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Pulsed electromagnetic energy (PEME) in management of chronic wounds: a systematic review

Biomedical Sciences Research Institute Computer Science Research Institute Environmental Sciences Research Institute Nanotechnology & Advanced Materials Research Institute

McGaughey, H, Dhamija, S, Oliver, L, Porter-Armstrong, Alison and McDonough, Suzanne (2009) Pulsed electromagnetic energy (PEME) in management of chronic wounds: a systematic review. Physical Therapy Reviews, 14 (2). pp. 132-146. [Journal article]

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DOI: 10.1179/174328809X435231

Abstract

Objectives: To assess the evidence regarding effectiveness of pulsed electromagnetic energy (PEME) on the healing of chronic wounds; to explore whether there is an optimum treatment regime with regards to total current, pulse amplitude, pulse duration, and duration and frequency of treatments. Methods: A computerised literature search of the Cochrane Library, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), EMBASE and PubMed was performed. Only randomised clinical trials (RCT), controlled trials, and clinical trials that studied a population aged 18 years of age or more and investigated the effects of a type of PEME in the management of a chronic wound were included. The methodological quality of the included trials was assessed qualitatively using a set of formal criteria as recommended by van Tulder et al. Results: Eleven studies (n=360) out of 40 were included of which six were of high methodological quality. Methodological scores ranged from one to nine (maximum 11) with a mean score of 5·5 (SD=1·73). For venous ulcers, there is strong evidence that PEME is more effective than sham PEME. For pressure and plantar ulcers, there is moderate evidence that PEME, in combination with conventional wound care is better than conventional wound care alone. The heterogeneity in duration, frequency, voltage and magnetic field made it difficult to make detailed comparisons or specific recommendations regarding its application. Discussion: Further research should focus on controlling baseline recruitment parameters within an RCT, studying vital outcomes, and exploring combinations of parameters regarding optimum usage of PEME. [ABSTRACT FROM AUTHOR]

Item Type:Journal article
Faculties and Schools:Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Health Sciences
Research Institutes and Groups:Institute of Nursing and Health Research > Centre for Health and Rehabilitation Technologies
ID Code:7363
Deposited By:Dr Alison Porter-Armstrong
Deposited On:27 Jan 2010 15:56
Last Modified:28 Feb 2012 14:50

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