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Physical methods in the treatment of leg ulcers

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Sztuce S., Łukowicz M.

Advances in Rehabilitation

2015

vol. 29

issue 2

25-32

The most common complication of the chronic venous leg are ulcers and their frequency increases with age. Taking into consideration time and cost of treatment the ulcers are a serious medical and socioeconomic problem. Causal treatment concerns vein surgery, however, the recurrence risk up to 50% is observed. In the case of contraindications the conservative treatment is practiced. Topical treatment of ulcers is one of the methods of the conservative therapy. Methods of conservative treatment include general and local pharmacotherapy and compression therapy. Shall apply surgical skin grafting. Nowadays the standard therapy is more often completed by physical methods. Physical methods are not only the complement of the conventional treatment, but also a relevant factor referring to the effective treatment, especially as far as the minimum of contraindications is concerned. Electrotherapy, magnetic therapy, sonotherapy, etc. belong to this kind of methods. The purpose of the paper is to present some methods of physical therapy in the treatment of leg ulcers. Based on the presented in the literature regiments, summarizes efficiency of magnetic therapy, high-voltage electrical stimulation and sonotherapy in the treatment of ulcers. The paper is a review of the current knowledge on the effects of therapeutic action of the above-mentioned methods. The results of the review indicate that magnetic therapy, electrostimulation of high-voltage and sonotherapy have the influence on the process of accelerating the healing of leg ulcers. It has been proved that treatment with low-frequency magnetic field indicates analgesic and anti-inflammatory, purifies wounds, accelerates the skin formation and finally leads to a complete epithelialization. After applying high voltage electrostimulation, can be observed a reduction in the amount of purulend secretions. High voltage electrostimulation (HVS) accelerates the skin formation and granulation process. After applying sonotherapy the uclers surface decreased. Therapy accelerated the process of clearing the wound of pus and the formation of granulation tissue.

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1 Advances in Rehabilitation

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1 Sztuce S.

1 Łukowicz M.

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Physical methods in the treatment of leg ulcers