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CLINICAL TRIAL REPORT

Is Shock Wave Application Effective on Various Chronic Wounds in the Geriatric Population? Preliminary Clinical Study

ORCID Icon, , ORCID Icon, ORCID Icon, & ORCID Icon
Pages 665-679 | Received 05 Nov 2023, Accepted 01 Apr 2024, Published online: 30 Apr 2024

Figures & data

Table 1 Patients’ Characteristics Including Demographic Items (n=19)

Table 2 Patients’ Characteristics Including Clinical Items (n=19)

Figure 1 Example of a treatment session using radial ESWT for a VLU (A) and DFU (B).

Abbreviations: ESWT, extracorporeal shockwave therapy; VLU, venous leg ulcer; DFU, diabetes foot ulcer.
Figure 1 Example of a treatment session using radial ESWT for a VLU (A) and DFU (B).

Table 3 Planimetric Results Prior-ESWT and Post-ESWT for All Wounds (n=31) and PUs Alone (n=22)

Figure 2 Example of planimetric effects of radial ESWT for a patient with a PU (A), VLU (B), and DFU (C).

Abbreviations: ESWT, extracorporeal shockwave therapy; PU, pressure ulcer; VLU, venous leg ulcer; DFU, diabetes foot ulcer.
Figure 2 Example of planimetric effects of radial ESWT for a patient with a PU (A), VLU (B), and DFU (C).

Table 4 Clinical Results Using the WBS and BWAT Results Prior-ESWT and Post-ESWT for All Wounds (n = 31) and PUs Alone (n=22)

Table 5 Correlations Between Clinical Wound Assessment Using the WBS and BWAT and Their Metric Parameters Following the Planimetric Assessment

Figure 3 Correlation diagrams for clinical wound assessment using the WBS and BWAT with the wound area before and after ESWT (A and B) and separately after ESWT only (C and D).

Notes: Pearson r correlation coefficients and linear regression equations.
Abbreviations: WBS, Wound Bed Score; BWAT, Bates-Jansen Wound Assessment Tool.
Figure 3 Correlation diagrams for clinical wound assessment using the WBS and BWAT with the wound area before and after ESWT (A and B) and separately after ESWT only (C and D).

Figure 4 Correlation diagram for clinical wound assessment using the WBS and BWAT overall (A) and separately before and after ESWT (B and C).

Notes: Pearson r correlation coefficients and linear regression equations.
Abbreviations: WBS, Wound Bed Score; BWAT, Bates-Jansen Wound Assessment Tool.
Figure 4 Correlation diagram for clinical wound assessment using the WBS and BWAT overall (A) and separately before and after ESWT (B and C).

Figure 5 Summary of therapeutic effect for clinical wound assessment using the WBS (A) and BWAT (B) in terms of the groups of wounds of different etiology.

Notes: P-value: Mann–Whitney U-test; Wound etiology: PUs (n=22) and VLUs with DFUs (n=9).WBS PU: Me = 5; Q1 = 3; Q3 = 9 BWAT PU: Me = 14; Q1 = 9; Q3 = 19.WBS VLU+DFU: Me = 5; Q1 = 5; Q3 = 6 BWAT VLU+DFU: Me = 8; Q1 = 7; Q3 = 12.
Abbreviations: PU, pressure ulcer; VLU, venous leg ulcer; DFU, diabetes foot ulcer; WBS, Wound Bed Score; BWAT, Bates-Jansen Wound Assessment Tool.
Figure 5 Summary of therapeutic effect for clinical wound assessment using the WBS (A) and BWAT (B) in terms of the groups of wounds of different etiology.

Figure 6 Summary of therapeutic effect for clinical wound assessment using the WBS (A) and BWAT (B) in terms of the groups of wounds with different anatomical locations.

Notes: Kruskal–Wallis ANOVA test; Wound location: sacral (n=10), calf (n=8), calcaneal (n=5), trochanteric (n=4), foot (n=2), and malleolar (n=2).WBS sacral: Me = 3.5; Q1 = 3; Q3 = 6 BWAT sacral: Me = 13.5; Q1 = 11; Q3 = 19WBS trochanteric: Me = 9; Q1 = 6.5; Q3 = 10 BWAT trochanteric: Me = 14.5; Q1 = 10.5; Q3 = 23WBS calcaneal: Me = 5; Q1 = 4; Q3 = 6 BWAT calcaneal: Me = 9; Q1 = 9; Q3 = 19WBS calf: Me = 5; Q1 = 5; Q3 = 6 BWAT calf: Me = 8; Q1 = 7.5; Q3 = 1WBS malleolar: Me = 9.5; Q1 = 9; Q3 = 10 BWAT malleolar: Me = 16.5; Q1 = 15; Q3 = 18WBS foot: Me = 6; Q1 = 3; Q3 = 9 BWAT foot: Me = 9.5; Q1 = 6; Q3 = 13.
Abbreviations: PU, pressure ulcer; VLU, venous leg ulcer; DFU, diabetes foot ulcer; WBS, Wound Bed Score; BWAT, Bates-Jansen Wound Assessment Tool.
Figure 6 Summary of therapeutic effect for clinical wound assessment using the WBS (A) and BWAT (B) in terms of the groups of wounds with different anatomical locations.