Effects of hydrotherapy on pressure ulcer healing

Burke,

doi:10.1016/s1071-5754(00)90018-4

Cited by 15 publications

(31 citation statements)

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“…The authors demonstrated that whirlpool therapy and regular dressings improved the healing of stage III and IV pressure ulcers compared with regular dressings alone. 28 These positive outcomes supported the clinical use of whirlpool therapy to enhance the healing of pressure ulcers.…”

Section: What New Information Does This Study Offer?mentioning

confidence: 91%

“…To date, only one randomized controlled study has addressed this issue with the use of whirlpool treatment. 28 The innovative aspect of that study was that ulcers that did not require debridement (clinically clean ulcers) were assessed, rather than pressure ulcers that required mechanical debridement. The authors demonstrated that whirlpool therapy and regular dressings improved the healing of stage III and IV pressure ulcers compared with regular dressings alone.…”

Section: What New Information Does This Study Offer?mentioning

confidence: 99%

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Pulsatile Lavage for the Enhancement of Pressure Ulcer Healing: A Randomized Controlled Trial

Bensitel

Bogie

2012

Physical Therapy

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Section: What New Information Does This Study Offer?mentioning

confidence: 91%

Section: What New Information Does This Study Offer?mentioning

confidence: 99%

Pulsatile Lavage for the Enhancement of Pressure Ulcer Healing: A Randomized Controlled Trial

Bensitel

Bogie

2012

Physical Therapy

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“…Hydrotherapy debridement (eg, whirlpool baths and soaks) should be avoided because it presents a risk of cross-contamination and is neither cost-effective nor time-effective. 62,63 Strength of recommendation: C 17. Wet-to-dry debridement should be avoided because tissue removal is nonselective and painful.…”

Section: Recommendationsmentioning

confidence: 99%

National Athletic Trainers' Association Position Statement: Management of Acute Skin Trauma

Beam

Buckley

Holcomb

et al. 2016

Journal of Athletic Training

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Objective: To present recommendations for the cleansing, debridement, dressing, and monitoring of acute skin trauma in patients.Background: Acute skin trauma is common during participation in athletic and recreational activities. Clinical decisions and intervention protocols after injury vary among athletic trainers and are often based on ritualistic practices. An understanding of cleansing, debridement, and dressing techniques; clinical features of infection and adverse reactions; and monitoring of acute skin trauma is critical for certified athletic trainers and other allied health and medical professionals to create a local wound environment that promotes healing and lessens the risk of complications.Recommendations: These guidelines are intended to provide the certified athletic trainer and others participating in athletic health care with specific knowledge about and recommendations for the management of acute skin trauma.Key Words: abrasions, avulsions, blisters, incisions, lacerations, punctures, cleansing, debridement, nonocclusive dressings, occlusive dressings, infection, adverse reactions T raumatic injury to the skin is common among athletes participating in all sports.1 The exact frequencies of abrasions, avulsions, blisters, incisions, lacerations, and punctures are difficult to calculate because many patients do not seek medical attention after injury; for others, their activity level is initially unaffected, and the injury is not recorded on surveillance reports. Unreported skin trauma and inappropriate wound management can result in delayed healing, cross-contamination, bacterial colonization, and infection, adversely affecting the overall health and playing status of the patient. Managing acute skin trauma through appropriate cleansing, debridement, and dressing techniques can create an environment conducive to healing and lessen the risk of complications. 2,3Wound-management techniques have undergone drastic changes over the last 50 years, and other allied health care professions, organizations, and facilities have developed guidelines that serve as standards of care. [4][5][6] However, guidelines for the management of acute skin trauma by athletic trainers (ATs) are limited in the literature.1,7 The development and implementation of cleansing, debridement, and dressing techniques for acute skin trauma are critical for ATs to successfully deliver health care services to patients. The following review and recommendations provide information on the management of acute skin trauma and guidelines for ATs and other allied health and medical professionals who care for patients. RECOMMENDATIONSThis position statement is based on current research and literature with regard to the cleansing, debridement, dressing, and monitoring of acute skin trauma. We independently categorized the studies and literature using the Strength of Recommendation Taxonomy (SORT) developed by the American Academy of Family Physicians. 8 The taxonomy grades the quality of the data from the literature (level of evidence) and p...

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“…28 It was found that the group undergoing whirlpool therapy in addition to conservative treatment had a faster rate of improvement in wound dimensions.…”

Section: Hydrotherapymentioning

confidence: 99%