Therapeutic effects of connective tissue manipulation on wound healing and bacterial colonization count among patients with diabetic foot ulcer

被引：11
|
作者：
Joseph, Leonard Henry [1 ,2 ]
Paungmali, Aatit [1 ]
Dixon, John [3 ]
Holey, Liz [3 ]
Naicker, Amaramalar Selvi [4 ]
Htwe, Ohnmar [4 ]
机构：
[1] Chiang Mai Univ, Fac Associated Med Sci, Dept Phys Therapy, Chiang Mai 50200, Thailand
[2] Univ Kebangsaan Malaysia, Fac Hlth Sci, Sch Rehabil Sci, Physiotherapy Programme, Kuala Lumpur, Malaysia
[3] Univ Teesside, Sch Hlth & Social Care, Hlth & Social Care Inst, Middlesbrough, Cleveland, England
[4] Univ Kebangsaan Malaysia, Fac Med, Med Ctr, Dept Orthoped, Kuala Lumpur, Malaysia
来源：
JOURNAL OF BODYWORK AND MOVEMENT THERAPIES | 2016年 / 20卷 / 03期
关键词：
Connective tissue manipulation; Diabetes; Ulcer; Physiotherapy; Rehabilitation;
D O I：
10.1016/j.jbmt.2016.01.010
中图分类号：
R49 [康复医学];
学科分类号：
100215 ;
摘要：
This study investigated the therapeutic effects of connective tissue manipulation (CTM) in diabetic foot ulcer (DFU). A total of 20 participants (10 in CTM group and 10 in conventional treatment group (CG)) with DFU underwent the conventional DFU treatment. In addition, the CTM group received CTM twice per week for 6 weeks. The percentage wound area reduction (PWAR) and bacterial colonization count (BCC) in log10 colony-forming units (CFU) per ml wound fluid was evaluated at baseline and six weeks. Results showed a significant change in PWAR in CTM (p < 0.05, t = 3.82, Df = 9, CI L = 0.98 U = 3.81) and CG (p < 0.05, t = 2.97, Df = 9, CI L = 0.26 U = 1.98). Mean reduction of BCC showed a significant reduction (p < 0.05), with percentage of BCC reduction higher in CTM group (6.45%) than CG (3.55%). The findings suggest CTM as an effective adjunct therapy for DFU to enhance conventional treatments. (C) 2016 Elsevier Ltd. All rights reserved.
引用
收藏
页码：650 / 656
页数：7
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