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Adjunctive Therapies in Pressure Ulcers

  • Jakub TaradajEmail author
  • Elia Ricci
Chapter

Abstract

According to the newest “National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance. Prevention and Treatment of Pressure Ulcers: Clinical Practice Guideline” published one year ago, several forms of biophysical agents have been examined for healing pressure ulcers. The recommendation for these alternative therapies is due to direct scientific evidence from properly designed and implemented clinical studies on pressure ulcers in humans (or on humans at risk for pressure ulcers); providing statistical results that consistently support the final statement. One of the proposed adjunctive method in this document its electrical stimulation with the strongest evidence (grade A) and with the highest recommendation level. Electrotherapy is an algorithm for wound healing, which is well-documented and supported by literature. However, there are some other interesting biophysical agents, but at this moment with a much smaller (B or C) recommendation level (negative pressure wound therapy, laser stimulation and extracorporeal shock wave therapy, Topical Oxygen Therapy), which are also discussed in this chapter. Other “new devices” are proposed continuously from researcher to clinicians, polarized light, phototherapy, biophotonic treatment, magnetic field, etc. There is not actually a literature that supports strongly this new treatment and we can’t include all in a chapter but the interesting fact is to deliver energy in the wound.

Keywords

Electrical stimulation Electrotherapy HVPC LVMPC Laser therapy EWST Shock waves Pressure ulcers Wound healing HBOT TOTC 

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Copyright information

© Springer-Verlag London Ltd., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Physiotherapy Basics at Academy School of Physical EducationKatowicePoland
  2. 2.College of Rehabilitation Sciences at University of ManitobaWinnipegCanada
  3. 3.Difficult Wound Healing UnitSt. Luca’s ClinicPecetto TorineseItaly

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