Table 1.
Low-intensity direct current randomized-controlled trials studies597*
Low-intensity direct current RCT studies | Wolcot et al18 | Carley & Wainapel22 |
Sample | n = 83 | n = 30 |
Type of wound | Ischemic wounds | Ulcers over sacrum or lower limb (below knee) |
Groups | Treatment group (1 group). Eight patients presented with bilateral wounds. One side was treated with LIDC (n = 8) and the other received standard care (n = 8) | Electrical stimulation treatment along with conventional treatment group (n = 15) or conventional treatment group (n = 15) |
Treatment | Intensity: 200–800 μA. Three sessions/d, 2 h per session. Polarity was reversed provided that no infection was present on day 3. Treatment was continued to full wound healing | Intensity: 200–800 μA for 2 h, twice daily, 2- to 4-h interval, 5 d/wk, for 5 weeks. Day 3: polarity was reversed unless infection appeared. Polarity was reversed on plateaus |
Electrode placement | Negative electrode was placed on the wound and the positive electrode proximally | Negative electrode placed on wound and positive electrode proximally |
Results | 45% of wounds healed completely (mean 9.6 weeks). The rest reached partial healing up to 64.7% over 7.2 weeks | Wound healing was accelerated 1.5–2.5 times in the LIC group compared with the conventional treatment group, and less debridement, less discomfort, and resilient healed scars were observed |
Bilateral ulcer group: 6 of 8 LIDC-treated ulcers completely healed, 2 of 8 healed up to 70%. Other side: 3 of 8 ulcers did not heal, 3 of 8 healed less than 50%, and 2 of 8 healed up to 75%. |
RCT indicates randomized-controlled trials; LIDC, low-intensity direct current.