Pressure Injuries, Spinal Cord Injuries
Conditions
Keywords
Wound Care, Physical Therapy, Pulsed wound irrigation, Electrical stimulation
Brief summary
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).
Detailed description
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.
Interventions
PROCEDUREpulsed wound irrigation (PWI)
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
PROCEDUREelectrical stimulation (ES)
high volt pulsed current (HVPC) is most effective in wound healing while decreasing risk of adverse skin reactions or mild burns under the electrodes
PROCEDUREelectrical stimulation (ES) and pulsed wound irrigation (PWI)
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
Sponsors
Wake Forest University Health Sciences
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
To examine the effects of PT wound care modalities (PWI + ES, PWI only, and ES only) on wound healing in patients with SCI
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
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 Wound Assessment Tool (BWAT) \<30 on initial evaluation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Bates-Jensen Wound Assessment Tool (BWAT) score | Baseline | 15-item objective measure designed to assess wound status and track healing - related to healing on a 1 (healed) to 5 (severe) scale to create a summative score between 13-65 with lower scores indicating progression towards healing |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in The Spinal Cord Injury Quality of Life measurement system (SCI-QOL) Short Form Score | Baseline and Year 1 | measures health-related quality of life specific to patients with Spinal Cord Injuries (SCI) - Higher scores indicate worse functioning quality of life related to pressure injuries, while lower scores indicate fewer impairments |
Countries
United States
Contacts
CONTACTErin Weeks, PT, DPT,WS
PRINCIPAL_INVESTIGATORErin Weeks, PT,DPT, CWS
Carolinas Rehabilitation
Outcome results
None listed