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Electrotherapies

Electrical flow in the body plays a significant role in many physiological and pathophysiological conditions (health and disease).

Electrotherapy is the use of electrical energy in the treatment of impairments of health and conditions of abnormal functioning. In medicine, the term electrotherapy refers to a variety of treatments, including the use of electrical devices such as deep brain stimulators for neurological disease. Electrotherapy has also been applied specifically with the use of electrical current to:

Medical Uses

Electrotherapy is a non-invasive form of treatment used in many medical applications [3]:

  • Pain relief (acute, chronic and intractable)

  • Muscle stimulation, relaxation, rehabilitation and re-education

  • Blood flow enhancement

  • Reduction of swelling and inflammation

  • Drug delivery

  • Tissue regeneration

  • Wound healing   

Electrotherapy in Wound Healing

The use of electrotherapy (electrical stimulation) as an adjunct treatment for chronic wounds such as diabetic foot ulcers, venous or arterial leg ulcers and pressure ulcers has been shown to be effective by numerous studies.

  • The rationale for applying electrical stimulation to chronic non-healing wounds is that it mimics the natural current of injury and will jump start or accelerate the wound healing process.

  • And Indeed, the international pressure ulcer guidelines (EPUAP and NPUAP) rated electrical stimulation as the only treatment for pressure ulcers with highest strength of evidence A [4].

 

Electrotherapy Wound Healing Evidence

Clinical Evidence

  • Accelerated Epithelialization

  • Prevention of tissue necrosis

  • Antibacterial effect

  • Improved blood circulation

  • Robust scar formation

  • Activation of healing when standard care has failed

  • Higher percentage of healed wounds vs. Standard care

Biological Evidence

  • Protein and nucleotide synthesis

  • Ion mobilization

  • Stimulates fibroblast

  • Angiogenesis

  • Oxygenation Induces cells migration of Neutrophils and Macrophages
     

EZqure – Electrotherapy Device

The EZqure device uses bioelectrical signal therapy - The non-invasive EZqure electrical transmission device mimics the naturally occurring pulses of healing wounds (“normal wounds”) and creates an electric induction field around the hard-to-heal wound, which accelerates the healing rate. The EZqure Device transmits the signals through a single stimulation channel to a pair of surface electrodes affixed to the healthy skin on the opposing sides of the ulcer. It's completely non-invasive painless and easy to use.

The EZqure device - treats and cures chronic wounds such as:

  • Pressure ulcers

  • Diabetic foot ulcers

  • Venous Stasis ulcers

  • Arterial ulcers

​Refrences:

1. Gardner, S.E., Frnatz, R.A., Schmidt, F.L. Effect of electrical stimulation on chronic wound healing: a meta-analysis. Wound Rep Reg 1999; 7: 495-503. 

2. Kloth, L. Electrical stimulation for wound healing: a review of evidence from in vitro studies, animal experiments, and clinical trials. Int J Low Extrem Wounds 2005; 4: 1, 23-44.  

3. Ayon kay John Low,Ann Reed. Electrotherapy explained: principles and practice. "Electrotherapy Explained: Principles and Practice"  

4. NP UAP –EP UAP Guidelines for Pressure Ulcer Prevention and Treatment 2019.

5. Wolcott, L.E., Wheeler, P.C., Hardwicke, H.M., Rowley, B.A. Accelerated healing of skin ulcer by electrotherapy: preliminary clinical results. South Med J 1969; 62: 7, 795-801.

6. Carley, P.J., Wainapel, S.F. Electrotherapy for acceleration of wound healing: low intensity direct current. Arch Phys Med Rehabil 1985; 66: 7, 443-446.

7. Gardner, S.E., Frantz, R. A., Schmidt, F.L. Effect of electrical stimulation on chronic wound healing: a meta-analysis.  Wound Rep Reg 1999; 7: 495-503.

8. Kloth, L. Electrical stimulation for wound healing: a review of evidence from in vitro studies, animal experiments, and clinical trials. Int J Low Extreme Wounds 2005; 4: 1, 23-44.

9. Ohry, A., Goren, O. The effects of BST electrostimulation on healing of pressure ulcers: results of a multi-center, double blind, randomized, placebo controlled study. EWMA J 2007; 7: oral abstract no. 66 

10. Ricci, E., Afargan, M. The effect of stochastic electrical noise on hard-to-heal wounds. J Wound Care, 2010; 19 (3): 96-103.

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