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Case Study
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Pulsed electromagnetic field therapy* improves chronic wounds in combination with NPWT and as a stand along therapy Nancy Cher, RN, MSA, CWOCN, Quyen Luu, MD Increasing complexity of patients in long-term acute care hospital environments requires flexibility and creativity in utilizing the best combination of therapies for successful and cost-effective outcomes. Recent technological advances in pulsed electromagnetic field therapy(PEMF) are purported to have reduced electromagnetic interference issues and increased ease of use of this adjunctive therapy. In this case report, we report on our recent experience with this improved technology. In the first case, we detail the combined use of PEMF and negative pressure wound therapy* in a difficult to heal wound. This combination allowed for rapid improvement in the wound, improved drainage of increased exudates, and ultimately an appropriate and timely discharge to a lower-level of care. The progress will be detailed with photography and volume measurements. Secondly, we offer several additional case studies to illustrate the use of this improved PEMF technology in treating chronic wounds in the LTACH setting. These cases will describe wound progression as well as provide clinical detail on using the PEMF therapy to treat wounds on different anatomical sites .Product Notation: *SofPulse, Ivivi Technologies, Northvale, NJ. Kloth LC, Berman JE, Sutton CH, Jeutter DC, Pilla AA, Epner ME. Effect of pulsed radio frequency stimulation on wound healing: a double-blind pilot clinical study. In: Electricity Magnetism Biol Med. Bersani F (ed). New York, NY:Plenum, 1999:875Ð878 Mayrovitz HN, Larsen PB. Effects of pulsed magnetic fields on skin microvascular blood perfusion. WOUNDS. 1992;4:192Ð202 Mayrovitz HN, Larsen PB. A preliminary study to evaluate the effect of pulsed radio frequency field treatment on lower extremity periulcer skin microcirculation of diabetic patients. WOUNDS. 1995;7:90Ð93 Roland D, Ferder, M, Kothuru, R, Faierman, T, Strauch, B. Effects of pulsed magnetic energy on a microsurgically transferred vessel. Plast Reconstr Surg. 2000;105:1371Ð1374 Weber R, Navarro A, Wu J, Yu H, Strauch B. Pulsed magnetic fields applied to a transferred arterial loop support the rat groin composite flap. Plast Reconstr Surg. 2004;114:1185Ð1189. |
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