Evidence map›Paper›PMID 36673559›Full record

ArticleHealthcare (Basel, Switzerland)2023

The Effect of Vibration on the Acceleration of Wound Healing of Diabetic Neuropathic Foot Ulcer: A Prospective Experimental Study on Human Patients.

Sitti Syabariyah, Elly Nurachmah, Budiman Darmo Widjojo, Sabarinah Prasetyo, Hiromi Sanada, Irianto, Gojiro Nakagami, Suriadi, Tutur Kardiatun, Urfa Khairatun Hisan

Open access · goldAbstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Sitti SyabariyahDepartment of Medical Surgical Nursing, University of Aisyiyah Bandung, West Java 40264, Indonesia.
Elly NurachmahDepartment of Medical Surgical Nursing, University of Indonesia, Depok, West Java 16424, Indonesia.
Budiman Darmo WidjojoFaculty of Medicine, Universitas of Indonesia, Jakarta 10430, Indonesia.
Sabarinah PrasetyoFaculty of Community Health, Universitas of Indonesia, Depok, West Java 16424, Indonesia.
Hiromi SanadaDepartment of Wound Care Management/Gerontological Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8654, Japan.
IriantoDepartment of General Education, Faculty of Resilience, Rabdan Academy, Abu Dhabi 22401, United Arab Emirates.ORCID 0000-0003-0733-126X
Gojiro NakagamiDepartment of Wound Care Management/Gerontological Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8654, Japan.
SuriadiDepartment of Nursing, Institut Teknologi dan Kesehatan Muhammadiyah Kalimantan Barat, Kabupaten Kubu Raya 78117, Indonesia.
Tutur KardiatunDepartment of Nursing, Institut Teknologi dan Kesehatan Muhammadiyah Kalimantan Barat, Kabupaten Kubu Raya 78117, Indonesia.
Urfa Khairatun HisanFaculty of Medicine, Universitas Ahmad Dahlan, Yogyakarta 55166, Indonesia.ORCID 0000-0003-4952-3542
University of Indonesia · IDThe University of Tokyo · JPUniversitas Ahmad Dahlan · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetic foot ulcers are a common complication that occurs in approximately 15 percent of patients with diabetes mellitus. Over 60% of diabetic foot ulcers are caused by underlying neuropathy. Former studies on diabetic animals with foot wounds found that vibration platforms significantly accelerate wound healing by catalyzing epithelization, promoting angiogenesis, and enhancing muscle bulk. This result suggests that there is evidence that vibrations may accelerate diabetic neuropathic ulcer healing in human patients. However, to the best of our knowledge, the effect of vibration on the enhancements of diabetic foot ulcer healing in human patients is rarely investigated. Hence, in this work, we conducted an experimental study with human subjects to investigate whether vibration therapy, as a complement to the standard wound treatment, can accelerate the wound healing rate of diabetic neuropathic foot ulcers. In this prospective experimental study, 80 participants diagnosed with Wagner grades I−III diabetic neuropathic foot ulcers were randomly distributed to experimental (n = 40) and control groups (n = 40). Patients in the intervention group received standard wound treatment and vibration wound therapy (VWT), whereas patients in the control group retrieved only standard wound treatment. The results (p = 0.024, α = 0.05) show notable differences in the median healing rate between the intervention group (25 days, 95% CI: 20.3−29.7) and control group (33 days, 95% CI: 25.6−40.4), with the effect-size r, Cohen’s d, Glass’s Δ, and Hedges’ g, respectively, being 0.810, 2.764, 2.311, and 2.772. Moreover, the nitric oxide (NO) level, wound closure area, and wound healing score after intervention significantly differed between the two groups (p < 0.05), putting the intervention group on a higher level than the control group. Furthermore, positive associations were found between the NO level and wound healing closure rates. These findings suggested that VWT enhances diabetic neuropathic foot ulcer healing in terms of healing rate, wound closure area, healing score, and elevated NO level. Considering that no clinically adverse effects were found in the patients induced with vibration intervention, VWT can be regarded as a complementary therapy to the existing ones to accelerate the healing of DFUs.

Indexed as

diabetic foot ulcer (DFU)diabetic woundnitric oxide (NO)vibration therapywound care

Identifiers

PMID36673559
PMCPMC9859045
OpenAlexW4313829031

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.