Polak et al. 2014
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Polak A, Franek A, Taradaj J. High-Voltage Pulsed Current Electrical Stimulation in Wound Treatment. Adv Wound Care (New Rochelle). 2014 Feb 1;3(2):104-117.
Design: Review Inclusion criteria for the studies: • Treatment groups using HVPC and control groups that received standard wound care (SWC) alone or SWC plus sham HVPC. • Conservatively treated patients with pressure ulcers (PUs), chronic leg and diabetic foot ulcers (DFUs), and in some patients with surgically treated venous insufficiency/venous leg ulcer (VLUs). Results: • 10 RCTs and one casuistic case study were discussed in the review. 6 studies in this review were of high-quality and 4 were of low quality. • 3 of the high-quality studies concerned PUs. PUs were treated for at least 6 weeks and the healed area exceeded 70% in relation compared with their pretreatment sizes. • These results are promising indications of the efficacy of HVPC ES as a PU treatment modality. • The authors of the two other high-quality studies treated DFUs and VLUs, achieving healing rates of, respectively, 86% after 12 weeks and of 59% after 6 weeks. • These results too show that HVPC can be effectively used for treating these types of wounds.
Key message: High-voltage pulsed current electrical stimulation is a promising therapy. It is relatively inexpensive, noninvasive, painless and safe from measurable side effects, and suitable for application in the clinical treatment of chronic wounds, including diabetic foot ulcer.
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