Efficacy of high voltage pulsed current for healing of pressure ulcers in patients with spinal cord injury

J. W. Griffin, R. E. Tooms, R. A. Mendius, Judy Clifft, R. Vander Zwaag, F. El-Zeky, J. M. McCulloch

Research output: Contribution to journalArticle

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Abstract

The purpose of this study was to assess the efficacy of high voltage pulsed direct current (HVPC) for healing of pressure ulcers in patients with spinal cord injury. Seventeen patients having pressure ulcers in the pelvic region were randomly assigned to either an HVPC group or a placebo HVPC group. Treatments were given for 1 hour a day for 20 consecutive days. The HVPC protocol consisted of an aluminum-foil electrode placed over the ulcer and set at negative polarity in reference to the dispersive electrode placed on the thigh. Stimulator frequency was set at 100 pps, and an intensity of 200 V was used. Measurements of ulcer surface area were conducted before treatment and after treatment days 5, 10, 15, and 20. To measure ulcer area (in square millimeters), slides taken at each measurement time were projected at actual size, traced, and digitized. Percentage of change compared with pretreatment ulcer size was calculated for each measurement time. Ulcers in the HVPC group demonstrated significantly greater percentage-of-change decreases from their pretreatment size than did ulcers in the placebo group at days 5, 15, and 20. The results suggest that HVPC, in conjunction with good nursing care, can significantly increase the healing rate of pelvic ulcers in patients with spinal cord injury.

Original languageEnglish (US)
Pages (from-to)433-444
Number of pages12
JournalPhysical Therapy
Volume71
Issue number6
StatePublished - Dec 1 1991

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Pressure Ulcer
Spinal Cord Injuries
Ulcer
Electrodes
Placebos
Nursing Care
Thigh
Aluminum
Pelvis
Therapeutics

All Science Journal Classification (ASJC) codes

  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Griffin, J. W., Tooms, R. E., Mendius, R. A., Clifft, J., Vander Zwaag, R., El-Zeky, F., & McCulloch, J. M. (1991). Efficacy of high voltage pulsed current for healing of pressure ulcers in patients with spinal cord injury. Physical Therapy, 71(6), 433-444.

Efficacy of high voltage pulsed current for healing of pressure ulcers in patients with spinal cord injury. / Griffin, J. W.; Tooms, R. E.; Mendius, R. A.; Clifft, Judy; Vander Zwaag, R.; El-Zeky, F.; McCulloch, J. M.

In: Physical Therapy, Vol. 71, No. 6, 01.12.1991, p. 433-444.

Research output: Contribution to journalArticle

Griffin, JW, Tooms, RE, Mendius, RA, Clifft, J, Vander Zwaag, R, El-Zeky, F & McCulloch, JM 1991, 'Efficacy of high voltage pulsed current for healing of pressure ulcers in patients with spinal cord injury', Physical Therapy, vol. 71, no. 6, pp. 433-444.
Griffin JW, Tooms RE, Mendius RA, Clifft J, Vander Zwaag R, El-Zeky F et al. Efficacy of high voltage pulsed current for healing of pressure ulcers in patients with spinal cord injury. Physical Therapy. 1991 Dec 1;71(6):433-444.
Griffin, J. W. ; Tooms, R. E. ; Mendius, R. A. ; Clifft, Judy ; Vander Zwaag, R. ; El-Zeky, F. ; McCulloch, J. M. / Efficacy of high voltage pulsed current for healing of pressure ulcers in patients with spinal cord injury. In: Physical Therapy. 1991 ; Vol. 71, No. 6. pp. 433-444.
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