JOURNAL BROWSE
Search
Advanced SearchSearch Tips
The Effect of Application Parameter of Pulsed Direct Current on Wound Healing of Patients with Pressure Ulcer
facebook(new window)  Pirnt(new window) E-mail(new window) Excel Download
 Title & Authors
The Effect of Application Parameter of Pulsed Direct Current on Wound Healing of Patients with Pressure Ulcer
Kim, Ga Yeong; Lee, Sang Bin; Moon, Ok Kon; Kim, Ji Sung; Choi, Jung Hyun; Wang, Jung San; Park, Joo Hyun; Kim, Hong Rae; Lee, Ju Hwan; Min, Kyung Ok;
  PDF(new window)
 Abstract
This study investigated the effects of changes to the pulsation factor of pulsed direct currents on wound healing. Patients with a pressure ulcer at a care hospital for the elderly were randomly divided into three groups: Group 1 involved the application of in pulse duration, 10 ms in pulse period, 100 pps in a pulsation factor, 15 mA in pulse amplitude, and polarity red+ by using pulsed direct currents; Group 2 involved a change of pulse period to 8 ms; and Group 3 received general wound management. Although there were no statistically significant differences in the changing stages of pressure ulcers among the groups, all the groups dropped in numerical stages. In the two groups to which pulsed direct currents were applied, there was a statistically significant reduction in the stages of pressure ulcers from the initial assessment to the 12-week assessment (p<.05). Even though there were no statistically significant differences in changes to the area of pressure ulcers among the groups, a statistically significant decrease was found in pulsed direct current group 2 whose pulse period was shortened (p<.05). There was no difference in the healing rate of pressure ulcers among the groups, but it made a numerical increase in pulsed direct current group 1 and group 2 and a numerical decrease in group 3. There were no significant differences in the characteristics of those who had a full recovery among the groups. Those findings indicate that pulsed direct currents have positive effects on the wound healing of patients with a pressure ulcer and that a treatment with pulsed direct currents whose pulsation factor is raised by reducing the pulse duration is especially effective.
 Keywords
Pressure Ulser;Wound Healing;Pulsed Drect Current;
 Language
English
 Cited by
 References
1.
Brink P, Smith TF, Linkewich B. Factors associated with pressure ulcers in palliative home care. J Palliat Med 2006; 9(6): 1369-1375. crossref(new window)

2.
Riordan J, Voegeli D. Prevention and treatment of pressure ulcers. Br J Nurs 2009; 18(20): 20-27.

3.
Yim MJ, Park HS. Study on the Pressure Ulcers in Neurological Patients in Intensive Care Units. J Korean Acad Fundam Nurs 2006; 13(2): 190-199.

4.
Gallaghera P, Barrya P, Hartiganb I, Mccluskeyc P, Oconnord KM, Oconnora M. Prevalence of pressure ulcers in three university teaching hospitals in Ireland. J Tissue Viability 2008; 17(4): 103-109. crossref(new window)

5.
Kwong E, Pang SM, Aboo GH, Law SS. Pressure ulcer development in older residents in nursing home: influencing factors. J Adv Nurs 2009; 65(12): 2608-2620. crossref(new window)

6.
Thomas DR. Are all pressure ulcers avoidable?. J Am Med Dir Assoc 2003; 4(2): 43-48. crossref(new window)

7.
Adunsky A. Ohry A. Decubitus direct current treatment(DDCT) of pressure ulcers: results of a randomized double-blinded placebo controlled study. Arch Gerotol Geritr 2005; 41(3): 261-269. crossref(new window)

8.
Kloth LC, Feedar JA. Acceleration of wound healing with high voltage, monophasic, pulsed current. Phys Ther 1988; 68(4): 503-508.

9.
Brown M, Gogia PP. Effects of high voltage stimulation on cutaneous wound healing in rabbits. Phys Ther 1987; 67(5): 662-667.

10.
Brown M, Mcdonnell MK, Menton DN. Polarity effects on wound healing using electric stimultaion in rabbits. Arch Phys Med Rehabil 1989; 70(8): 624-627.

11.
Griffin JW, Tooms RE, Mendius RA, Clifft JK, Vander ZR, El ZF. Efficacy of high voltage pulsed current for healing of pressure ulcers in patients with spinal cord injury. Phys Ther 1991; 71(6): 443-442.

12.
Recio AC, Felter CE, Schneider AC, McDonald JW. 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. J Spinal Cord Med 2012; 35(1): 58-63. crossref(new window)

13.
Lee HM, Chun SH, Kang JH, Bang HS, Kim JS. Pressure ulcers treatment in physical therapy. J Korean Soc Phys Med 2008; 3(1): 67-77.

14.
Gogia PP. Physical therapy modalities for wound management. J Wound Ostomy 1996; 42(1): 46.

15.
Pai DR, Madan SS. Techniques in chronic wound management: review of the literature and recent concepts. J Nov Physiother 2013; 3(2): 1-7.

16.
Ferrell BA. The sessing scale for assessment of pressure ulcer healing. J Am Geriatr Soc 1995; 10(5): 78-81.

17.
Houghton PE, Campbell KE, Fraser CH, Harris C, Keast DH, Potter PJ, et al. Electrical stimulation therapy increases rate of healing of pressure ulcers in community-dwelling people with spinal cord injury. Arch Phys Med Rehabil 2010; 91(5): 669-678. crossref(new window)

18.
Feedar JA, Kloth LC, Gentzkow GD. Chronic dermal ulcer healing enhanced with monophasic pulsed electrical stimulation. Phys Ther 1991; 71(1): 639-649.

19.
Wood JM, Evans PE. Schallreuter KU, Jacobson WE, Sufit R, Newman J, Jacobson M, et al. A multicenter study on the use of pulsed lowintensity direct current for healing chronic stage II and stage III decubitus ulcers. Arch Dermatol 1993; 129(8): 999-1009. crossref(new window)

20.
Vowden K, Vowden P. Understanding exudate management and the role of exudate in the healing process. Br J Community Nurs 2003; 8(5): 4-13. crossref(new window)

21.
Kuffler DP. Techniques for wound healing with a focus on pressure ulcer elimination. The Open Circulation and Vascular Journal 2010; 3(8):74-84.

22.
Asadi MR, Torkaman G, Hedayati M, Mofid M. Role of sensory and motor intensity of electrical stimulation on fibroblastic growth factor-2 expression, inflammation, vascularization, and mechanical strength of full-thickness wounds. J Rehabil Dev 2013; 50(4): 489-498. crossref(new window)