Effectiveness of electrophysical agents for treating pressure injuries: a systematic review.
Lasers Med Sci
; 37(9): 3363-3377, 2022 Dec.
Article
in En
| MEDLINE
| ID: mdl-36201144
ABSTRACT
Tissue injuries that affect the skin and/or adjacent tissues and are usually over a bony prominence are called pressure injuries. The prevalence of these dysfunctions remains high, and despite technological advances, there is no consensus on the most appropriate treatment. The objective of this review was to evaluate the efficacy of photobiomodulation (PBM), ultrasound, and high-frequency electrophysical agents in the healing of pressure injuries in adults and the elderly. The search was conducted in the PubMed, Embase, Cochrane Library, Web of Science, and PEDro databases; in clinical trial records, a list of references of the selected articles, as well as through manual search (Google), of the last 5 years in humans in English and Portuguese. Nine thousand and sixty-seven studies were identified, 13 pre-selected, and 6 were included in this systematic review. PBM showed similar efficacy to other technologies indicated in other studies in healing pressure injuries. PBM with red wavelength (660 nm) in stages 2 and 3 pressure injuries effectively promoted healing compared to standard care. It was observed that the use of PBM accelerates tissue repair in pressure injuries; therapeutic ultrasound showed similar efficacy to other electrophysical agents but was effective in reducing the area of pressure injuries when comparing pre- and post-intervention. No clinical studies using the high-frequency electrophysical agent have been described in the last 5 years.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Wound Healing
/
Pressure Ulcer
/
Crush Injuries
Type of study:
Guideline
/
Risk_factors_studies
/
Systematic_reviews
Limits:
Adult
/
Aged
/
Humans
Language:
En
Journal:
Lasers Med Sci
Journal subject:
BIOTECNOLOGIA
/
RADIOLOGIA
Year:
2022
Document type:
Article
Affiliation country:
Brazil