Abstract | OBJECTIVE: METHODS: Thirty eight patients with 45 chronic DFU were randomly assigned into; the ESWT-group (19 patients/24 ulcers) and the control-group (19 patients/21 ulcers). Blinded therapist measured wound surface area (WSA), the percentage of reduction in the WSA, rate of healing and wound bed preparation at baseline, after the end of the interventions ( W8), and at 20-week follow-up (W20). The ESWT group received shock wave therapy twice per week for a total of eight treatments. Each ulcer was received ESWT at a frequency of 100 pulse/cm(2), and energy flux density of 0.11mJ/cm(2). All patients received standardized wound care consisting of debridement, blood-glucose control agents, and footwear modification for pressure reduction. RESULTS: The overall clinical results showed completely healed ulcers in 33.3% and 54% in ESWT-groups and 14.28% and 28.5% in the control group after intervention ( W8), and at follow-up (W20) respectively. The average healing time was significantly lower (64.5 ± 8.06 days vs 81.17 ± 4.35 days, p<0.05) in the ESWT-group compared with the control group. CONCLUSION: ESWT-treated ulcers had a significant reduction in wound size and median time required for ulcer healing, with no adverse reactions. So, the ESWT is advocated as an adjunctive therapy in chronic diabetic wound.
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Authors | Mohammed T A Omar, Ahmad Alghadir, Khalid K Al-Wahhabi, Abeer B Al-Askar |
Journal | Diabetes research and clinical practice
(Diabetes Res Clin Pract)
Vol. 106
Issue 3
Pg. 548-54
(Dec 2014)
ISSN: 1872-8227 [Electronic] Ireland |
PMID | 25451894
(Publication Type: Journal Article, Randomized Controlled Trial)
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Copyright | Copyright © 2014 Elsevier Ireland Ltd. All rights reserved. |
Topics |
- Debridement
(methods)
- Diabetic Foot
(therapy)
- Female
- Follow-Up Studies
- High-Energy Shock Waves
(therapeutic use)
- Humans
- Male
- Middle Aged
- Single-Blind Method
- Treatment Outcome
- Wound Healing
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