Wake Forest University Health Sciences
To examine the effects of Physical Therapist (PT) wound care modalities (pulsed wound irrigation (PWI) + electrical stimulation (ES), PWI only, and ES only) on wound healing in patients with spinal cord injuries (SCI).
It is hypothesized that PWI + ES will demonstrate the greatest rate of wound healing due to the combined effect of these treatments, which positively impact several aspects of the wound healing cascade. It is hypothesized that all patients will demonstrate improved quality of life from receiving wound care treatments by Physical Therapists due to individualized education and treatments which engage patients in their wound healing process and promote self-efficacy.
Inclusion Criteria: * Currently enrolled at inpatient rehabilitation at Carolinas Rehabilitation Charlotte * Diagnosis of spinal cord injury and concomitant pressure injury to sacrum or ischium * Agreeable to wound care treatment by Physical Therapist (PT) * Able to perform informed consent * Over 18 years of age * Physician order for PT wound care evaluation and treatment * Bates-Jensen Wound Assessment Tool (BWAT) \>31 on initial evaluation Exclusion Criteria: * Pain which limits ability to tolerate wound care treatments * Unable to perform informed consent * Pregnancy * Bates-Jensen Woun…
necrotic wound is irrigated with normal saline (0.9%) with an 8-12 pounds per square inch pressure (PSI) to provide a mechanical force to loosen necrotic tissue for wound healing
high volt pulsed current (HVPC) is most effective in wound healing while decreasing risk of adverse skin reactions or mild burns under the electrodes
necrotic wound is irrigated with normal saline (0.9%) with an 8-12 pounds per square inch pressure (PSI) to provide a mechanical force to loosen necrotic tissue for wound healing and high volt pulsed current (HVPC) is most effective in wound healing while decreasing risk of adverse skin reactions or mild burns under the electrodes
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