Na 20 weken shock wave therapie bleken de wonden significant beter genezen dan in de standaardgroep.[1] We citeren:
53.33% of the ESWT-treated patients had complete wound closure compared with 33.33% of the control patients, and the healing times were 60.8 and 82.2 days, respectively (p<0.001). Significant differences in the index of the re-epithelization were observed between the two groups, with values of 2.97 mm2/die in the ESWT-group and 1.30 mm2/die in the control group (p< 0.001).
In het artikel waren de volgende illustratieve plaatjes opgenomen:
Deze studie bevestigt de positieve resultaten van eerder onderzoek naar voetulcera.[2] Ook bij andere wonden heeft shock wave therapy een positief effect op de wondgenezing.[3]
Auteurs: prof.dr. Jan M. Keppel Hesselink, MD, PhD en D.J.Kopsky, MD; update september 2009
[1] Moretti B, Notarnicola A, Maggio G, Moretti L, Pascone M, Tafuri S, Patella V. | The management of neuropathic ulcers of the foot in diabetes by shock wave therapy. | BMC Musculoskelet Disord. | 2009 May 27;10:54.
[2] Saggini R, Figus A, Troccola A, Cocco V, Saggini A, Scuderi N. | Extracorporeal shock wave therapy for management of chronic ulcers in the lower extremities. | Ultrasound Med Biol. | 2008 Aug;34(8):1261-71. Epub 2008 Apr 18.
[3] Dumfarth J, Zimpfer D, Vögele-Kadletz M, Holfeld J, Sihorsch F, Schaden W, Czerny M, Aharinejad S, Wolner E, Grimm M. | Prophylactic low-energy shock wave therapy improves wound healing after vein harvesting for coronary artery bypass graft surgery: a prospective, randomized trial. | Ann Thorac Surg. | 2008 Dec;86(6):1909-13.
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