Author/Editor     Stefanovska, A; Vodovnik, L; Benko, H; Turk, R
Title     Treatment of chronic wounds by means of electric and electromagnetic fields. Part 2. Value of FES parameters for pressure sore treatment
Type     članek
Source     Med Biol Eng Comput
Vol. and No.     Letnik 31
Publication year     1993
Volume     str. 213-20
Language     eng
Abstract     Subjects with spinal cord injury are often distressed by pressure sores, which usually appear after prolonged pressure (wheelchair, bed) across the soft tissue which has already lost sensibility and has diminished microcirculation. The healing ability and its dynamics depend on the state of the subject's overall health. Consequently, evaluation of a particular treatment requires careful consideration of as many as possible of the parameters relevant to healing and an adequate criterion for assessing the state of the pressure sore. Bearing in mind these two circumstances, the results of a multicentre clinical study are analysed. The aim of the study was to test two hypotheses: first that healing is faster when sores are also treated by electric currents (ECs) (in addition to conventional treatment); and secondly that there exist differences in the efficiency of the treatment if direct or low-frequency pulsed currents (FES parameters) are applied. The data analysed show that pressure sores are likely to heal twice as fast when treated with low-frequency pulsed currents. EC seems to improve the healing rate in cases where the natural healing mechanisms of the body are not sufficient (chronic wounds, older subjects).
Descriptors     DECUBITUS ULCER
ELECTRIC STIMULATION THERAPY
ADULT
MIDDLE AGE
CHRONIC DISEASE
SPINAL CORD INJURIES
WOUND HEALING