Physiotherapy intervention in the treatment of patients with venous ulcers: a systematic literature review.

IF 1.7 4区医学 Q3 DERMATOLOGY

Journal of wound care Pub Date : 2025-06-02 DOI:10.12968/jowc.2022.0240

Sabrina Medeiros, Rui Costa, Alexandre Rodrigues

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引用次数: 0

Abstract

Objective: To identify where physiotherapy has been used as an intervention in the treatment of venous ulcers (VUs).

Method: This systematic literature review was prospectively registered in the International Prospective Register of Systematic Reviews database. The search took place in March 2023 and included four electronic databases: PubMed; Cochrane Library; Web of Science; and SciELO. The review included randomised controlled trials published in the past eight years and which included subjects >18 years of age with a diagnosis of VU, and whose physiotherapy intervention was combined with a multidisciplinary wound management team. The Physiotherapy Evidence Database (PEDro) scale was used to assess the methodological quality.

Results: A total of eight studies were included in the final review. Physiotherapy can treat VUs through two different modalities: therapeutic exercises and electrotherapy. Physiotherapy interventions were adjuvant to the standard treatment for wounds performed by other health professionals. The main outcomes were wound size and healing time, and obtaining favourable results within the experimental groups when compared with the control groups.

Conclusion: The findings of this review demonstrated that therapeutic exercise and electrotherapy are physiotherapy modalities that, when combined with standard treatment, are an aid to the healing process of VUs.

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物理治疗干预治疗静脉溃疡：系统文献综述。

目的：确定物理治疗在静脉溃疡（VUs）治疗中的干预作用。方法：本系统文献综述在国际前瞻性文献综述数据库中进行前瞻性注册。检索于2023年3月进行，包括四个电子数据库：PubMed；Cochrane图书馆;Web of Science；和收录。该综述纳入了过去8年发表的随机对照试验，其中包括年龄在10至18岁之间，诊断为VU的受试者，其物理治疗干预与多学科伤口管理团队相结合。采用物理治疗证据数据库（PEDro）量表评估方法学质量。结果：最终综述共纳入8项研究。物理疗法可以通过两种不同的方式治疗vu：治疗性运动和电疗。物理治疗干预是辅助其他卫生专业人员对伤口进行的标准治疗。以创面大小和愈合时间为主要观察指标，实验组与对照组比较，均取得较好的效果。结论：本综述的研究结果表明，治疗性运动和电疗是物理治疗方式，当与标准治疗相结合时，有助于vu的愈合过程。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of wound care DERMATOLOGY-

CiteScore

2.90

自引率

10.50%

发文量

215

期刊介绍： Journal of Wound Care (JWC) is the definitive wound-care journal and the leading source of up-to-date research and clinical information on everything related to tissue viability. The journal was first launched in 1992 and aimed at catering to the needs of the multidisciplinary team. Published monthly, the journal’s international audience includes nurses, doctors and researchers specialising in wound management and tissue viability, as well as generalists wishing to enhance their practice. In addition to cutting edge and state-of-the-art research and practice articles, JWC also covers topics related to wound-care management, education and novel therapies, as well as JWC cases supplements, a supplement dedicated solely to case reports and case series in wound care. All articles are rigorously peer-reviewed by a panel of international experts, comprised of clinicians, nurses and researchers. Specifically, JWC publishes: High quality evidence on all aspects of wound care, including leg ulcers, pressure ulcers, the diabetic foot, burns, surgical wounds, wound infection and more The latest developments and innovations in wound care through both preclinical and preliminary clinical trials of potential new treatments worldwide In-depth prospective studies of new treatment applications, as well as high-level research evidence on existing treatments Clinical case studies providing information on how to deal with complex wounds Comprehensive literature reviews on current concepts and practice, including cost-effectiveness Updates on the activities of wound care societies around the world.