Venous Leg Ulcer
Conditions
Brief summary
The purpose of this study will investigate the effects of combined electromagnetic field and a plantar resistance exercise therapy versus electromagnetic field on healing of venous leg ulcer .
Interventions
Pulsed electromagnetic field therapy applied with intensity equal to 3mt and frequency of magnetic field impulses equal to 4 Hz. a plantar resistance exercise therapy by the StepIt rocker pedal, the overall exercise program will be to exercise on the pedal with the index leg for 1 min - then rest it for 1min - and to repeat this 10 times (20 minutes). This regime will be done twice daily (e.g .morning and evening).
Pulsed electromagnetic field therapy applied with intensity equal to 3mt and frequency of magnetic field impulses equal to 4 Hz
standard general advice according to hospital protocol
Sponsors
Study design
Eligibility
Inclusion criteria
patients with venous leg ulcer
Exclusion criteria
patients who have one or more of the following conditions: * peripheral vascular disease (PVD), (ABPI\<0.8). * venous leg ulcers with cellulitis or infection symptoms, as well as venous leg ulcers with necrotic tissue or slough or had more than one ulcer. * other types of ulcers, such as rheumatoid vasculitis, diabetic foot, and malignant ulceration; corticosteroids use ; patients with dementia or who were disoriented; * undertaken another physical therapy modality for ulcer healing.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Ulcer surface area | two months | Ulcer surface (UAS) would be calculated by placing a piece of sterilized transparency film over the ulcer and tracing the ulcer perimeter on the film with fine tipped transparency marker. |
| Ulcer volume measurement | two months | Ulcer volume : The ulcer would be traced on transparent paper and placed over the metric graph paper to have the longest length and width. * A disposable measuring tape would be directed into the deepest point of the ulcer to record the ulcer depth. * (Width x length x depth) would be calculated to have the volume of the ulcer |
| Pressure Ulcer Scale for Healing (PUSH) | two months | Categorize the ulcer with respect to surface area, exudate, and type of wound tissue |
Countries
Egypt