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Clinical Rehabilitation
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Neuromuscular complications following electrical injury — incidence and special problems in rehabilitation

George Varghese

Division of Plastic Surgery, University of Kansas Medical Center

Mani M Mani

Division of Plastic Surgery, University of Kansas Medical Center

JB Redford

Department of Rehabilitation Medicine, University of Kansas Medical Center

Among the 1206 burn patients admitted on a five-year period, 116 were as a result of high tension electrical injuries. These cases were analyzed for neuromuscular complications. The incidence of neurological complication was 44%, amputations 26% and significant muscle damage 24%. Many patients had combinations of neurological involvement and musculoskeletal involvement. The detection of the neurological complications is often difficult in these patients with multisystem trauma. It is our feeling that neurological lesions, especially spinal cord injury following electrical accidents, are more frequently encountered than is generally recognized. Sometimes clinical manifestations are transient and may go unnoticed. Rehabilitation of patients with electrical injuries are often complicated because of the combination of the disabilities. Awareness of some of the common complications and evaluation of these complications in the early stages will help initiation of the rehabilitation programme before any permanent deformities have set in.

Clinical Rehabilitation, Vol. 5, No. 3, 195-200 (1991)
DOI: 10.1177/026921559100500304
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