Effect of electrical stimulation on chronic leg ulcer size and appearance.

BACKGROUND AND PURPOSE: Electrical current has been recommended for use on chronic pressure ulcers; however, the ability of this modality to improve healing of other types of chronic ulcers is less well established. The purpose of this study was to examine the effect of high-voltage pulsed current (...

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Publicado en:Physical Therapy Vol. 83; no. 1; pp. 17 - 29
Autores principales: Houghton PE, Kincaid CB, Lovell M, Campbell KE, Keast DH, Woodbury MG, Harris KA
Formato: clinical trial research tables/charts Journal Article
Publicado: Oxford University Press / USA Jan2003
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Oxford University Press / USA
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        atl: Effect of electrical stimulation on chronic leg ulcer size and appearance.
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        au:
          Houghton PE
          Kincaid CB
          Lovell M
          Campbell KE
          Keast DH
          Woodbury MG
          Harris KA
        affil: Associate Professor, School of Physical Therapy, University of Western Ontario, Room 1443, London, Ontario, Canada N6 G 1H1; phoughto@uwo.ca
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        subj:
          Electric Stimulation
          Leg Ulcer Therapy
          Adult
          Aged
          Aged, 80 and Over
          Chronic Disease
          Clinical Trials
          Double-Blind Studies
          Female
          Funding Source
          Male
          Mann-Whitney U Test
          Middle Age
          Pearson's Correlation Coefficient
          Placebos
          T-Tests
          Wound Assessment
          Wound Healing
          Human
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
          Male
      ab: BACKGROUND AND PURPOSE: Electrical current has been recommended for use on chronic pressure ulcers; however, the ability of this modality to improve healing of other types of chronic ulcers is less well established. The purpose of this study was to examine the effect of high-voltage pulsed current (HVPC) on healing of chronic leg ulcers. SUBJECTS: Twenty-seven people with 42 chronic leg ulcers participated in the study. METHODS: The subjects were separated into subgroups according to primary etiology of the wound (diabetes, arterial insufficiency, venous insufficiency) and then randomly assigned to receive either HVPC (100 microseconds, 150 V, 100 Hz) or a sham treatment for 45 minutes, 3 times weekly, for 4 weeks. Wound surface area and wound appearance were assessed during an initial examination, following a 1- to 2-week period during which subjects received only conventional wound therapy, after 4 weeks of sham or HVPC treatment, and at 1 month following treatments. RESULTS: The results indicated that HVPC applied to chronic leg ulcers reduced the wound surface area over the 4-week treatment period to approximately one half the initial wound size (mean decrease=44.3%, SD=8.8%, range=2.8%-100%), which was over 2 times greater than that observed in wounds treated with sham units (mean decrease=16.0%, SD=8.9%, range=-30.3%-83.7%). DISCUSSION AND CONCLUSION: The results of the study indicate that HVPC administered 3 times a week should be considered to accelerate wound closure of chronic leg ulcers.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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