TY - JOUR
T1 - Defocused Shock Wave Therapy for Chronic Soft Tissue Wounds in the Lower Limbs
T2 - A Pilot Study
AU - Porso, Manuela
AU - Loreti, Simona
AU - Nusca, Sveva Maria
AU - Luziatelli, Sara
AU - Caccia, Donatella
AU - Taborri, Giulia
AU - Trischitta, Donatella
AU - Taurino, Maurizio
AU - Padua, Luca
AU - Saraceni, Vincenzo Maria
AU - Vulpiani, Maria Chiara
AU - Vetrano, Mario
PY - 2017/1/1
Y1 - 2017/1/1
N2 - Chronic soft tissue wounds of the lower limbs are debilitating, painful and often unresponsive to advanced dressing treatments. Extracorporeal shock wave therapy (ESWT) could represent an alternative treatment. Ten patients with chronic soft tissue wounds of the legs, unresponsive to advanced dressing treatments for more than 3 mo, underwent three defocused ESWT sessions at 72-h intervals. In every session, the sum of 300 standard pulses + 100 pulses per square centimeter was applied at 0.15 mJ/mm2 and 4 Hz over the edge of the wound. The wound size in square centimeters, Bates-Jensen Wound Assessment Tool and visual analogue scale were used as outcome measures. A significant reduction in wound size and Bates-Jensen Wound Assessment Tool and visual analogue scale values from pre-treatment to 90 d was observed. Seven of ten ulcers healed completely and nine of ten patients reported complete pain relief. Defocused ESWT represents a non-invasive, feasible strategy for difficult-to-treat soft tissue wounds of the lower limbs.
AB - Chronic soft tissue wounds of the lower limbs are debilitating, painful and often unresponsive to advanced dressing treatments. Extracorporeal shock wave therapy (ESWT) could represent an alternative treatment. Ten patients with chronic soft tissue wounds of the legs, unresponsive to advanced dressing treatments for more than 3 mo, underwent three defocused ESWT sessions at 72-h intervals. In every session, the sum of 300 standard pulses + 100 pulses per square centimeter was applied at 0.15 mJ/mm2 and 4 Hz over the edge of the wound. The wound size in square centimeters, Bates-Jensen Wound Assessment Tool and visual analogue scale were used as outcome measures. A significant reduction in wound size and Bates-Jensen Wound Assessment Tool and visual analogue scale values from pre-treatment to 90 d was observed. Seven of ten ulcers healed completely and nine of ten patients reported complete pain relief. Defocused ESWT represents a non-invasive, feasible strategy for difficult-to-treat soft tissue wounds of the lower limbs.
KW - Advanced dressing treatment
KW - Bates-Jensen Wound Assessment Tool
KW - Chronic soft tissue wound
KW - Defocused extracorporeal shock wave therapy
KW - Visual analogue scale
KW - Wound size
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UR - http://www.scopus.com/inward/citedby.url?scp=85002489735&partnerID=8YFLogxK
U2 - 10.1016/j.ultrasmedbio.2016.08.038
DO - 10.1016/j.ultrasmedbio.2016.08.038
M3 - Article
AN - SCOPUS:85002489735
VL - 43
SP - 362
EP - 369
JO - Ultrasound in Medicine and Biology
JF - Ultrasound in Medicine and Biology
SN - 0301-5629
IS - 1
ER -