High-voltage electrical stimulation for the management of stage III and IV pressure ulcers among adults with spinal cord injury: demonstration of its utility for recalcitrant wounds below the level of injury.

The Journal of Spinal Cord Medicine
Albert C RecioJohn W McDonald

Abstract

patients with spinal cord injury (SCI) have many factors that are associated with pressure ulcer formation, including paralysis, loss of sensation, poor nutrition, anemia, and skin maceration related to incontinence. Treatment of these ulcers involves relieving pressure, improving nutrition and skin hygiene, treating infections, removing necrotic tissues, and applying the appropriate dressings. However, some cases are not responsive to the above treatment. Electrical stimulation (ES) is thought to enhance soft tissue healing through promotion of protein synthesis, inhibition of bacterial growth, facilitation of epithelial tissue migration, improvement of blood flow, and tensile strength. This data is mainly based on evidence from animal studies and very few rigorously controlled studies conducted in humans. To demonstrate the effectiveness of ES in the treatment of recalcitrant pressure ulcers. Retrospective case series describing the care of adults with SCI and recalcitrant pressure ulcers. ES was applied directly into the wound bed: 60 minutes per session, 3-5 times per week; with an intensity of 100 milliamperes and a frequency of 100 pulses per second. Polarity was negative initially and was switched weekly. The amplitude a...Continue Reading

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Citations

Dec 17, 2014·Journal of Rehabilitation Research and Development·Mohammad Reza Mohajeri-TehraniMohammad Reza Asadi
Jul 3, 2015·Experimental and Therapeutic Medicine·Xue-Fang LiShui-Ping Liu
Apr 8, 2015·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Rosana Caetano GomesRinaldo Roberto de Jesus Guirro
Jan 27, 2015·Journal of Manipulative and Physiological Therapeutics·Elaine Caldeira de Oliveira GuirroDelaine Rodrigues-Bigaton
Dec 25, 2013·Medical Hypotheses·Paulo Luiz FarberLydia Masako Ferreira
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Oct 26, 2016·Progress in Rehabilitation Medicine·Yoshiyuki YoshikawaHisato Shuntoh

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