Physical Therapy Wound Care Modalities in Patients With Spinal Cord Injury (SCI)
A Prospective Analysis of Physical Therapy Wound Care Modalities in Patients With Spinal Cord Injury
Wake Forest University Health Sciences
40 participants
Oct 11, 2022
INTERVENTIONAL
Conditions
Summary
To examine the effects of Physical Therapist (PT) wound care modalities (pulsed wound irrigation (PWI) + electrical stimulation (ES), PWI only, and ES only) on wound healing in patients with spinal cord injuries (SCI).
Eligibility
Inclusion Criteria7
- Currently enrolled at inpatient rehabilitation at Carolinas Rehabilitation Charlotte
- Diagnosis of spinal cord injury and concomitant pressure injury to sacrum or ischium
- Agreeable to wound care treatment by Physical Therapist (PT)
- Able to perform informed consent
- Over 18 years of age
- Physician order for PT wound care evaluation and treatment
- Bates-Jensen Wound Assessment Tool (BWAT) >31 on initial evaluation
Exclusion Criteria4
- Pain which limits ability to tolerate wound care treatments
- Unable to perform informed consent
- Pregnancy
- Bates-Jensen Wound Assessment Tool (BWAT) <30 on initial evaluation
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Interventions
necrotic wound is irrigated with normal saline (0.9%) with an 8-12 pounds per square inch pressure (PSI) to provide a mechanical force to loosen necrotic tissue for wound healing
high volt pulsed current (HVPC) is most effective in wound healing while decreasing risk of adverse skin reactions or mild burns under the electrodes
necrotic wound is irrigated with normal saline (0.9%) with an 8-12 pounds per square inch pressure (PSI) to provide a mechanical force to loosen necrotic tissue for wound healing and high volt pulsed current (HVPC) is most effective in wound healing while decreasing risk of adverse skin reactions or mild burns under the electrodes
Locations(1)
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NCT05458947