Healing Effects of Direct Current (DC) Application
See articles: ANTIOXIDANT EFFECTS OF
ULTRA-LOW MICROCURRENTS Electric current helps
diabetic foot ulcers heal
ANTIOXIDANT EFFECTS
OF ULTRA-LOW MICROCURRENTS Alfred J. Koonin, M.B., Ch, B.,
Ph.D., FRCS Exerpt from: http://www.eprtech.com/ANTIOXIDANT%20EFFECTS.htm
To
see if these ultra-low currents could work as an antioxidant, the model
chosen was chronic skin wounds. The reason for this was that most of these
lesions are found in debil itated patients with
poor immune systems who probably have a high concentration of free
radicals. Further, the wounds themselves are generally necrotic and
infected with poor healing potential again indicating a high concentration
of free radicals in the local area. The idea was to isolate the injured
area as part of the circuit and thereby infuse a steady stream of
electrons through the area with as little resistance as possible. The
resistance would be reduced by using a low level current and by increasing
the diameter of the conductor. Also, the frequency of the current would
have to be low in order to prevent the electrons from traveling in short
bursts. A low frequency would allow the electrons to move in a steady
stream. Method A device was used that produced a current range of
3mA down to .1mA. The frequency used produced a cycle lasting
approximately 23 minutes. The device was designed to switch the direction
of current flow half way through the cycle. The device runs on a
rechargeable battery producing a square wave bipolar current with a
Voltage ranging between 5V up to a maximum of 40V. The Voltage range will
vary proportionately with the resistance in the tissues. The device will
not function if the range goes beyond 40 Volts. The electrodes are applied
in two layers using tap water as the conducting medium. Water is a very
poor conductor of electricity, but the minerals in tap water are
sufficient to carry the current into the tissues. Also, the wraps cover a
large surface area thus reducing resistance and allowing an optimum number
of electrons to flow freely into the tissues. Patients were treated for
approximately 3« hours per day, five days a week until the lesion had
healed. A twelve-week maximum was allowed for healing to take place. All
patients were in-patients and were on wound care treatments for at least
three months prior to this study, with no observable improvement in their
condition. The 25 patients treated had lesions present for an average of
18.5 months. For approximately 23 minutes per day the subjects were
wrapped with spongy bandages, soaked in water, above and below the wound
to make the sites readily receive the electric current later. Conductive
silicone electrodes were then wrapped over these areas and attached to the
device with stud clips. For the first cycle (23 minutes) the device was
set at a current output of 3 mA. For the subsequent eight cycles of
treatment (approximately three hours) the device was set at an output of
.4mA. Twenty-five chronic wounds were treated. These were present
for a period ranging from 3 to 60 months and did not respond to standard
therapy. Ages of the patients in the study varied from 20 to 85 years old.
Twenty-three of the lesions were stage III or IV. 92 % of the lesions were
stages III or IV. The age of the lesions varied from 6 to 60 months with
an average of 18.5 months. 100% of the lesions healed in an average of 48
hours of treatment, i.e. an average of 16 days.
Electric current
helps diabetic foot ulcers heal
NEW YORK, Jul 11 2001 (Reuters Health) - A
device that delivers high-voltage electric stimulation to the skin can
help diabetic foot ulcers heal, preliminary study findings suggest.
People with diabetes may develop foot ulcers as a result of poor
circulation and a reduced ability to fight infection. Usually, ulcers are
treated by cleaning and dressing the wound to keep it moist and resting
the affected limb, but in some cases, damage can be severe enough to
require amputation. According to a report in the June issue of the
Archives of Physical Medicine and Rehabilitation, patients who used an
electric stimulation device in addition to standard treatment were more
likely to heal. The study of 35 diabetic patients compared
high-voltage, pulsed galvanic electric stimulation every night for 8 hours
with an inactive placebo treatment that felt the same but delivered no
current. Patients also underwent weekly removal of dead tissue, topical
treatment and rest. Over 3 months, 65% of patients who received
electric stimulation healed, compared with 35% of patients in the placebo
group. It is not clear how electric stimulation aids in wound healing,
but the researchers suggest that it may enhance blood flow and immune
system cell function. "It's not a silver bullet," study author Dr.
Lawrence A. Lavery of the University of Texas Health Sciences Center in
San Antonio, told Reuters Health, noting that the device should be used in
combination with other measures. However, he added, "it is more promising
than some pharmaceuticals that I've seen." There was no difference in
the amount of time it took for wounds to heal among groups, the study
found. Still, "the results of this study are quite promising and
compare favorably with several recent reports in the medical literature on
wound healing in persons with diabetes mellitus," Lavery and colleagues
conclude.
SOURCE: Archives of Physical Medicine and Rehabilitation
2001;82:721-724.
|