High Versus Low Frequency Transcutaneous Electric Nerve Stimulation On Chronic Venous Lower Limb Ulceration Randomized Controlled Trial.

Autor: Elfahl AM; Physical Therapy for Burn and Surgery Department, Faculty of Physical Therapy, 110120Modern University for Information and Technology, Cairo, Egypt., Abd El Baky AM; Professor of Physical Therapy for Surgery and Vice Dean for Postgraduate Studies and Scientific Research, Faculty of Physical Therapy, 531226Cairo University, Cairo, Egypt., Yousef MT; Assistant professor and chairman of Endo Vascular Surgery Department, Al-Mataria Teaching Hospital, Cairo, Egypt., Elgohary HM; Assistant professor of Physical Therapy for Surgery, Faculty of Physical Therapy, 531226Cairo University, Cairo, Egypt.
Jazyk: angličtina
Zdroj: The international journal of lower extremity wounds [Int J Low Extrem Wounds] 2022 Apr 14, pp. 15347346221093860. Date of Electronic Publication: 2022 Apr 14.
DOI: 10.1177/15347346221093860
Abstrakt: The major objective of the current paper is to trace and investigate which method is more effective whether the high or the low Transcutaneous electric Nerve Stimulations (TENS) on venous ulcers. A single-blinded, randomized, and controlled trial was done successfully. Sixty venous ulcer patients were divided randomly into three groups; Group (A): control group, Group(B): High-TENS group, and Group(C): Low-TENS group. Group (A), contains twenty participants who received routine medical care and dressing. As for group (B), includes twenty participants who obtained high-frequency TENS; Frequency (80-120) HZ, Intensity (15 - 30 amp), Pulse duration 250 Micro sec, 60 min per session with routine medical care and dressing. The third group (c) L-TENS, encompasses twenty participants who received low-frequency TENS (1-5) HZ; Intensity (30 -80 amp), Pulse duration 250 Micro sec, 60 min per session with routine medical care and dressing. All the participants were examined before and after two months of intervention; four weeks (post1), then after eight weeks (post2). Participants were examined by using (image j) to measure the ulcer area. Saline was used for measuring the ulcer volume, and a visual analog scale was adopted to evaluate pain. After drawing a comparison among the three groups after four weeks and after eight weeks of treatment, a statistically significant decrease (P <0.05) in wound surface area, wound volume, and pain in favor of L-TENS was noticed. It has been found that L- TENS is more effective than H -TENS and is highly recommended in the treatment protocol for such debilitating conditions.
Databáze: MEDLINE