High-Voltage Pulsed Current Electrical Stimulation in Wound Treatment: A literature review

Background and Purpose: A range of studies point to the efficacy of electrical stimulation (ES) in wound treatment, but the methodology of its application has not been determined to date. This article provides a critical review of the results of clinical trials published by researchers using high-voltage pulsed current (HVPC) to treat chronic wounds and comparison with other modalities in physiotherapy. In describing the methodology of the trials, the article gives special attention to electric stimulus parameters, the frequency of procedures and total treatment duration. Data source: Searching was conductedin Google Scholar database, Ovid, Science Direct,pEdro, PubMed, Scopus and Medline literature.Inclusion criteria: HVPC efficacy was evaluated in conservatively treated patients with diabetic foot, venous leg and pressure ulcers (PUs), and in some patients with surgically treated venous insufficiency.53 articles were retrieved, of which of articles that published between 1990 and 2019. English article that evaluate the effect of HVPC intreatment of Wound Treatment and studies to compare between HVPC and other common therapies such as physical therapy: Low power laser therapy, IDC Stimulation, Negative pressure and their medical practice. Result: 58 articles were retrieved, of which of articles that published between 2000 and 2019. 19 studies of the clinical trial, compare HVPC and placebo in treatment of tissue repair, 13 articles examined the effect of HVPC on wound treatment in animal samples, 9 articles compare HVPC and Low power laser therapy . 9 articles compare HVPC and IDC Stimulation, 5 articles was conducted in two different HVPC program and 3 articles compare HVPC and negative pressure. Conclusions: The efficacy of HVPC as one of several biophysical energies promoting venous leg ulcer (VLU) and pressure ulcers healing has been confirmed. Additional studies are needed to investigate its effect on the healing of other types of soft tissue defects. Other areas that require more research include the identification of the therapeutic effect of HVPC on infected wounds, the determination of the efficacy of cathodal versus anodal stimulation, and the minimal daily/weekly duration of HVPC required to ensure optimal promotion of wound healing.

کلیدواژه ها:

High-Voltage Pulsed Current ، Wound Treatment ، Literature review