Study of Physical Therapy Wound Care Methods for Healing Pressure Injuries in Adults with Spinal Cord Injury

What this Trial Is About

Researchers are evaluating the effects of physical therapy wound care methods on healing wounds in patients with spinal cord injuries SCI. The study compares three treatments pulsed wound irrigation PWI alone, electrical stimulation ES alone, and a combination of PWI and ES. It is believed that combining these treatments may speed wound healing and improve patients quality of life by involving them actively in their care and promoting confidence in managing their wounds. Participants will receive one of three wound care treatments. PWI uses normal saline sprayed at a controlled pressure to help remove dead tissue from wounds. ES applies a mild electrical current to encourage cells to move and support natural healing processes. The combined treatment applies both methods together. Each approach aims to support wound closure by improving the wound environment and attracting immune cells necessary for healing. During the study, participants will have their wounds assessed using the Bates-Jensen Wound Assessment Tool BWAT at the start, after one week, and after one year. Quality of life related to spinal cord injury will also be measured at the beginning and after one year. The study involves regular evaluations by physical therapists and individualized wound care treatments. Participants will be observed over time to track healing progress and any changes in their quality of life.

Physical Therapy Wound Care Modalities in Patients With Spinal Cord Injury (SCI)