Physical therapy in burn wound healing: Development of clinical prediction rules to identify the efficacy of pulsed electromagnetic therapy

• Nagy, Ahmed Mohamed ^[1] ; Elsayeh, Shaimaa Mohamed Ahmed ^[1] ; Bayoumi, Mohamed Bayoumi Ibrahim ^[2] ; Metawee, Shimaa Mohamed ^[3] ; Ahmed, Omnia Saeed Mahmoud ^[4] ; Saafan, Karim Ibrahim ^[1]
  1. [1] Cairo University

     Cairo University

     Egipto

     
  2. [2] Department of Physical Therapy for Surgery and Burn, Faculty of Physical Therapy, Cairo University, Cairo, Egypt / Department of Physiotherapy, Faculty of Allied Medical Sciences, Middle East University, Amman, Jordan .
  3. [3] Department of Basic Sciences, Faculty of Physical Therapy, Benha National University, Al-Qalyubia, Egypt.
  4. [4] Department of Physical Therapy for Internal Medicine and Geriatrics, Faculty of Physical Therapy, October University for Modern Sciences and Arts, 6th October City, Giza, Egypt.

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• Localización: Sport TK: revista euroamericana de ciencias del deporte, ISSN 2254-4070, ISSN-e 2340-8812, Nº. Extra 13, 1 (Suplemento), 2024
• Idioma: inglés
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  • Many studies have demonstrated the effect of pulsed electromagnetic therapy (PEMT) on wound healing. This study aimed to develop a clinical prediction rule (CPR) to assess PEMT's efficacy in burn healing, potentially enhancing treatment decisions and outcomes. It was a one-group intervention study with 46 patients (21 males, 25 females) aged 20 to 55 years, having partial-thickness burns in the first or second healing stage, and a total burned surface area (TBSA) over 15%. The intervention involved pulsed electromagnetictherapy (Fisioline, Italy) for up to six weeks, with 60-minute sessions at 12 Hz and 12 Gauss, three times per week. The statistical analysis was conducted using the SPSS. The study revealed a significant decline in wound surface area (WSA) post-intervention (p < 0.05). A significant negative relationship was found between wound improvement and both age and total body surface area (TBSA) (p < 0.05), while a significant positive relationship was observed between wound improvement and initial wound size (p < 0.05). No significant relationship was found between wound improvement and wound stage (p > 0.05). The study concluded that pulsed electromagnetictherapysignificantly reduces wound surface area. Additionally, age, TBSA, and initial burn wound size are important predictors of the therapy's efficacy in treating burn wounds.