Venous leg ulcer healing with electric stimulation therapy: a pilot randomised controlled trial.
Identifieur interne : 000319 ( PubMed/Curation ); précédent : 000318; suivant : 000320Venous leg ulcer healing with electric stimulation therapy: a pilot randomised controlled trial.
Auteurs : C. Miller [Australie] ; W. Mcguiness [Australie] ; S. Wilson [Australie] ; K. Cooper [Australie] ; T. Swanson [Australie] ; D. Rooney [Australie] ; N. Piller [Australie] ; M. Woodward [Australie]Source :
- Journal of wound care [ 0969-0700 ] ; 2017.
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Abstract
Compression therapy is a gold standard treatment to promote venous leg ulcer (VLU) healing. Concordance with compression therapy is, however, often sub-optimal. The aim of this study was to evaluate the effectiveness of electric stimulation therapy (EST) to facilitate healing of VLUs among people who do not use moderate-to-high levels of compression (>25 mmHg).
DOI: 10.12968/jowc.2017.26.3.88
PubMed: 28277996
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Miller</name><affiliation wicri:level="1"><nlm:affiliation>La Trobe University, School of Nursing & Midwifery, La Trobe University, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>La Trobe University, School of Nursing & Midwifery, La Trobe University</wicri:regionArea></affiliation></author><author><name sortKey="Mcguiness, W" sort="Mcguiness, W" uniqKey="Mcguiness W" first="W" last="Mcguiness">W. Mcguiness</name><affiliation wicri:level="1"><nlm:affiliation>La Trobe University/Alfred Health, School of Nursing & Midwifery, La Trobe University, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>La Trobe University/Alfred Health, School of Nursing & Midwifery, La Trobe University</wicri:regionArea></affiliation></author><author><name sortKey="Wilson, S" sort="Wilson, S" uniqKey="Wilson S" first="S" last="Wilson">S. Wilson</name><affiliation wicri:level="1"><nlm:affiliation>La Trobe University, School of Nursing & Midwifery, La Trobe University, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>La Trobe University, School of Nursing & Midwifery, La Trobe University</wicri:regionArea></affiliation></author><author><name sortKey="Cooper, K" sort="Cooper, K" uniqKey="Cooper K" first="K" last="Cooper">K. Cooper</name><affiliation wicri:level="1"><nlm:affiliation>La Trobe University/Austin Health, School of Nursing & Midwifery, La Trobe University, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>La Trobe University/Austin Health, School of Nursing & Midwifery, La Trobe University</wicri:regionArea></affiliation></author><author><name sortKey="Swanson, T" sort="Swanson, T" uniqKey="Swanson T" first="T" last="Swanson">T. Swanson</name><affiliation wicri:level="1"><nlm:affiliation>Nurse Practitioner Wound Management, South West Healthcare, Warrnambool. Vic 3280, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Nurse Practitioner Wound Management, South West Healthcare, Warrnambool. Vic 3280</wicri:regionArea></affiliation></author><author><name sortKey="Rooney, D" sort="Rooney, D" uniqKey="Rooney D" first="D" last="Rooney">D. Rooney</name><affiliation wicri:level="1"><nlm:affiliation>Goulburn Valley Health, Home Nursing Services, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Goulburn Valley Health, Home Nursing Services</wicri:regionArea></affiliation></author><author><name sortKey="Piller, N" sort="Piller, N" uniqKey="Piller N" first="N" last="Piller">N. Piller</name><affiliation wicri:level="1"><nlm:affiliation>Flinders University, Lymphoedema Clinical Research Unit, Department of Surgery, School of Medicine, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Flinders University, Lymphoedema Clinical Research Unit, Department of Surgery, School of Medicine</wicri:regionArea></affiliation></author><author><name sortKey="Woodward, M" sort="Woodward, M" uniqKey="Woodward M" first="M" last="Woodward">M. Woodward</name><affiliation wicri:level="1"><nlm:affiliation>University of Melbourne, Continuing Care, Austin Health, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>University of Melbourne, Continuing Care, Austin Health</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of wound care</title><idno type="ISSN">0969-0700</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Electric Stimulation Therapy</term><term>Female</term><term>Humans</term><term>Leg Ulcer (therapy)</term><term>Male</term><term>Middle Aged</term><term>Pilot Projects</term><term>Single-Blind Method</term><term>Stockings, Compression</term><term>Varicose Ulcer (therapy)</term><term>Wound Healing</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bas de contention</term><term>Cicatrisation de plaie</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Méthode en simple aveugle</term><term>Projets pilotes</term><term>Ulcère de la jambe ()</term><term>Ulcère variqueux ()</term><term>Électrothérapie</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Leg Ulcer</term><term>Varicose Ulcer</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Electric Stimulation Therapy</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pilot Projects</term><term>Single-Blind Method</term><term>Stockings, Compression</term><term>Wound Healing</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bas de contention</term><term>Cicatrisation de plaie</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Méthode en simple aveugle</term><term>Projets pilotes</term><term>Ulcère de la jambe</term><term>Ulcère variqueux</term><term>Électrothérapie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Compression therapy is a gold standard treatment to promote venous leg ulcer (VLU) healing. Concordance with compression therapy is, however, often sub-optimal. The aim of this study was to evaluate the effectiveness of electric stimulation therapy (EST) to facilitate healing of VLUs among people who do not use moderate-to-high levels of compression (>25 mmHg).</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28277996</PMID><DateCreated><Year>2017</Year><Month>03</Month><Day>09</Day></DateCreated><DateCompleted><Year>2017</Year><Month>06</Month><Day>06</Day></DateCompleted><DateRevised><Year>2017</Year><Month>06</Month><Day>06</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0969-0700</ISSN><JournalIssue CitedMedium="Print"><Volume>26</Volume><Issue>3</Issue><PubDate><Year>2017</Year><Month>Mar</Month><Day>02</Day></PubDate></JournalIssue><Title>Journal of wound care</Title><ISOAbbreviation>J Wound Care</ISOAbbreviation></Journal><ArticleTitle>Venous leg ulcer healing with electric stimulation therapy: a pilot randomised controlled trial.</ArticleTitle><Pagination><MedlinePgn>88-98</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.12968/jowc.2017.26.3.88</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Compression therapy is a gold standard treatment to promote venous leg ulcer (VLU) healing. Concordance with compression therapy is, however, often sub-optimal. The aim of this study was to evaluate the effectiveness of electric stimulation therapy (EST) to facilitate healing of VLUs among people who do not use moderate-to-high levels of compression (>25 mmHg).</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">A pilot multicentre, single-blinded randomised controlled trial was conducted. Participants were randomised (2:1) to the intervention group or a control group where EST or a sham device was used 4 times daily for 20 minutes per session. Participants were monitored fortnightly for eight weeks. The primary outcome measure was percentage of area (wound size) change.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">In the 23 patients recruited, an average redution in wound size of 23.15% (standard deviation [SD]: 61.23) was observed for the control group compared with 32.67 % (SD: 42.54) for the intervention. A moderate effect size favouring the intervention group was detected from univariate [F(1,18)=1.588, p=0.224, partial eta squared=0.081] and multivariate repeated measures [F(1,18)=2.053, p=0.169, partial eta squared=0.102] analyses.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The pilot study was not powered to detect statistical significance, however, the difference in healing outcomes are encouraging. EST may be an effective adjunct treatment among patients who have experienced difficulty adhering to moderate-to-high levels of compression therapy.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Miller</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>La Trobe University, School of Nursing & Midwifery, La Trobe University, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>McGuiness</LastName><ForeName>W</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>La Trobe University/Alfred Health, School of Nursing & Midwifery, La Trobe University, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wilson</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>La Trobe University, School of Nursing & Midwifery, La Trobe University, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cooper</LastName><ForeName>K</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>La Trobe University/Austin Health, School of Nursing & Midwifery, La Trobe University, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Swanson</LastName><ForeName>T</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Nurse Practitioner Wound Management, South West Healthcare, Warrnambool. Vic 3280, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rooney</LastName><ForeName>D</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Goulburn Valley Health, Home Nursing Services, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Piller</LastName><ForeName>N</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Flinders University, Lymphoedema Clinical Research Unit, Department of Surgery, School of Medicine, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Woodward</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>University of Melbourne, Continuing Care, Austin Health, Australia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Wound Care</MedlineTA><NlmUniqueID>9417080</NlmUniqueID><ISSNLinking>0969-0700</ISSNLinking></MedlineJournalInfo><CitationSubset>N</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004599" MajorTopicYN="Y">Electric Stimulation Therapy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007871" MajorTopicYN="N">Leg Ulcer</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010865" MajorTopicYN="N">Pilot Projects</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016037" MajorTopicYN="N">Single-Blind Method</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D053828" MajorTopicYN="Y">Stockings, Compression</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014647" MajorTopicYN="N">Varicose Ulcer</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014945" MajorTopicYN="N">Wound Healing</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">compression therapy</Keyword><Keyword MajorTopicYN="Y">concordance</Keyword><Keyword MajorTopicYN="Y">electric stimulation therapy</Keyword><Keyword MajorTopicYN="Y">venous leg ulcer</Keyword><Keyword MajorTopicYN="Y">wound healing</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>3</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>3</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>6</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28277996</ArticleId><ArticleId IdType="doi">10.12968/jowc.2017.26.3.88</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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