A. Franek et al., Modern application of high voltage stimulation for enhanced healing of venous crural ulceration, MED ENG PHY, 22(9), 2000, pp. 647-655
The objective of this paper was to evaluate the effect of high voltage stim
ulation (HVS) on the process of healing of crural ulceration. Three compara
tive groups of patients, A, B and C, were drawn at random from patients wit
h venous crural ulceration. Thirty-three patients in group A were subjected
to treatment with HVS. In the course of treatment, doubled-peak monophasic
impulses of a total duration of 0.1 ms and frequency of 100 Hz were applie
d. The voltage was 100 V. Group B, made up of 32 patients treated with topi
cally applied medicine, and group C, made up of 14 patients treated with Un
na's boot were used as control. In all patients in all groups (A, B and C)
a significant reduction in wound size in relation to baseline was found. Th
e rate of wound area change was highest in group A. The rare of pus cleansi
ng was significantly highest in group A. The degree of granulation after 2
weeks was significantly greater in group A than in the other groups (P<0.00
3). High voltage stimulation was an efficient method of enhancement of the
healing of crural ulceration. <(c)> 2001 IPEM. Published by Elsevier Scienc
e Ltd. All rights reserved.