Electrical stimulation therapy increases rate of healing of pressure ulcers in community-dwelling people with spinal cord injury.

摘要: Abstract Houghton PE, Campbell KE, Fraser CH, Harris C, Keast DH, Potter PJ, Hayes KC, Woodbury MG. Electrical stimulation therapy increases rate of healing pressure ulcers in community-dwelling people with spinal cord injury. Objective To investigate whether electric (EST) administered as part a community-based, interdisciplinary wound care program accelerates injury (SCI). Design Single-blind, parallel-group, randomized, controlled, clinical trial. Setting Community-based home setting, Ontario, Canada. Participants Adults (N=34; mean age ± SD, 51±14y) SCI and stage II to IV ulcers. Interventions Subjects were stratified based on severity duration randomly assigned receive either customized, community-based standard (SWC) that included management or the plus high-voltage pulsed current applied bed (EST+SWC). Main Outcome Measures Wound measured by reduction size improvement appearance at 3 months treatment EST+SWC SWC. Results The percentage decrease surface area (WSA) end intervention period was significantly greater group (mean 70±25%) than SWC (36±61%; P =.048). proportion III, IV, X improving least 50% WSA ( =.02). assessed using photographic assessment tool improved wounds treated but not alone. Conclusions These results demonstrate EST can stimulate SCI. be incorporated successfully into an community.