Therapeutic ultrasound for pressure ulcers

Sari, Ali Baba‐Akbari; Flemming, Kate; Cullum, N; Wollina, U

doi:10.1002/14651858.cd001275

Cited by 17 publications

(19 citation statements)

References 6 publications

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“…Although its mechanism of action is not known and there are conflicting reports on its efficacy, pulsed low-intensity ultrasound is used clinically to enhance the healing rate of pressure ulcers [25,131]. In one small study, pulsed low-intensity ultrasound was administered to a patient with a Stage III pressure ulcer over the coccyx for 5 days a week for two consecutive weeks.…”

Section: Pulsed Low-intensity Ultrasoundmentioning

confidence: 99%

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Techniques for Wound Healing with a Focus on Pressure Ulcers Elimination

Kuffler¹

2012

TOCVJ

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Pressure ulcers, also called decubitus ulcers, are a common challenge of humanity. They are wounds initiated by pressure on the skin that blocks circulation causing the skin and underlying tissues to die. Without care, pressure ulcers continue to grow in diameter and depth and are exceptionally difficult to heal. They have probably always existed, and are present on Egyptian mummies. Pressure ulcers are a serious health issue, very painful, a significant physiological challenge, can shorten the life of a patient, are an emotional and financial burden to the patient, those who deal with them, and in the United States alone annually costs in excess over $10 billion dollars for care and prolonged hospitalization. Pressure ulcers can develop with as little as two hours of pressure, and because even a brief lapse in avoidance of pressure leads to ulcers, they are frequently impossible to prevent, even for the most conscientious patient with an extensive support group and unlimited financial resources. Therefore, enormous effort is required to find effective and reliable techniques for preventing the initiation of ulcers and eliminating them once they develop. This review looks at the various approaches presently used and in development for the treatment of pressure ulcers, evaluates which may be best in eliminating ulcers, and discusses combinations of techniques that may be most effective in eliminating pressure ulcers.

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Section: Pulsed Low-intensity Ultrasoundmentioning

confidence: 99%

“…There is no evidence of benefit of ultrasound therapy in the treatment of pressure ulcers [131]. However, the possibility of beneficial or harmful effect cannot be ruled out due to the small number of trials, some with methodological limitations and small numbers of participants.…”

Section: Ultrasoundmentioning

confidence: 99%

Techniques for Wound Healing with a Focus on Pressure Ulcers Elimination

Kuffler¹

2012

TOCVJ

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“…22 Ancak yapılan bir meta-analizde, bu ça-lışmaların yara iyileşmesi üzerine ultrasonun yararlı ya da zararlı etkilerini göstermek için yeterli olmadığı sonucuna varılmıştır. 23 Ultraviyole; epitelyal hücre yenilenmesini ve DNA proliferasyonunu artırarak kısmen bakterisidal, kısmen de yara iyileşmesini hızlandırıcı etki oluşturmaktadır. 24 Böylelikle yara alanı ve derinliğinde belirgin iyileşme sağlamaktadır.…”

Section: Fizik Tedavi Modaliteleriunclassified

Current Treatment Approaches in Pressure Ulcers

Bozbaş¹,

Gürer²

2011

Sakarya Med J

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ÖzetBası yarası, hastanede yatan hastaların %8-11'inde görülmektedir. Bu durum, cilt ve cilt altı dokudaki basınç, makaslama kuvveti ve sürtünmenin etkisiyle oluşmaktadır. İleri yaş, beslenme bozuklukları, nemli deri, enfeksiyon ve metabolik hastalıklar (örn; diyabet, böbrek yetmezliği) bası yarası oluşumunu kolaylaştıran diğer faktörlerdir. Bası yarası bir kez geliştikten sonra tedavisi uzun ve maliyetlidir. Önleme ve tedavi açısından basıncı azaltma ve risk faktörlerinin giderilmesi çok önemlidir. Yaranın şiddetine göre uygulanabilecek tedavi yöntemleri; basınç, friksiyon ve makaslama kuvvetinin giderilmesi, yara bakımı, nekrotik doku debridmanı, beslenmenin düzenlenmesi, destek yüzeylerin ve özel yatakların kullanılması, elektroterapi ve cerrahi tedavilerdir. AbstractPrevelance of pressure ulcer is reported as %8-11 among the hospitalized patients. Pressure ulcers are caused by mechanical pressure, traction and friction on the skin and underlying tissue. Old age, poor nourishment, moist skin, infection and metabolic disorders (such as diabet, renal insufficiency ) are the contrıbuting factors. Once a pressure ulcer has developed, the treatment is long and expensive. Relief of pressure and reduction of risk factors are important in the prevention and treatment. Treatment principles include assessing the severity of the wound; reducing pressure, friction, and shear forces, optimizing wound care, removivng necrotic debris, correcting nutritional deficits, using support surfaces and special beds, electrotheraphy, and surgery. Derleme Review 118 GİRİŞ Bası yaraları, dokuların uzun süre basınç altında kalmasına bağlı olarak gelişen ve daha çok vücudun kemik çıkıntıla-rının üzerindeki bölgede ortaya çıkan iskemi, hücre ölümü ve doku nekrozu olarak tanımlanır.1 Bu durum multimorbidite ve immobilitenin ciddi bir komplikasyonudur. EpidemiyolojiBası yaralarının insidansını tam olarak belirleyebilmek zordur. Prevelans çalışmalarında oran incelenen hasta grubuna göre değişiklik göstererek %1,4 ile 36,4 arasında bulunmuştur.2 Mortalite oranı aynı risk faktörlerine sahip kişiler arasında bası yarasının oluşması ile 4,5 kat artmaktadır. 1Yaraya bağlı sepsis gelişmesi durumunda ise mortalite oranı %50'ye kadar yükselmektedir.3 Bası yaraları hastanede yatan hastalarda tedavi ve hastanede kalış maliyetini de ciddi oranda artırmaktadır.1 Bu nedenlerle, bası yarası gelişme riski yüksek olan hastalarda gerekli önlemlerin alınması ve yara oluşumu sonrasında da ucuz ve etkin tedavi yöntemlerinin geliştirilmesi çok önemlidir.

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“…Between 1998 and 2016, there have been some seven highlevel critical reviews (meta-analysis, systematic reviews) of the literature examining specifically the effects of therapeutic ultrasound on chronic wound healing. [37][38][39][40][41][42][43] Of these studies, three studies found no evidence of benefit for therapeutic ultrasound treatment of pressure ulcers 38,40,41 and one study found unknown effectiveness of therapeutic ultrasound in the treatment of pressure and venous ulcers. 39 One study found evidence that ultrasound treatment of the periwound tissue that surrounds the wound bed produced beneficial effects on healing.…”

mentioning

confidence: 99%

“…43 An early review of the literature by Johannsen et al 37 reported that therapeutic ultrasound was most effective when delivered in low doses to the periwound or wound edge. A Cochrane review of the literature in 2006 38 concluded that the evidence did not support a role for ultrasound in the treatment of pressure ulcers. It was further noted that the small number of participants, methodological flaws and small number of trials prohibited the determination of any beneficial or harmful effects of ultrasound treatments on pressure ulcers.…”

mentioning

confidence: 99%

Current perspectives on therapeutic ultrasound in the management of chronic wounds: a review of evidence

Conner-Kerr¹,

Oesterle²

2017

CWCMR

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Abstract:Although therapeutic ultrasound has been in existence since the 1930s, questions remain as to its effectiveness in promoting tissue healing in various injured tissues. These tissues include soft tissues such as skin, tendons, ligaments, bursae, joint capsules and muscles. Limited evidence exists to support a role for therapeutic ultrasound in closed, soft tissue lesions. However, an evolving literature provides support for the role of therapeutic ultrasound in the treatment of chronic wounds, acute injuries such as fractures and split thickness graft donor sites as well as in the modulation of wound-related pain. Modern technology that uses low-frequency (kilohertz), long wave ultrasound appears promising compared to older, higher frequency ultrasound (megahertz) devices. These newer devices appear to have positive effects on healing rates in various wound types, pain levels and the modulation of proinflammatory cytokines.

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Therapeutic ultrasound for pressure ulcers

Cited by 17 publications

References 6 publications

Techniques for Wound Healing with a Focus on Pressure Ulcers Elimination

Techniques for Wound Healing with a Focus on Pressure Ulcers Elimination

Current Treatment Approaches in Pressure Ulcers

Current perspectives on therapeutic ultrasound in the management of chronic wounds: a review of evidence

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