Physical therapy in burn wound healing: Development of clinical prediction rules to identify the efficacy of pulsed electromagnetic therapy
Resumen
Many studies have demonstrated the effect of pulsed electromagnetic therapy (PEMT) on wound healing. This study aimed to develop a clinical prediction rule (CPR) to assess PEMT's efficacy in burn healing, potentially enhancing treatment decisions and outcomes. It was a one-group intervention study with 46 patients (21 males, 25 females) aged 20 to 55 years, having partial-thickness burns in the first or second healing stage, and a total burned surface area (TBSA) over 15%. The intervention involved pulsed electromagnetic therapy (Fisioline, Italy) for up to six weeks, with 60-minute sessions at 12 Hz and 12 Gauss, three times per week. The statistical analysis was conducted using the SPSS. The study revealed a significant decline in wound surface area (WSA) post-intervention (p < 0.05). A significant negative relationship was found between wound improvement and both age and total body surface area (TBSA) (p < 0.05), while a significant positive relationship was observed between wound improvement and initial wound size (p < 0.05). No significant relationship was found between wound improvement and wound stage (p > 0.05). The study concluded that pulsed electromagnetic therapy significantly reduces wound surface area. Additionally, age, TBSA, and initial burn wound size are important predictors of the therapy's efficacy in treating burn wounds.
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Athanasiou, A., Karkambounas, S., Batistatou, A., Lykoudis, E., Katsaraki, A., Kartsiouni, T., Papalois, A., & Evangelou, A. (2007). The effect of pulsed electromagnetic fields on secondary skin wound healing: an experimental study. Bioelectromagnetics, 28(5), 362–368. https://doi.org/10.1002/bem.20303
Benazzo, F., Cadossi, M., Cavani, F., Fini, M., Giavaresi, G., Setti, S., Cadossi, R., & Giardino, R. (2008). Cartilage repair with osteochondral autografts in sheep: effect of biophysical stimulation with pulsed electromagnetic fields. Journal of Orthopaedic Research, 26(5), 631–642. https://doi.org/10.1002/jor.20530
Bishop, J. F. (2004). Burn wound assessment and surgical management. Critical Care Nursing Clinics of North America, 16(1), 145–177. https://doi.org/10.1016/j.ccell.2003.09.003
Brennan, G. P., Fritz, J. M., Hunter, S. J., Thackeray, A., Delitto, A., & Erhard, R. E. (2006). Identifying subgroups of patients with acute/subacute "nonspecific" low back pain: results of a randomized clinical trial. Spine, 31(6), 623–631. https://doi.org/10.1097/01.brs.0000202807.72292.a8
Cambier, D. C., & Vanderstraeten, G. G. (1997). Failure of therapeutic ultrasound in healing burn injuries. Journal of the International Society for Burn Injuries, 23(3), 248–249. https://doi.org/10.1016/s0305-4179(96)00110-6
Cheing, G. L., Li, X., Huang, L., Kwan, R. L., & Cheung, K. K. (2014). Pulsed electromagnetic fields (PEMF) promote early wound healing and myofibroblast proliferation in diabetic rats. Bioelectromagnetics, 35(3), 161–169. https://doi.org/10.1002/bem.21832
Cleland, J. A., Childs, J. D., Fritz, J. M., Whitman, J. M., & Eberhart, S. L. (2007). Development of a clinical prediction rule for guiding treatment of a subgroup of patients with neck pain: use of thoracic spine manipulation, exercise, and patient education. Physical Therapy, 87(1), 9–23. https://doi.org/10.2522/ptj.20060155
Concato, J., Feinstein, A. R., & Holford, T. R. (1993). The risk of determining risk with multivariable models. Annals of Internal Medicine, 118(3), 201–210. https://doi.org/10.7326/0003-4819-118-3-199302010-00009
Gualdi, G., Costantini, E., Reale, M., & Amerio, P. (2021). Wound Repair and Extremely Low Frequency-Electromagnetic Field: Insight from in Vitro Study and Potential Clinical Application. International Journal of Molecular Sciences, 22(9), 1-13. https://doi.org/10.3390/ijms22095037
Guo, S., & Dipietro, L. A. (2010). Factors affecting wound healing. Journal of Dental Research, 89(3), 219–229. https://doi.org/10.1177/0022034509359125
Julie, M., & Fritz, J. M. (2009). Clinical Prediction Rules in Physical Therapy: Coming of Age? Journal of Orthopaedic & Sports Physical Therapy, 39(3), 159–161. https://doi.org/10.2519/jospt.2009.0110
Keskin, Y., Taştekin, N., Kanter, M., Top, H., Özdemir, F., Erboğa, M., Taşpınar, Ö., & Süt, N. (2019). The effect of magnetic field therapy and electric stimulation on experimental burn healing. Turkish Journal of Physical Medicine and Rehabilitation, 65(4), 352–360. https://doi.org/10.5606/tftrd.2019.2899
Kwan, R. L., Wong, W. C., Yip, S. L., Chan, K. L., Zheng, Y. P., & Cheing, G. L. (2015). Pulsed electromagnetic field therapy promotes healing and microcirculation of chronic diabetic foot ulcers: a pilot study. Advances in Skin & Wound Care, 28(5), 212–219. https://doi.org/10.1097/01.ASW.0000462012.58911.53
McGinn, T. G., Guyatt, G. H., Wyer, P. C., Naylor, C. D., Stiell, I. G., & Richardson, W. S. (2000). Users' guides to the medical literature: XXII: how to use articles about clinical decision rules. Evidence-Based Medicine Working Group. JAMA, 284(1), 79–84. https://doi.org/10.1001/jama.284.1.79
Press, B. (1997). Thermal, electrical, and chemical injuries. In Grabb and Smith's plastic surgery (5th ed). Lippincott-Raven.
Randolph, A. G., Guyatr, G. H., Calvin, J. E., Doig, G. & Richardson, W. S. (1998). Undemanding anicles describing clinical prediction rules. Evidence based medicine in critical care group. Critical Care Medicine, 26, 1603–1612.
Sauer, H. D., & Rudy, D. (1980). Die Bedeutung des niederfrequenten Magnetfeldes in der lokalen Verbrennungsbehandlung [The significance of low-frequency magnetotherapy for local treatment of burns: An experimental comparative approach]. Aktuelle Traumatologie, 10(1), 9–13.
Schlager, A., Kronberger, P., Petschke, F., & Ulmer, H. (2000). Low-power laser light in the healing of burns: a comparison between two different wavelengths (635 nm and 690 nm) and a placebo group. Lasers in Surgery and Medicine, 27(1), 39–42.
Spinczyk, D., & Wideł, M. (2017). Surface area estimation for application of wound care. Injury, 48(3), 653–658. https://doi.org/10.1016/j.injury.2017.01.027
Tabakan, I., Yuvacı, A. U., Taştekin, B., Öcal, I., & Pelit, A. (2022). The healing effect of pulsed magnetic field on burn wounds. Journal of the International Society for Burn Injuries, 48(3), 649–653. https://doi.org/10.1016/j.burns.2021.06.001
Tiwari, V. K. (2012). Burn wound: How it differs from other wounds? Indian Journal of Plastic Surgery, 45(2), 364–373. https://doi.org/10.4103/0970-0358.101319
Zhou, K., Krug, K., & Brogan, M. S. (2015). Physical Therapy in Wound Care: A Cost-Effectiveness Analysis. Medicine, 94(49), 1-6. https://doi.org/10.1097/MD.0000000000002202
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