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NCT05458947NARecruiting

Physical Therapy Wound Care Modalities in Patients With Spinal Cord Injury (SCI)

Wake Forest University Health Sciences

Start Date

10/11/2022

Completion Date

10/1/2026

Summary

To examine the effects of Physical Therapist (PT) wound care modalities (pulsed wound irrigation (PWI) + electrical stimulation (ES), PWI only, and ES only) on wound healing in patients with spinal cord injuries (SCI).

Detailed Description

It is hypothesized that PWI + ES will demonstrate the greatest rate of wound healing due to the combined effect of these treatments, which positively impact several aspects of the wound healing cascade. It is hypothesized that all patients will demonstrate improved quality of life from receiving wound care treatments by Physical Therapists due to individualized education and treatments which engage patients in their wound healing process and promote self-efficacy.

Eligibility Criteria

Age Range: 18 years to No maximum

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

Interventions

PROCEDURE

pulsed wound irrigation (PWI)

PROCEDURE

electrical stimulation (ES)

PROCEDURE

electrical stimulation (ES) and pulsed wound irrigation (PWI)

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Conditions

Spinal Cord InjuriesPressure Injuries

Locations

Carolinas Rehabilitation

Charlotte, North Carolina 28203

United States