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KMID : 0361420100340020227
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Journal of Korean Academy of Rehabilitation Medicine
2010 Volume.34 No. 2 p.227 ~ p.232
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The Effect of Extracorporeal Shock Wave Therapy on Pressure Ulcer
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Kim Kweon-Young
Kang Jung-Hun
Na Jeong-Yeop
Kang Dae-Kweon
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Abstract
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Objective: To investigate the effect of extracorporeal shock wave therapy (ESWT) on pressure ulcers which is a major, functionally-limiting medical problem impairing quality of life for many people each year.
Method: Seven patients who had stage 3 pressure ulcers were enrolled for the study. Each patient was treated with 6 sessions of low-energy (0.10∼0.15 mJ/mm2, 1,000 impulses) ESWT. The length, width, depth and soft tissue biopsy of pressure ulcers were evaluated every 2 weeks for 6 weeks.
Results: The length, width and depth decreased significantly after 2 weeks of ESWT application. Healthy granulation tissue was formed. Soft tissue biopsy revealed increased the number and size of capillaries and decreased inflammatory cells in treated case.
Conclusion: ESWT promoted wound healing and revealed favorable histological changes in pressure ulcers. We suggest that ESWT can be used for the safety and effective management of pressure ulcer.
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KEYWORD
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Extracorporeal shock wave therapy, Pressure ulcer, Wound healing
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