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Effect of Intermittent Pneumatic Compression Therapy on Healing of Diabetic Foot Ulcer
Fatma A. Mohamed, Heba A. Bahey El-Deen
International Journal of Diabetes Research 2015;
4(4): 67-72
Background: Foot ulcer is the most common complication that leads to amputation in diabetic patients. Purpose: To study the effect of intermittent pneumatic compression therapy (IPCT) in enhancing healing of chronic diabetic foot ulcer.
Methods: Thirty-eight patients (13 men & 25 women) with type II diabetes and foot ulcer grade ІІ according to Wagner classification were recruited to participate in this study. They were classified into two groups; study group consisted of 18 patients (9 men and 9 women) and control group consisted of 20 patients (4 men and 16 women). The mean values of their ages were 53.83?2.50 years and 56.60?3.40 years respectively. Both groups received standard medical wound care for diabetic foot ulcer, in addition, the study group received a sequential IPCT for 120 minutes, three times/week for 8 weeks at inflation pressure 70 mmHg. Ulcer surface area was measured in squared centimeter by photographing it and using ImageJ software before and after the study period.
Results: The results of this study revealed statistically significant improvement in wound surface area measurement in patients of the study group while non-significant change was observed in patients of the control group.
Conclusions: IPCT is a useful adjunct to the standard medical wound care of chronic diabetic foot ulcer to enhance healing and avoid long term complications.
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