-sectional study of 168 children with neuromotor disabilities aged 2-16 years.
  
  
  METHODS
  Two outpatient child rehabilitation centres.
  
  
  METHODS
  Children were classified as unrestricted walkers, restricted walkers or wheelchair dependent. Each participant's body surface was systematically examined for recent skin injuries with the exception of the anal-genital area.
  
  
  RESULTS
  The mean age of our sample was 7.8 (SD 3.7) years with a 3:2 male/female ratio. Overall, 64% had cerebral palsy, 17% a neuromuscular disease and 19% other motor disabilities. Participants had on average 5.3 (SD 4.5) recent skin injuries (max 19), of which 2.5 were bruises (SD 3.3, max 16), 2.4 were abrasions, scratches or cuts (SD 3.0, max 16) and 0.4 were pressure lesions (SD 0.8, max 4). There was a significant decrease in the frequency of recent skin injuries and of bruises with increasing severity of motor disability. Most of this variation was accounted for by injuries to the lower limbs. There were no significant effects of gender, learning disabilities or other comorbidities.
  
  
  CONCLUSIONS
  Children with neuromotor disabilities present a progressive reduction in the number of skin injuries with decreasing mobility. Therefore, recent skin injuries in this population which are unusual by their number, appearance or distribution, should raise at least the same level of suspicion for physical abuse as in children without disabilities.
authors.affiliation: Paediatric Neurology and Neurorehabilitation Unit, University Hospital Lausanne, Lausanne, Switzerland. christopher.newman@chuv.ch
authors.forename: Christopher John
authors.initials: CJ
authors.lastname: Newman
authors.forename: Cécile
authors.initials: C
authors.lastname: Holenweg-Gross
authors.forename: Carole
authors.initials: C
authors.lastname: Vuillerot
authors.forename: Pierre-Yves
authors.initials: PY
authors.lastname: Jeannet
authors.forename: Eliane
authors.initials: E
authors.lastname: Roulet-Perez
mesh_terms: D000293:Adolescent; D002547:Cerebral Palsy / Q000150:complications*; D002648:Child; D002649:Child Abuse / Q000175:diagnosis; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D051346:Mobility Limitation; D009069:Movement Disorders / Q000150:complications; D009468:Neuromuscular Diseases / Q000150:complications*; D012307:Risk Factors; D012867:Skin / Q000293:injuries*; D015599:Trauma Severity Indices