Microcurrent Versus Transcutaneous Electrical Nerve Stimulation on Pressure Ulcer

Cairo University (CU)

Status: Completed

Conditions: Pressure Area

Treatments: Device: Transcutaneous electrical nerve stimulation; Drug: medial treatment; Other: physical therapy program; Device: Microcurrent Therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT06838390

Hajar-005204

Details and patient eligibility

About

The purpose of the study was to evaluate which is more effective, microcurrent or transcutaneous electrical nerve stimulation, in treating pressure ulcers in elderly patients.

Full description

• Pressure sores are common problems in today's health care. A pressure sore leads to physiological as well as psychological suffering for the individual affected. The cost for the society, associated with prevention and treatment of pressure sores, is considerable
• Furthermore, the need for this study was developed from the lack of quantitative knowledge and information in the published studies about the effect of microcurrent and transcutaneous electrical nerve stimulation in treating pressure ulcers in elderly patients.
• This study will be carried out to provide guidelines about the effectiveness of microcurrent and transcutaneous electrical nerve stimulation in treating pressure ulcer and to assist in planning an ideal treatment regimen to increase healing of pressure ulcers in elderly patients.

Enrollment: 44 patients

Sex: All

Ages: 40 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Subject selection was done according to the following criteria:

• Age range between 40 and 60 years.
• Male and female patients will participate in the study.
• All patients enrolled in the study had their informed consent.
• Pressure ulcer grades were grade II and III.
• A relative or legal tutor provided consent when participants were incapable of making decisions.
• The trial complied with the ethical principles of the Helsinki Declaration for medical research in humans.
• Pressure ulcers were located in the sacral area

Exclusion criteria

• Age less than 40 years or more than 60 years
• A cardiac pacemaker or another implanted electric device.
• Cognitive problems or hearing loss.
• Pre-existing joint disorder before pressure ulcer.
• Patients who have co-morbidities such as diabetes mellitus, rheumatoid arthritis, hypertension, and cardiac and renal patients,
• Osteosynthesis implants near the ulcer, pressure ulcers in the occipital region, cancer, and osteomyelitis.
• Abnormal blood markers at baseline indicating limited healing potential (anemia, iron deficit, protein deficit, dehydration, non-controlled diabetes, or hypothyroidism).
• Allergy to the usual treatment for ulcer healing, systemic infection, and ulcer treatment with growth factor or vacuum-assisted closure in the 30 days before the Trial

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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44 participants in 2 patient groups

Microcurrent therapy

Experimental group

Description:

This group included 22 patients with pressure ulcer who received microcurrent therapy 8 weeks (3times /daily) in addition to their physical therapy program (circulatory exercise,stretching exercise, and ROM ex.) and medical treatment

Treatment:

Device: Microcurrent Therapy

Other: physical therapy program

Drug: medial treatment

transcutaneous electrical nerve stimulation

Active Comparator group

Description:

This group included 22 patients with pressure ulcers who received transcutaneous electrical nerve stimulation 8 weeks (3 times daily) in addition to their physical therapy program (circulatory exercise, stretching exercise, and range of motion exercise) and medical treatment.

Treatment:

Other: physical therapy program

Drug: medial treatment

Device: Transcutaneous electrical nerve stimulation