Low-intensity electrical stimulation in wound healing: review of the efficacy of externally applied currents resembling the current of injury

Abstract

Objective: Low-intensity currents (LIC) have gained popularity during the last years, and nowadays the majority of electrotherapy units may produce LIC. On wounding, the body produces a current, the current of injury, which promotes healing. Still, this current may gradually decrease resulting occasionally to delayed or limited wound healing. Thus, by applying the same LIC externally, healing may be accelerated by sustaining the LIC throughout the healing phases. The first review of research studies on the effect of LIC on wound healing is attempted, which can be considered useful for the practicing clinician, to provide an overview of current evidence on the effectiveness of LIC and provide protocols of treatment.

Methods: Comprehensive review of randomized-controlled trials investigating the effect of LIC on wound healing.

Results: The review revealed that LIC promote wound healing and appear to be effective in the range of 200-800 muA. The direct current may be continuous or pulsed and polarity may or may not be reversed.

Conclusion: Research available indicates that LIC accelerate wound healing. Further research is required to clarify the healing effects of LIC on wounds.