Therapeutic Effects of Connective Tissue Manipulation on Wound Healing and Bacterial Colonization Count among Patients with Diabetic Foot Ulcer

Leonard Henry Joseph; Aatit Paungmali; John Dixon; Elizabeth Holey; Amaramalar Selvi Naicker; Ohnmar Htwe

doi:10.1016/j.jbmt.2016.01.010

Therapeutic Effects of Connective Tissue Manipulation on Wound Healing and Bacterial Colonization Count among Patients with Diabetic Foot Ulcer

Leonard Henry Joseph, Aatit Paungmali, John Dixon, Elizabeth Holey, Amaramalar Selvi Naicker, Ohnmar Htwe

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Abstract

This study investigated the therapeutic effects of connective tissue manipulation (CTM) in diabetic foot ulcer (DFU). A total of 20 participants (10 in CTM group and 10 in conventional treatment group (CG)) with DFU underwent the conventional DFU treatment. In addition, the CTM group received CTM twice per week for 6 weeks. The percentage wound area reduction (PWAR) and bacterial colonization count (BCC) in log10 colony-forming units (CFU) per ml wound fluid was evaluated at baseline and six weeks. Results showed a significant change in PWAR in CTM (p<0.05, t = 3.82, Df = 9, CI L= 0.98 U=3.81) and CG (p<0.05, t = 2.97, Df = 9,CI L= 0.26 U=1.98). Mean reduction of BCC showed a significant reduction (p<0.05), with percentage of BCC reduction higher in CTM group (6.45%) than CG (3.55%). The findings suggest CTM as an effective adjunct therapy for DFU to enhance conventional treatments.

Original language	English
Pages (from-to)	-
Journal	Journal of Bodywork and Movement Therapies
DOIs	https://doi.org/10.1016/j.jbmt.2016.01.010
Publication status	Published - 2 Feb 2016

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@article{c96d1926c6cf4cb7ac8a49bbd6276ae3,

title = "Therapeutic Effects of Connective Tissue Manipulation on Wound Healing and Bacterial Colonization Count among Patients with Diabetic Foot Ulcer",

abstract = "This study investigated the therapeutic effects of connective tissue manipulation (CTM) in diabetic foot ulcer (DFU). A total of 20 participants (10 in CTM group and 10 in conventional treatment group (CG)) with DFU underwent the conventional DFU treatment. In addition, the CTM group received CTM twice per week for 6 weeks. The percentage wound area reduction (PWAR) and bacterial colonization count (BCC) in log10 colony-forming units (CFU) per ml wound fluid was evaluated at baseline and six weeks. Results showed a significant change in PWAR in CTM (p<0.05, t = 3.82, Df = 9, CI L= 0.98 U=3.81) and CG (p<0.05, t = 2.97, Df = 9,CI L= 0.26 U=1.98). Mean reduction of BCC showed a significant reduction (p<0.05), with percentage of BCC reduction higher in CTM group (6.45%) than CG (3.55%). The findings suggest CTM as an effective adjunct therapy for DFU to enhance conventional treatments.",

author = "Joseph, {Leonard Henry} and Aatit Paungmali and John Dixon and Elizabeth Holey and Naicker, {Amaramalar Selvi} and Ohnmar Htwe",

year = "2016",

month = feb,

day = "2",

doi = "10.1016/j.jbmt.2016.01.010",

language = "English",

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journal = "Journal of Bodywork and Movement Therapies",

issn = "1360-8592",

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T1 - Therapeutic Effects of Connective Tissue Manipulation on Wound Healing and Bacterial Colonization Count among Patients with Diabetic Foot Ulcer

AU - Joseph, Leonard Henry

AU - Paungmali, Aatit

AU - Dixon, John

AU - Holey, Elizabeth

AU - Naicker, Amaramalar Selvi

AU - Htwe, Ohnmar

PY - 2016/2/2

Y1 - 2016/2/2

N2 - This study investigated the therapeutic effects of connective tissue manipulation (CTM) in diabetic foot ulcer (DFU). A total of 20 participants (10 in CTM group and 10 in conventional treatment group (CG)) with DFU underwent the conventional DFU treatment. In addition, the CTM group received CTM twice per week for 6 weeks. The percentage wound area reduction (PWAR) and bacterial colonization count (BCC) in log10 colony-forming units (CFU) per ml wound fluid was evaluated at baseline and six weeks. Results showed a significant change in PWAR in CTM (p<0.05, t = 3.82, Df = 9, CI L= 0.98 U=3.81) and CG (p<0.05, t = 2.97, Df = 9,CI L= 0.26 U=1.98). Mean reduction of BCC showed a significant reduction (p<0.05), with percentage of BCC reduction higher in CTM group (6.45%) than CG (3.55%). The findings suggest CTM as an effective adjunct therapy for DFU to enhance conventional treatments.

AB - This study investigated the therapeutic effects of connective tissue manipulation (CTM) in diabetic foot ulcer (DFU). A total of 20 participants (10 in CTM group and 10 in conventional treatment group (CG)) with DFU underwent the conventional DFU treatment. In addition, the CTM group received CTM twice per week for 6 weeks. The percentage wound area reduction (PWAR) and bacterial colonization count (BCC) in log10 colony-forming units (CFU) per ml wound fluid was evaluated at baseline and six weeks. Results showed a significant change in PWAR in CTM (p<0.05, t = 3.82, Df = 9, CI L= 0.98 U=3.81) and CG (p<0.05, t = 2.97, Df = 9,CI L= 0.26 U=1.98). Mean reduction of BCC showed a significant reduction (p<0.05), with percentage of BCC reduction higher in CTM group (6.45%) than CG (3.55%). The findings suggest CTM as an effective adjunct therapy for DFU to enhance conventional treatments.

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U2 - 10.1016/j.jbmt.2016.01.010

DO - 10.1016/j.jbmt.2016.01.010

M3 - Article

SN - 1360-8592

SP - -

JO - Journal of Bodywork and Movement Therapies

JF - Journal of Bodywork and Movement Therapies

ER -

Therapeutic Effects of Connective Tissue Manipulation on Wound Healing and Bacterial Colonization Count among Patients with Diabetic Foot Ulcer

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