Almost everyone once had a wound. This wound is a crack in the flow of body tissue. We always treat the small wound by applying Dettol and a bandage. This type of treatment we do in just minor wounds and there are many more methods to treat the wound. We are discussing these methods below.
1. Physical therapy agents:
Physical therapy agents or PT agents are heat, sound, and light energy. The physical therapy agents increase the extensibility of connective tissue as well as regulate the pain. Along with that the physical therapy agents also do the following work:
- Increase the healing rate of open wounds and soft tissue.
- Remodel scar tissue
- Treat the skin conditions
- Reduce or eliminate the inflammation and swelling of soft tissue which occurred due to musculoskeletal injury or circulatory dysfunction.
2. Electrical Stimulation:
Electrical stimulation is a physical therapy modality. It is getting more referrals because of the acknowledgment by the medical community for healing the wound. The electrodes are set down over a wet conductive medium in the wound bed. While placing the electrodes, there should be a distance between the skin and a wound.
Does electrical stimulation mimic the natural current of injury?
There is a bioelectric system in the human body. The current of injury is a type of current that is produced between the skin and inner tissues if there is a break in the skin. There will be incomplete healing if the current is not flowing when the wound is open. So for the proper functioning of the bioelectric system, there is the need for a moist environment.
What is HPVC?
HPVC is the most effective waveform for wounds and is available on the equipment of electrotherapy. It is the monophasic twin-peaked and is abbreviated as high voltage pulsed current (HPVC). The pulse width varies from the range of 20 to 200 microseconds.
What type of electrodes is suitable to treat the wound?
Aluminum Foil Electrode: Aluminum foil is the best conductor to use as an electrode. It is a cheap and safe electrode. This electrode is disposable, conformable in form, and can vary in size when needed.
Carbon-impregnated electrodes: This electrode is also cheap but solid with most devices and has multiple uses. These electrodes are non-conformable and with time they become resistive. While using, they need to be disinfected even if restricted to a single patient.
What should be the size and shape of the electrode while treating the wound?
The small size electrodes concentrate the current for local effects more as compared to the larger electrode. The larger electrode disperses the charge as well.
The placement of the dispersive electrodes in the wound treatment:
The dispersive electrode is a good choice in treating the wound of the lower leg and foot. It is placed on the muscular tissue and thigh.
Switching the dispersive electrode in the treatment will help in flowing current into the wound through different surrounding tissue and wound edge.
The equipment needed in the wound treatment:
- Normal saline
- Clean gloves
- Irrigation syringe, 35 ml with 19 gauge needle
- Clean gauze pads
- Aluminum foil electrode or carbon electrode
- Aligator chips or electrode lead
- Bandage tape
- Nylon stretch strap
- Wet washcloth
- Dispersive pad
- HVPC machine leads
- Infectious waste beg
How to set up the patient for wound treatment?
The patient should get the supplies ready before undressing the wound.
Then you have to set up the patient in a position where he can easily access the staff.
Then you can undress the patient and place the infectious waste beg.
The clinical applications of the electrode:
- If the wound is necrotic but not infected, then we can use a positive electrode above the wound to promote autolysis.
- If the wound is infected then we can use the negative electrode over the wound.
- While treating diabetic ulcers, we should use the positive polarity with HVPC throughout the course of care.
What are the contraindications of Electrical Stimulation?
There are some conditions in which we should not use electrical stimulation and these are:
- Malignancy
- Natural reflexes of the upper chest and anterior neck
- If a person has been implicated in pacemaker
- Pregnancy
- Active osteomyelitis
Conclusion:
This article covers the two options of wound treatment. The two options for wound treatment are a Physical therapy agent and electrical stimulations. We have covered the details of these two options. If you have any questions, you can ask in the comment box.
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