Pressure Ulcers Table 14 Non-Thermal Pulsed Electromagnetic Energy for Healing of Pressure Ulcers Post SCI

Submitted by admin on Fri, 05/21/2010 - 16:45

Author Year
Country
Score
Research Design
Total Sample Size

Methods

Outcome

Salzberg et al. 1995
USA
PEDro=8
RCT
N=30

Population: Stage II group: Age = 24-69 yrs. No data for Stage III group.
Treatment: A non-thermal pulsed high frequency, high peak power, electromagnetic energy (PEE), was delivered through a treatment head placed in light contact with the wound site and tuned to resonance in the area of the wound.  Treatment was non-invasive and delivered through wound dressings for 30 minutes, twice daily for 12 weeks or until healed.  The control group received 12 weeks of sham treatment.
Outcome Measures: Pressure Ulcer Status.
  1. Stage II group: Treatment (N = 10), control (N = 10). After 1 week, the treatment group had a greater percentage of ulcer healed (84%) compared to the control group (40%), p=0.01 and the median size of ulcer was also smaller at one week (2.7 versus 16.5 cm2, p=0.015).
  2. For complete healing, the treatment group healed in a median of 13 days versus 31.5 days for the controls (p<0.001).
  3. Given that there were more large ulcers (>60 cm2) in the sham group, data was reanalyzed for 15 subjects with ulcers <60 cm2 with similar results as found initially.
  4. Stage III group: Treatment N = 5, control N = 5. 3/5 healed with an average of 43 days of treatment. 0/5 healed in control group. Ulcer area decreased by average 70.6% versus 20.7% in control group.