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Chronic soft tissue wounds of the lower limbs are painful and debilitating condition that significantly reduce the quality of life of the patient. They often do not respond to conservative treatments or advanced wound managements. Focused and defocused extracorporeal shock wave therapy can be a viable alternative therapeutic strategy.
The purpose of the study was to examine the effects of defocused extracorporeal shock wave treatment on chronic soft tissue wounds of the lower limbs, in terms of the rate of wound healing and pain control.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment Group | Experimental | Defocused shock waves were provided by an electromagnetic generator (DUOLITH® SD1 - Storz Medical AG, Tägerwilen, Switzerland). The protocol consisted of a series of 3 sessions in 2 weeks, 2 treatments a week. For each patient, a different number of impulses per session was delivered, depending on wound size (300 impulses + 100 impulses per cm2 wound-surface), at an energy flux density of 0.15 mJ/mm2 and a frequency of 5 pulses/s. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Defocused shock wave therapy (DUOLITH® SD1) | Device |
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| Measure | Description | Time Frame |
|---|---|---|
| Changes from baseline of the wound surface | Computerized digital photo documentation was used to define the size of the wound with a specific software | 15 days, 1 month and 3 months after treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Changes from baseline of the wound characteristic | Wounds characteristics were assessed by the Bates-Jensen Wound Assessment Tool | 15 days, 1 month and 3 months after treatment |
| Improvement in subjective wound-related pain intensity |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sant'Andrea Hospital | Rome | Italy | 00144 | Italy |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17904157 | Background | Schaden W, Thiele R, Kolpl C, Pusch M, Nissan A, Attinger CE, Maniscalco-Theberge ME, Peoples GE, Elster EA, Stojadinovic A. Shock wave therapy for acute and chronic soft tissue wounds: a feasibility study. J Surg Res. 2007 Nov;143(1):1-12. doi: 10.1016/j.jss.2007.01.009. Epub 2007 Sep 27. | |
| 18394777 | Background |
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| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
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Subjective wound-related pain was evaluated using the Visual Analogue Score
| 15 days, 1 month and 3 months after treatment |
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