Análisis crítico

← vista completa

Publicado el 7 de octubre de 2013 | http://doi.org/10.5867/medwave.2013.09.5815

Ultrasonido terapéutico para el aumento de la cicatrización en úlceras venosas de extremidad inferior: CAT

Therapeutic ultrasound to promote healing of lower extremity venous ulcers: CAT

Raúl Alberto Aguilera Eguía, Alejandro Ibacache Palma, Felipe Araya Quintanilla

Abstract

Purpose. The aim of this CAT (Critically Appraised Topic) was to check the validity of the results and applicability regarding the effectiveness of therapeutic ultrasound in increasing healing of lower extremity ulcers and to answer the question: In subjects that have lower extremity venous ulcers, does high-frequency therapeutic ultrasound improve healing rate compared to placebo? Method. We conducted an analysis of the article "Therapeutic Ultrasound for lower extremity venous ulcers, Cochrane Systematic Review" of Cullum, et al (2010). Results. The application of high-frequency therapeutic ultrasound could increase healing in patients with lower extremity venous ulcers, RR = 1.40 (95% CI 1.00 to 1.96). Conclusion. The use of therapeutic ultrasound to promote healing in lower extremity venous ulcers is neither endorsed nor discouraged.

Esta obra de Medwave está bajo una licencia Creative Commons Atribución-NoComercial 3.0 Unported. Esta licencia permite el uso, distribución y reproducción del artículo en cualquier medio, siempre y cuando se otorgue el crédito correspondiente al autor del artículo y al medio en que se publica, en este caso, Medwave.

Autores

Raúl Alberto Aguilera Eguía

Universidad de Santiago, Chile

Alejandro Ibacache Palma

Independiente

Felipe Araya Quintanilla

Independiente

Figures

Article has no figures.

Foro

No hay mensajes

Historial

Citación Aguilera Eguía RA, Ibacache Palma A, Araya Quintanilla F. Therapeutic ultrasound to promote healing of lower extremity venous ulcers: CAT. Medwave 2013;13(09):e5815 doi: 10.5867/medwave.2013.09.5815

Envío 10/08/2013

Aceptación 30/09/2013

Publicación 07/10/2013

Métricas

Vistas en HTML

150

Descargas en PDF

15

Total

165

% Descargas en PDF

10%

Ver detalle

Notas

Provenance and peer review

con revisión por cuatro pares revisores, a doble ciego

Referencias

  1. Cullum NA, Al-Kurdi D, Bell-Syer SE. Therapeutic ultrasound for venous leg ulcers. Cochrane Database Syst Rev. 2010 Jun 16;(6):CD001180. | PubMed
  2. Browse NL, Burnand KG. The cause of venous ulceration. Lancet. 1982 Jul 31;2(8292):243-5. | CrossRef | PubMed
  3. Falanga V, Eaglstein WH. The "trap" hypothesis of venous ulceration. Lancet. 1993 Apr 17;341(8851):1006-8. | CrossRef | PubMed
  4. Thomas PR, Nash GB, Dormandy JA. White cell accumulation in dependent legs of patients with venous hypertension: a possible mechanism for trophic changes in the skin. Br Med J (Clin Res Ed). 1988 Jun 18;296(6638):1693-5. | CrossRef | PubMed
  5. Valencia IC, Falabella A, Kirsner RS, Eaglstein WH. Chronic venous insufficiency and venous leg ulceration. J Am Acad Dermatol. 2001 Mar;44(3):401-21; quiz 422-4. | CrossRef | PubMed
  6. Lees TA, Lambert D. Patterns of venous reflux in limbs with skin changes associated with chronic venous insufficiency. Br J Surg. 1993 Jun;80(6):725-8. | CrossRef | PubMed
  7. Roaldsen KS, Rollman O, Torebjörk E, Olsson E, Stanghelle JK. Functional ability in female leg ulcer patients--a challenge for physiotherapy. Physiother Res Int. 2006 Dec;11(4):191-203. | CrossRef | PubMed
  8. Moffatt C, Kommala D, Dourdin N, Choe Y. Venous leg ulcers: patient concordance with compression therapy and its impact on healing and prevention of recurrence. Int Wound J. 2009 Oct;6(5):386-93. | CrossRef | PubMed
  9. Shiman MI, Pieper B, Templin TN, Birk TJ, Patel AR, Kirsner RS. Venous ulcers: a reappraisal analyzing the effects of neuropathy, muscle involvement, and range of motion upon gait and calf muscle function. Wound Repair Regen. 2009 Mar-Apr;17(2):147-52. | CrossRef | PubMed
  10. Baba-Akbari Sari A, Flemming K, Cullum NA, Wollina U. Therapeutic ultrasound for pressure ulcers. Cochrane Database Syst Rev. 2006 Jul 19;(3):CD001275. | PubMed
  11. Baker KG, Robertson VJ, Duck FA. A review of therapeutic ultrasound: biophysical effects. Phys Ther. 2001 Jul;81(7):1351-8. | PubMed
  12. Johns LD. Nonthermal effects of therapeutic ultrasound: the frequency resonance hypothesis. J Athl Train. 2002 Jul;37(3):293-9. | PubMed
  13. ter Haar G. Therapeutic ultrasound. Eur J Ultrasound. 1999 Mar;9(1):3-9. | CrossRef | PubMed
  14. Francis CW, Onundarson PT, Carstensen EL, Blinc A, Meltzer RS, Schwarz K, et al. Enhancement of fibrinolysis in vitro by ultrasound. J Clin Invest. 1992 Nov;90(5):2063-8. | CrossRef | PubMed
  15. Olsson SB, Johansson B, Nilsson AM, Olsson C, Roijer A. Enhancement of thrombolysis by ultrasound. Ultrasound Med Biol. 1994;20(4):375-82. | CrossRef | PubMed
  16. Webster DF, Pond JB, Dyson M, Harvey W. The role of cavitation in the in vitro stimulation of protein synthesis in human fibroblasts by ultrasound. Ultrasound Med Biol. 1978;4(4):343-51. | CrossRef | PubMed
  17. Ross P, Edmonds PD. Ultrasound induced protein synthesis as a result of membrane damage. J Ultra Med. 1983;2:47.
  18. Doan N, Reher P, Meghji S. In vitro effects of therapeutic ultrasound on cell proliferation, protein synthesis, and cytokine production on by human fibroblasts, osteoblasts, and monocytes. J Oralmaxillofac Surg. 1999;57:409–19. | CrossRef
  19. Young SR, Dyson M. Macrophage responsiveness to therapeutic ultrasound. Ultrasound Med Biol. 1990;16(8):809-16. | CrossRef | PubMed
  20. Ito M, Azuma Y, Ohta T, Komoriya K. Effects of ultrasound and 1,25-dihydroxyvitamin D3 on growth factor secretion in co-cultures of osteoblasts and endothelial cells. Ultrasound Med Biol. 2000 Jan;26(1):161-6. | CrossRef | PubMed
  21. Maxwell L, Collecutt T, Gledhill M, Sharma S, Edgar S, Gavin JB. The augmentation of leucocyte adhesion to endothelium by therapeutic ultrasound. Ultrasound Med Biol. 1994;20(4):383-90. | CrossRef | PubMed
  22. Byl NN, McKenzie AL, West JM, Whitney JD, Hunt TK, Scheuenstuhl HA. Low-dose ultrasound effects on wound healing: a controlled study with Yucatan pigs. Arch Phys Med Rehabil. 1992 Jul;73(7):656-64. | PubMed
  23. Young SR, Dyson M. The effect of therapeutic ultrasound on angiogenesis. Ultrasound Med Biol. 1990;16(3):261-9. | CrossRef | PubMed
  24. Callam MJ, Harper DR, Dale JJ, Ruckley CV, Prescott RJ. A controlled trial of weekly ultrasound therapy in chronic leg ulceration. Lancet. 1987 Jul 25;2(8552):204-6. | CrossRef | PubMed
  25. Dolibog P, Franek A, Tardaj J, Blaszczak E, Cierpka L. Efficiency of therapeutic ultrasound for healing venous leg ulcers in surgical treated patients. Wounds 2008;20(12):334–40. | Link
  26. Eriksson SV, Lundeberg T, Malm M. A placebo controlled trial of ultrasound therapy in chronic leg ulceration. Scand J Rehabil Med. 1991;23(4):211-3. | PubMed
  27. Franek A, Chmielewska D, Brzezinska-Wcislo L, Slezak A, Blaszczak E. Application of various power densities of ultrasound in the treatment of leg ulcers. J Dermatolog Treat. 2004 Dec;15(6):379-86. | CrossRef | PubMed
  28. Lundeberg T, Nordström F, Brodda-Jansen G, Eriksson SV, Kjartansson J, Samuelson UE. Pulsed ultrasound does not improve healing of venous ulcers. Scand J Rehabil Med. 1990;22(4):195-7. | PubMed
  29. Taradaj J, Franek A, Brzezinska-Wcislo L, Cierpka L, Dolibog P, Chmielewska D, et al. The use of therapeutic ultrasound in venous leg ulcers: a randomized, controlled clinical trial. Phlebology. 2008;23(4):178-83. | CrossRef | PubMed
  30. Weichenthal M, Mohr P, Stegmann W, Breitbart EW. Low-frequency ultrasound treatment of chronic venous ulcers. Wound Repair Regen. 1997 Jan-Mar;5(1):18-22. | CrossRef | PubMed
  31. Peschen M, Weichenthal M, Schöpf E, Vanscheidt W. Low-frequency ultrasound treatment of chronic venous leg ulcers in an outpatient therapy. Acta Derm Venereol. 1997 Jul;77(4):311-4. | PubMed
  32. Higgins JPT, Green S. Cochrane Handbook for Systematic Reviews of Interventions. The Cochrane Collaboration. cochrane-handbook.org [on line]. | Link
  33. Callam MJ, Dale JJ, Harper DR, Ruckley CV. The Lothian and Forth Valley leg ulcer survey. Part 2. The natural history. En: Phlebology 85. London: John Libbey, 1986.
  34. Callam MJ, Ruckley CV, Harper DR, Dale JJ. Chronic ulceration of the leg: extent of the problem and provision of care. Br Med J (Clin Res Ed). 1985 Jun 22;290(6485):1855-6. | CrossRef | PubMed
  35. Margolis DJ, Bilker W, Santanna J, Baumgarten M. Venous leg ulcer: incidence and prevalence in the elderly. J Am Acad Dermatol. 2002 Mar;46(3):381-6. | CrossRef | PubMed
  36. Welch V, Brosseau L, Peterson J, Shea B, Tugwell P, Wells G. Therapeutic ultrasound for osteoarthritis of the knee. Cochrane Database Syst Rev. 2001;(3):CD003132. | PubMed
  37. Casimiro L, Brosseau L, Robinson V, Milne S, Judd M, Well G, et al. Therapeutic ultrasound for the treatment of rheumatoid arthritis. Cochrane Database Syst Rev. 2002;(3):CD003787. | PubMed
  38. van den Bekerom MP, van der Windt DA, Ter Riet G, van der Heijden GJ, Bouter LM. Therapeutic ultrasound for acute ankle sprains. Cochrane Database Syst Rev. 2011 Jun 15;(6):CD001250. | PubMed
  39. Hay-Smith EJ. Therapeutic ultrasound for postpartum perineal pain and dyspareunia. Cochrane Database Syst Rev. 2000;(2):CD000495. | PubMed
  40. Baba-Akbari Sari A, Flemming K, Cullum NA, Wollina U. Therapeutic ultrasound for pressure ulcers. Cochrane Database Syst Rev. 2006 Jul 19;(3):CD001275. | PubMed