Efficiency of Magnetic Field Treatment on Pressure Sores in Bedridden Patients

Abstract

Objective: Pressure sores are an important source of complications in patients who are immobilized and bedridden. We aimed to investigate the efficiency of magnetic field treatment in pressure sores. Material and Methods: This was a randomized, double blind controlled design study. 20 patients in the study group received magneto-therapy, once a day for 30 minutes and with 150G, keeping to the BTL09 magnetotherapy device's program. In the control group, 20 patients received the dressing only once a day. The surface areas of the pressure sores were evaluated at the onset of the treatment (1st day), and on the 7th and 15th days. Results: When within group comparisons were conducted, a significant difference was observed between the 1st and 7th day, 7th and 15th day, and 1st and 15th day measures in both the groups in terms of the scar area. The average healing time for the treatment group was 10.80±4.06 (6-20) days, and the average healing time for the control group was 18.85±9.75 (5-32) days. There was a statistically significant difference between the two groups (z=-2.114, p=0.034). Also, there was a significant difference in the scar area between the two groups in the 15th day measure (z=-3.818, p=0.000). Conclusion: The healing process of the tissue can be accelerated.with the use of magnetotherapy in the treatment of pressure sores of stage II and III.

Keywords

• Magnetic field treatment, pressure sore, bedridden patients, scar area, healing time

Efficiency of Magnetic Field Treatment on Pressure Sores in Bedridden Patients

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References

1. Maklebust J. Pressure ulcers: the great insult. Nurs Clin North Am 2005;40:365-89. [CrossRef]
2. Salcido R, Hard D, Smith AM. The prevention and Management of Pressure Ulcers. In: Braddom RL, editor. Physical Medicine & Rehabilitation. WB saunders Company, Philadelphia USA;1996. p. 630-47. [CrossRef]
3. O’Connor KC, Kirshblum SC. Pressure ulcers. In: DeLisa JA, edi- tor. Rehabilitataion Medicine. JB Lippincott, Phidelphia;1998. p. 1057-70.
4. Weintraub MI. Magnetotherapy: A new intervention? Arch Phys Med Rehabil 1998;79:469-70. [CrossRef]
5. Comorosan S, Vasilco R, Arghiropol M, Paslaru L, Jieanu V, Stelea S. The effect of diapulse therapy on the healing of decubitus ul- cer. Rom J Physiol 1993;30:41-5.
6. Basset CA. Beneficial effects of electromagnetic fields-abstracts. J Cell Biochem 1993;51:387-93.
7. Navrátil L, Hlavatý V, Landsingerová E. Possible therapeutic appli- cations of pulsed magnetic fields. Cas Lek Cesk 1993;132:590-4.
8. Itoh M, Montemayor JS Jr, Matsumoto E, Eason A, Lee MH, Folk FS. Accelerated wound healing of pressure ulcers by pulsed highpeak power electromagnetic energy (Diapulse). Decubitus 1991;4:29-34.

9. Alekseenko AV, Gusak VV. Treatment of trophic ulcers of the low- er extremities using a magnetic field. Klin Khir 1991;7:60-3.
10. Leaper DJ, Foster ME, Brennan SS, Davies PW. Do magnetic fields influence soft tissue wound healing? A preliminary commu- nication-abstracts. EquineVet J 1985;17:178-80. [CrossRef]
11. Jones ML, Mathewson CS, Adkins VK, Ayllon T. Use of Behavioral contingencies to promote prevention of recurrent pressure ul- cers. Arch Phys Med Rehabil 2003; 84: 796-802. [CrossRef]
12. John S, Mancoll and Linda G. Phillips Pressure Sores. In: Aston SJ, Bearley RW, Thorne CH, editors. Grabb and Smith’s Plastic Surpery. Fifth Edition. Lippincott–Rayen Publishers, Phidelphia; 1997. p.1083-96.
13. Flemming K, Cullum N. Electromagnetic therapy for the treat- ment of pressure sores-abstracts. Cochrone Database Syst Rev 2001;CD002930.
14. Glassman LS, McGrath MH, Basset CA. Effect of external puls- ing electromagnetic fields on the healing of soft tissue-abstracts. Ann Plast Surg 1986;16:287-95. [CrossRef]
15. Millgram J, Shahar R, Levin-Harrus T, Kass P. The effect of short, high intensity magnetic field pulses on the healing of skin wounds in rats-abstracts. J Vet Med Sci 1992;54:1017-22.
16. Patino O, Grana D, Bolgiani A, Prezzavento G, Mino J, Merlo A, et al. Pulsed electromagnetic fields in experimental cuta- neous wound healing in rats-abstracts. J Burn Care Rehabil 1996;17:528-31.
17. Lin Y, Nishimura R, Nazaki K, Sasaki N, Kodosava T, Goto N, Date M, Takeuchi A. Effects of pulsing electromagnetic fields on the ligament healing in rabbits-abstracts. Zhonggu Xiu Fu Chong Jian Wai Ke Za Zhi 1997;11:267-8.
18. Patino O, Grana D, Bolgiani A, Prezzavento G, Merlo A. Effect of magnetic fields on skin wound healing. Experimental study- abstracts. Medicina (B Aires) 1996;56:41-4.
19. Aaron RK, Ciombor DM. Therapeutic effects of electromagnetic fields in the stimulation of connective tissue repair-abstracts. J Cell Biochem 1993;52:42-6. [CrossRef]
20. Sauer HD, Rudy D. The significance of low-frequency magneto- therapy for local treatment of burns. An experimental compara- tive approach. Aktuelle Traumatol 1980;10:9-13.
21. Ottani V, De Pasquale V, Govoni P, Franchi M, Zaniol P, Ruggeri A. Effects of pulsed extremely-low frequency magnetic fields on skin wounds in rat-abstracts. Bioelectromagnetics 1988;9:53-62. [CrossRef]