A Comparative Study of Faradic and Galvanic Stimulation on Wound Healing and Circulation in Diabetic Foot Ulcer -A Randomized Clinical Trial

TITLE  A COMPARATIVE STUDY OF FARADIC AND GALVANIC STIMULATION ON WOUND HEALING AND CIRCULATION IN DIABETIC FOOT ULCER A RANDOMAIZED CLINICAL TRIAL

Objective – To compare the effect of faradic and galvanic stimulation on wound healing and circulation using podological assessment tool and wound surface area by photography using imito app in participants with diabetic foot ulcer.

INCLUSION CRITERIA

Participants :-

·         Between the age group of 40-70 years.

·         Diagnosed with type 2 diabetes having ulcer and referred by surgeon.

·         Ulcer grade according to Wagner’s classification.[5]

·         With sensory integrity in the category of green and blue according to WEST classification using monofilament.[6]

·         Willing to participate in the study.

EXCLUSION CRITERIA

Participant :-

• With cardiac pacemaker or any other implanted electronic devices hearing aids
• Implants near ulcer area
• Skin malignancies
• Who have cognitive impairment
• Uncontrolled diabetes status ( HbA1c – 10% or higher)
• Contraindication of electrical stimulation

OUTCOME MEASURES:

• IMITOMEASURE:- Measure Wound (app to measure wound)The imitoMeasure app is a helpful and practical way to measure an area that has high accuracy and repeatability. Imito is a noncontact digital planimetry app that offers a benefit over alternative techniques. The imitoMeasure app is a helpful and practical way to measure an area that has high accuracy and repeatability (ICC score :0.98)Assessment will be done 2 times that is pre and post by a qualified physiotherapist. Components are checked by wound area, circumference and depth

PODOLOGICAL ASSESSMENT TOOL [9,10]

It is tool used for the diagnosis of diabetic foot ulcers,there are various components are present, :

1.Biothesiometer – for vibration perception threshold (VPT) to

assess neuropathy.

2.Doppler probes – for vascular assessment.

3.Foot pressure measurement systems – for identifying high-risk plantar pressure zones