Q: All of the following are used in the treatment of decubitus ulcer? 

A) Negative pressure wound therapy (WoundVac) 
B) Hyperbaric oxygen therapy 
C) Ultrasound 
 D) Electrical stimulation 
E) All of the above


Answer:  E

​Objective of the above question is to highlight electrical stimulation as a treatment for decubitus ulcer, as other three are well known. If applied twice a day, it assumed to promote the migration and proliferation of fibroblasts.


References: 

1. Griffin JW, Tooms RE, Mendius RA, et al. Efficacy of high voltage pulsed current for healing of pressure ulcers in patients with spinal cord injury. Phys Ther 1991; 71:433. 

2. Feedar JA, Kloth LC, Gentzkow GD. Chronic dermal ulcer healing enhanced with monophasic pulsed electrical stimulation. Phys Ther 1991; 71:639. 

3. Gardner SE, Frantz RA, Schmidt FL. Effect of electrical stimulation on chronic wound healing: a meta-analysis. Wound Repair Regen 1999; 7:495.