Abstract

Object:To observe the clinical efficacy of combined application of extracorporeal shock wave and exercise therapy in the treatment of refractory stress injury.

Method: 36 patients with pressure ulcer were randomized into three groups: conventional treatment group, shock wave group, combined shock wave and exercise therapy group. Judgment was based on evaluating the scores of pressure ulcer healing (PUSH3.0) and the ability of daily living activities (ADL).

Results:The score of the combined shock wave and exercise therapy group was better than that of the other two groups (P =0.000), and the score of the shock wave group was better than that of the conventional group with statistical significance (P=0.000).

Conclusion: Combined extracorporeal shock wave and exercise therapies can improve the wound healing rate, the overall functional status of patients and the ability of daily living activities (ADL).

Keywords

chronic refractory pressure ulcer, shock wave, exercise therapy, compensatory movement, necrotic tissue, peripheral epithelial tissue, acoustic energy, tissue adhesion, ischemia and hypoxia, oxygen uptake ability, appetite, digestion, nutrients absorption