Physical Therapy Wound Care Modalities in Patients With Spinal Cord Injury (SCI) ((SCI))
Spinal Cord Injuries, Pressure Injuries
About this trial
This is an interventional treatment trial for Spinal Cord Injuries focused on measuring Wound Care, Physical Therapy, Pulsed wound irrigation, Electrical stimulation
Eligibility Criteria
Inclusion Criteria:
- Currently enrolled at inpatient rehabilitation at Carolinas Rehabilitation Charlotte
- Diagnosis of spinal cord injury and concomitant pressure injury to sacrum or ischium
- Agreeable to wound care treatment by Physical Therapist (PT)
- Able to perform informed consent
- Over 18 years of age
- Physician order for PT wound care evaluation and treatment
- Bates-Jensen Wound Assessment Tool (BWAT) >31 on initial evaluation
Exclusion Criteria:
- Pain which limits ability to tolerate wound care treatments
- Unable to perform informed consent
- Pregnancy
- Bates-Jensen Wound Assessment Tool (BWAT) <30 on initial evaluation
Sites / Locations
- Carolinas RehabilitationRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
pulsed wound irrigation (PWI)
electrical stimulation (ES)
electrical stimulation (ES) and pulsed wound irrigation (PWI)
The necrotic wound is irrigated with normal saline (0.9%) with an 8-12 pounds per square inch pressure (PSI) to provide a mechanical force to loosen necrotic tissue for wound healing
ES works to promote the migration of cells based on natural cell polarity known as galvanotaxis, enhancing and mimicking the natural current of injury. By recreating the natural electrical fields of the skin, ES attracts immune cells vital to healing to wound to facilitate wound closure
The necrotic wound is irrigated with normal saline (0.9%) with an 8-12 pounds per square inch pressure (PSI) to provide a mechanical force to loosen necrotic tissue for wound healing and ES to promote the migration of cells based on natural cell polarity known as galvanotaxis, enhancing and mimicking the natural current of injury. By recreating the natural electrical fields of the skin, ES attracts immune cells vital to healing to wound to facilitate wound closure