Efficacy of one-hour negative pressure wound therapy and magnetic field energy in wound healing.

OBJECTIVE: Wound healing is an important aspect of health but needs further research to identify the effects and interactions of different treatment approaches on healing. The aims of this study were to investigate the effectiveness of one-hour negative pressure wound therapy (NPWT) and compare histological differences between one-hour NPWT and magnetic field energy (MFE) in rats on early-stage wound healing, wound size and angiogenesis. METHOD: Standardised wounds were created on Wistar rats that were allocated and divided into NPWT, MFE and control groups. Both treatments were applied for 1 hour/day for 10 days. Wound size, histological changes and wound area blood flow were assessed. RESULTS: The wound size of all groups was similar on days 0, 2 and 10. The MFE group's wound size was smaller than the NPWT group on days 4, 6 and 8 (p<0.05). Development of the granulation tissue in both the one-hour NPWT and MFE groups was greater than in the control group. Additionally, the inflammatory phase was shorter, and wounds entered the proliferative stage faster in the MFE group than both of the other groups. CONCLUSION: Treatment with MFE may be more effective in terms of early stage wound closure and angiogenesis. On the other hand, the NPWT group's wound area blood flow was significantly greater than the other two groups. MFE is superior to one-hour NPWT in terms of wound area and angiogenesis. Furthermore, it is worthwhile to note that one-hour NPWT increases bloodflow in the wound area, which stimulates healing.

The effect of neck-trunk stabilization exercises in cerebral palsy: randomized controlled trial.

BACKGROUND: To investigate the effects of neck and trunk stabilization exercises on communication, speech performance, activities of daily living and quality of life in children with cerebral palsy (CP). METHODS: In this prospective, single-blinded, randomized controlled trial, forty children with CP were randomly assigned to Study and Control groups. The study group was received structured neck and trunk stabilization exercises in addition to NDT-B approach. Control group was received NDT-B approach. An oral-motor rehabilitation/therapy was trained to all children. Both groups' trainings were provided for six weeks, with a 45-minute session two times a week. Outcome measures were Communication Function Classification System and Visual Analogue Scale to evaluate communication level; Katz Scale to measure activities of daily living; Viking Speech Scale (VSS) to classify children's speech performance and Pediatric Quality of Life Inventory (PedsQL) to measure the quality of life. RESULTS: The results showed that the communication level and Physical Functioning Score of PedsQL are increased significantly in the study group. VSS is found higher than control at 18th weeks for long term follow up in the study group. CONCLUSIONS: This study highlights the positive effects of stabilization exercises on children's speech performance, Physical Functioning of PedsQL and communication level. Additionally, children' communication skills between them and their caregivers have affected positively and so that this situation provides more qualified daily lives to the children.