Pressure Injuries and Management after Spinal Cord Injury

Round 1

Reviewer 1 Report

This article introduces the definition of spasticity state, the epidemiology of spinal cord related spasticity, the anatomy and physiology of neuromuscular reflexes, and the pathophysiology, neural mechanisms of spasticity state after spinal cord injury. In general, the authors categorize various methods of assessment and treatment of spasticity states, which are instructive for the treatment of SCI-related spasticity states.

However, there are some insufficiencies in this article for revision.

1. In the assessment section, some details of MAS and MTS, in addition to PSFS, need to be described.

2. lack of comparison between various treatment methods.

3. Lack of evaluation of current spasticity treatment and future outlook.

4. The accompanying pictures are not vivid enough and too few in number.

Author Response

Please see the attachment.

Author Response File: Author Response.pdf

Reviewer 2 Report

Vecin et al report a review of management of pressure injuries after SCI. It is extensive and of use to surgeons, critical care providers, and rehab care providers. My primary concern would be the use of copyrighted figures from other sources. It may be worthwhile for the authors to devise their own figures with reference to the originals. I defer to the editor on this and the manuscript length.

Author Response

Please the the attachment.

Author Response File: Author Response.pdf

Round 2

Reviewer 1 Report

Pressure injury is a common complication in patients with spinal cord injury. this paper reviews the structure and function of capsule system, and summarizes in detail the epidemiology, risk assessment, clinical manifestation, treatment and prevention of pressure injury. Generally speaking, the author describes all aspects of pressure injury and management after spinal cord injury in detail, which is of guiding significance for the treatment and prevention of pressure injury patients after spinal cord injury in the future.

 After this revision, the author perfects the writing details and removes inappropriate references, which is generally good. Chapters and inclusion relations should be more subdivided to make the logic clearer.           

A little finishing is acceptable