Skin problems in people with cerebral palsy

Buttock, upper internal thigh, genital and perineal rashes are common in people with cerebral palsy, particularly when maintaining hygiene is challenging because of adductor spasticity or incontinence. Barrier creams may be helpful. In severe cases, consideration should be given to surgical or pharmacological release of the adductor tendon or muscle—refer to a rehabilitation physician.

Skin breakdown may occur in body creases and around gastrostomy sites. Pressure areas over bony prominences may develop, particularly in children and adults with poor nutrition and if their wheelchair is not fitting well. For advice, see Pressure injuries and Mobility aids and equipment.

Poor peripheral perfusion may contribute to chilblains, gravitational eczema and slow skin healing—for advice, see Skin conditions and thermoregulation in people with developmental disability.