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Evaluation of the effectiveness of combination ultrasound treatment and basic care in the healing of pressure ulcers: A Systematic Review

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Published: Jan 11, 2022
DOI: https://doi.org/10.12681/healthresj.29190
Keywords:
Ultrasound therapy ultrasound treatment pressure ulcers wound healing
Christina Sotnikova
RN, MSc, Department of Anesthesiology, General Hospital of Athens “Korgialenio-Benakeio”, Hellenic Red Cross
Polyxeni Bibou
Lecturer, Nursing Department, University of West Attica
Georgia Fasoi
Professor, Nursing Department, University of West Attica
Georgia Toylia
Assistant Professor, Nursing Department, University of West Attica
Martha Kelesi
Professor, Nursing Department, University of West Attica
Abstract

Introduction: When the pressure ulcer does not respond to established standard care, then international guidelines recommend the use of alternative forms of therapy such as electrical stimulation, negative pressure wound treatment, ultraviolet radiation, electromagnetic field therapy or ultrasound. Low and high frequency ultrasound is used to treat various types of chronic ulcers including venous, diabetic and pressure ulcers.

Aim: The aim of the present systematic review was to investigate the effectiveness of ultrasound in promoting the healing of pressure ulcers.

Method and Material: A systematic review was carried out in the electronic databases PubMed and Cochrane Library. Inclusion criteria were primary and secondary studies, whose sample were patients with pressure ulcers, regardless of age, published in English language of the last decade (2008-2018).

Results: The review revealed 5 articles that met the inclusion criteria. The results of these studies showed an advantage in the use of ultrasound for the treatment of pressure ulcers in relation to the standard wound care only.

Conclusions: The use of ultrasound seems to be a process which improves and accelerates the healing of pressure ulcers. The method of low and high frequency ultrasound in the treatment of chronic wounds, presents many advantages. It appears to be easy to use, painless, less stressful and better accepted by patients.

Article Details
  • Section
  • Systematic Reviews

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References
Bora KP, Gurcay E, Karaahmet OZ, Cakci A. High-Voltage Electrical Stimulation versus Ultrasound in the Treatment of Pressure Ulcers. Αadvances in skin & wound care 2017; 30 (12): 565-570. DOI: 10.1097/01.ASW.0000526606.72489.99
National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alli-ance. Prevention and Treatment of Pressure Ulcers: Quick Reference Guide 2014; Available at: https://www.npuap.org/wp-content/uploads/2014/08/Updated-10-16-14-Quick-Reference-Guide-DIGITAL-NPUAP-EPUAP-PPPIA-16Oct2014.pdf
Arora M, Harvey LA, Glinsky JV, Nier L, Lavrencic L, Kifley A, et al. Electrical stimulation for treating pressure ulcers. Cochrane Database of Systematic Reviews 2020; (1). Avail-able at: https://doi.org/10.1002/14651858.CD012196.pub2
Polak A, Kucio C, Kloth LC, Paczula M, Hordynska E, Ickowicz T, et al. A randomized, controlled clinical study to assess the effect of anodal and cathodal electrical stimula-tion on periwound skin blood flow and pressure ulcer size reduction in persons with neurological injuries. Ostomy Wound Management 2018; 64 (2): 10-29.
Polak A, Kloth LC, Blaszczak E, Taradaj J, Nawrat-Szoltysik A, et al. Evaluation of the healing progress of pressure ul-cers treated with cathodal high-voltage monophasic pulsed current: results of a prospective, double-blind, ran-domized clinical trial. Advances in skin & wound care 2016; 29 (10): 447-459. doi: 10.1097/01.ASW.0000493164.75337.de
Polak A, Kloth LC, Blaszczak E, Taradaj J, Nawrat-Szoltysik A, Ickowicz T, et al. The efficacy of pressure ulcer treatment with cathodal and cathodal-anodal high-voltage monoph-asic pulsed current: a prospective, randomized, controlled clinical trial. Physical therapy 2017; 97 (8): 777-789. Availa-ble at: https://doi.org/10.1093/ptj/pzx052
Girgis B, Duarte JA. High Voltage Monophasic Pulsed Cur-rent (HVMPC) for stage II-IV pressure ulcer healing. A sys-tematic review and meta-analysis. Journal of tissue viability 2018; 27 (4): 274-284. Available at: https://doi.org/10.1016/j.jtv.2018.08.003
Wood RW, Loomis AL. The physical and biological effects of high-frequency sound-waves of great intensity. Philo-sophical Magazine and Journal of Science 1927; 4 (22): 417-436. https://doi.org/10.1080/14786440908564348.
Kloth LC, Niezgoda JA. Ultrasound for wound debride-ment and healing. In: McCulloch JM, Kloth LC. (eds). Wound Healing: Evidence-based Management. 4th edition. FA Davis Company, Philadelphia 2010; 545–575.
Serena T, Lee SK, Lam K, Attar P, Meneses P, Ennis W. The impact of noncontact, nonthermal, low-frequency ultra-sound on bacterial counts in experimental and chronic wounds. Ostomy Wound Manage 2009; 55 (1): 22-30.
Maeshige N, Fujiwara H, Honda H, Yoshikawa Y, Terashi H, Usami M, et al. Evaluation of the combined use of ultra-sound irradiation and wound dressing on pressure ulcers. Journal of Wound Care 2010; 19 (2): 63-68. Available at: https://doi.org/10.12968/jowc.2010.19.2.46968
Polak A, Franek A, Blaszczak E, Nawrat-Szoltysik A, Taradaj J, Wiercigroch L, et al. A prospective, randomized, con-trolled, clinical study to evaluate the efficacy of high-frequency ultrasound in the treatment of Stage II and Stage III pressure ulcers in geriatric patients. Ostomy Wound Manage 2014; 60 (8): 16-28.
Polak A, Taradaj J, Nawrat-Szoltysik A, Stania M, Dolibog P, Blaszczak E, et al. Reduction of pressure ulcer size with high-voltage pulsed current and high-frequency ultra-sound: a randomised trial. Journal of Wound Care 2016; 25 (12): 742-754. DOI: 10.12968/jowc.2016.25.12.742
Paul BJ, Lafratta CW, Dawson AR, Baab E, Bullock F. Use of ultrasound in the treatment of pressure sores in patients with spinal cord injury. Arch Phys Med Rehabil. 1960; 41: 438-440.
McDiarmid T, Burns PN, Lewith GT, Machin D. Ultrasound and the treatment of pressure sores. Physiotherapy 1985; 71: 66-70.
Ter Riet G, Kessels AG, Knipschild P. A randomized clinical trial of ultrasound in the treatment of pressure ulcers. Physical Therapy 1996; 76: 12. DOI: 10.1093/ptj/76.12.1301
Nussbaum EL, Biemann I, Mustard B. Comparison of ultra-sound/ultraviolet-C and laser for treatment of pressure ul-cers in patients with spinal cord injury. Physical Therapy 1994; 74: 9. DOI: 10.1093/ptj/74.9.812
Wiegand C, Bittenger K, Galiano RD, Driver VR, Gibbons GW. Does noncontact low-frequency ultrasound therapy contribute to wound healing at the molecular level? Wound Repair Regeneration 2017; 25 (5): 871-882. DOI: 10.1111/wrr.12595
Mororó DGA, Brandão MGSA, Aguiar V, Ponte ASJDS, da Silva Batista FW, Veras VS, et al. Therapeutic ultrasound as-sociated with essential oils of copaiba and tea tree for healing skin lesions. ESTIMA, Braz. J. Enterostomal Ther. 2020; 18 (3320): 1-9. Available at: https://doi.org/10.30886/estima.v18.942_IN
Kataoka Y, Kunimitsu M, Nakagami G, Koudounas S, Weller CD, Sanada H. Effectiveness of ultrasonic debride-ment on reduction of bacteria and biofilm in patients with chronic wounds: A scoping review. International Wound Journal 2021; 18 (2): 176-186. Available at: https://doi.org/10.1111/iwj.13509
Kotronis G, Vas PR. Ultrasound devices to treat chronic wounds: the current level of evidence. The International Journal of Lower Extremity Wounds 2020; 19 (4): 341-349. Available at: https://doi.org/10.1177/1534734620946660
Ngo O, Niemann E, Gunasekaran V, Sankar P, Putterman M, Lafontant A, et al. Development of low frequency (20–100 kHz) clinically viable ultrasound applicator for chronic wound treatment. IEEE transactions on ultrasonics, ferroe-lectrics, and frequency control 2018; 66 (3): 572-580. doi: 10.1109/TUFFC.2018.2836311.
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