Is Shock Wave Application Effective on Various Chronic Wounds in the Geriatric Population? Preliminary Clinical Study

IF 3.6 3区医学

Clinical Interventions in Aging Pub Date : 2024-04-30 DOI:10.2147/cia.s448298

Robert Dymarek, Izabela Kuberka, Karolina Walewicz, Jakub Taradaj, Joanna Rosińczuk, Mirosław Sopel

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引用次数: 0

Abstract

Purpose: Extracorporeal shock wave therapy (ESWT) is a beneficial adjunct modality for chronic wounds. Limited research has been conducted on pressure ulcers (PUs), while the majority of studies have focused on diabetic foot ulcers (DFUs) and venous leg ulcers (VLUs). This study aimed to evaluate the short-term effects of radial ESWT in older adults with chronic wounds.
Patients and Methods: This study involved a total of 31 wounds: PUs (n=22), VLUs (n=7), and DFUs (n=2). A single radial ESWT was performed with 300 + 100 shocks per cm², pressure of 2.5 bar, energy of 0.15 mJ/mm², and frequency of 5 Hz. Assessments using digital planimetry and clinical methods, utilizing the Wound Bed Score (WBS) and the Bates-Jansen Wound Assessment Tool (BWAT) were performed before the radial ESWT application (M0) and one week after (M1).
Results: A significant wound decrease in planimetry was noted (pre-ESWT vs post-ESWT), with wound area from 9.4 cm² to 6.2 cm², length from 6.4 cm to 3.9 cm, and width from 2.8 cm to 2.1 cm (p< 0.001). Additionally, a substantial clinical improvement was noted in both the WBS with a 31.25% increase and the BWAT with a 20.00% increase (p< 0.001). It was also found a significant correlation between the planimetric and clinical outcomes for both tools: WBS (r=− 0.446, p=0.012) and BWAT (r=0.327, p=0.073).
Conclusion: The ESWT application yields substantial immediate clinical effects that support the healing of chronic wounds in older adults. Even a single ESWT session can prove to be clinically effective and beneficial in the management of chronic wounds.

Keywords: extracorporeal shockwave therapy, wound healing, older adults, clinical assessment, pressure ulcer, venous ulcer, diabetic foot ulcer

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冲击波应用对老年人群的各种慢性伤口有效吗？初步临床研究

目的：体外冲击波疗法（ESWT）是一种治疗慢性伤口的有效辅助方法。针对压疮（PUs）的研究有限，而大多数研究都集中在糖尿病足溃疡（DFUs）和腿部静脉溃疡（VLUs）上。本研究旨在评估径向 ESWT 对患有慢性伤口的老年人的短期疗效：本研究共涉及 31 处伤口：患者和方法：本研究共涉及 31 处伤口：PU（22 例）、VLU（7 例）和 DFU（2 例）。进行了单次径向 ESWT，冲击次数为每平方厘米 300 + 100 次，压力为 2.5 巴，能量为 0.15 毫焦/平方毫米，频率为 5 赫兹。在进行径向 ESWT 治疗前（M0）和治疗后一周（M1），使用数字平面测量法和临床方法，即伤口床评分（WBS）和贝茨-扬森伤口评估工具（BWAT）进行评估：结果：在平面测量中发现伤口明显缩小（ESWT 前与 ESWT 后对比），伤口面积从 9.4 平方厘米缩小到 6.2 平方厘米，长度从 6.4 厘米缩小到 3.9 厘米，宽度从 2.8 厘米缩小到 2.1 厘米（p< 0.001）。此外，WBS 和 BWAT 均有显著的临床改善，前者增加了 31.25%，后者增加了 20.00%（p< 0.001）。研究还发现，两种工具的平面测量结果与临床结果之间存在明显的相关性：WBS（r=- 0.446，p=0.012）和BWAT（r=0.327，p=0.073）：结论：ESWT 应用可产生显著的直接临床效果，有助于老年人慢性伤口的愈合。关键词：体外冲击波疗法；伤口愈合；老年人；临床评估；压疮；静脉溃疡；糖尿病足溃疡

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来源期刊

Clinical Interventions in Aging GERIATRICS & GERONTOLOGY-

CiteScore

6.20

自引率

2.80%

发文量

193

期刊介绍： Clinical Interventions in Aging, is an online, peer reviewed, open access journal focusing on concise rapid reporting of original research and reviews in aging. Special attention will be given to papers reporting on actual or potential clinical applications leading to improved prevention or treatment of disease or a greater understanding of pathological processes that result from maladaptive changes in the body associated with aging. This journal is directed at a wide array of scientists, engineers, pharmacists, pharmacologists and clinical specialists wishing to maintain an up to date knowledge of this exciting and emerging field.