TREATMENT OF CHRONIC DERMAL ULCERS WITH HIGH VOLTAGE PULSATING CURRENT

Authors

  • Rafael Davini
  • Carolina Vianna Nunes
  • Elaine Caldeira Oliveira Guirro
  • Elisangela Fascina
  • Márcio Oliveira
  • Matheus Polli
  • Paula Domingues

Keywords:

high voltage electrical stimulation, leprosy, chronic skin wounds

Abstract

Objective

The objective of this study was to examine the effects of treating four patients (n=4) presenting chronic skin ulcers of various origins, with a high voltage pulsating current.

Methods

The treatment consisted of cathodal stimulation applied to the wound with a monophasic quadratic twin-peak double-pulsating current at an average intensity of 1SOV for 30 minutes. The treatment was applied three times a week for 1O weeks, and the follow up evaluations were performed before starting the treatment and at the end of the 5th and 10th weeks. Medical files and photographic analyses were used in the evaluation of the wounds. The calculation of the dimension of the wounds was carried out using specific software developed for this purpose. To analyze the results, the wound areas were estimated in cm2 and the percent alteration in size at the three different moments subsequently calculated.

Results

A reduction in size of the wounds was observed in the four treated volunteers: Volunteer 1 presented 100.00% of reduction, volunteer 2 a reduction of 18.90%;

volunteer 3 a reduction of 21.10% and volunteer 4 a reduction of 39.99%.

Conclusion

The results obtained in this study indicate the possibility of adopting high voltage pulsating current in the treatment of chronic wounds of different etiologies, under the experimental conditions used.

Downloads

Download data is not yet available.

References

Cullum N, Nelson EA, Flemming K, Sheldon T. Systematic reviews of would care management: (5) beds; (6) compression; (7) laser therapy, therapeutic ultrasound, electrotherapy and electromagnetic therapy. Health Technol Assess. 2001; 5(9):1-221.

Thomaz JB, Herdy CDC, Oliveira JCP, et ai. Fundamentos da cicatrização de feridas. Arq Bras Med. 1996; 70(2):65-72.

Gonçalves G, Parizotto NA. Fisiopatologia da reparação cutânea: Atuação da Fisioterapia. Rev Bras Fisiot. 1998; 3:5-13.

Clark M, Watts S. The incidence of pressure sores during a National Health Service Trust Hospital during. 1991. J Adv Nurs. 1994; 20(1):33-6.

Baker SR, Stacey MC, Jopp-McKay AG, Hoskin SE, Thompson PJ. Epidemiology of chronic venous ulcers. Br J Surg. 1991; 78(7):864-7.

Charles H. The impact of leg ulcers on patients' quality of life. Prof Nurse. 1995; 10(9):571-4.

Talhari S, Neves RG. Dermatologia tropical: hanseníase. 3.ed. Gráfica Tropical; 1997. p.41-61.

Wood JM, Evans PE, Schallreuter KU, Jacobson WE, Sufit R, Newman J, et ai. A multicenter study on the use of pulsed low-intensity direct current for healing chronic stage li and stage Ili decubitus ulcers. Arch Dermatol. 1993; 129(8):999-1009.

Mulder GD. Treatment of open-skin wounds with electric stimulation. Arch Phys Med Rehabil. 1991; 72(6):375-7.

Fitzgerald GK, Newsome D. Treatment of a large infected thoracic spine wound using high voltage pulsed monophasic current. Phys Ther. 1993; 73(6):355-60.

Jacques PF, Brogan MS, Kalinowski D. High-voltage electrical treatment of refractory dermal ulcers. Physician Assistant. 1997; p.84-91.

Bergstron N, Bennett MA, Carlson CE. Clinicai practice guidelines n. 15: treatment of pressure ulcers. Rockville (MD): US Dept. of Health and Human Services; 1992. p.55-6. AHCPR Publication 95-0652.

Ovington LG. Dressings and adjunctive therapies: AHCPR guidelines revisited. Ostomy Wound Manage. 1999; 45(1A Suppl):94S-106S; 1075-1085.

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

Unger P, Eddy J, Raimastry S. A controlled study of the effect of high voltage pulsed current (HVPC) on would healing. PhysTher. 1991; 71:S119.

Griffin JW, Tooms RE, Mendius RA. Efficacy of high voltge pulsed current for healing of pressure ulcers in patients with spinal cord injury. Phys Ther.1991; 71(6):433-44.

Houghton PE, Kincaid CB, Lovell M, Campbell KE, Keast DH, Gail-Woodbury M, et ai. Effect of electrical stimulation on chronic leg ulcer size and appearance. Phys Ther. 2003; 83(1):17-28.

Feedar JA, Kloth LC, Gentzkow GD. Chronic dermal ulcer healing enhanced with monophasic pulsed electrical stimulation. Phys Ther. 1991; 71(9):639-49.

Gentzkow GD, Pollack SV, et ai. lmproved healing of pressure ulcers using dermapulse, a new electrical stimulation device. Wounds. 1991; 3:158-60.

Gentzkow GD, Miller KH. Electrical stimulation for dermal wound healing. Clin Podiart Med Surg. 1991; 8(4):827-41.

Szuminsky NJ, Albers AC, Unger P, John GE. Effect of narrow, pulsed high voltages on bacterial viability. Phys Ther. 1994; 74(7):660-7.

Gonçalves G, Parizotto NA. Fisiopatologia da reparação cutânea: atuação da fisioterapia. Rev Bras Fisiot. 1998; 3:5-13.

Goldman RJ, Brewley BI, Golden MA. Electrotherapy reoxygenates inframalleolar ischemic wounds on diabetic patients: a case series. Adv Skin Wound Care. 2002;1 5(3) 112-20.

Lagan KM, Dusoir PAE, McDonough SM, Baxter D. Wound measurement: the comparative reliability of direct versus photographic tracings analyzed by planimetry versus digitizing techniques. Arch Phys Med Rehabil. 2000; 81(8):1110-6.

Published

2005-06-30

How to Cite

Davini, R., Nunes, C. V., Guirro, E. C. O., Fascina, E., Oliveira, M., Polli, M., & Domingues, P. (2005). TREATMENT OF CHRONIC DERMAL ULCERS WITH HIGH VOLTAGE PULSATING CURRENT. Revista De Ciências Médicas, 14(3). Retrieved from https://seer.sis.puc-campinas.edu.br/cienciasmedicas/article/view/1172

Issue

Section

Artigos Originais