Therapeutic effects of connective tissue manipulation on wound healing and bacterial colonization count among patients with diabetic foot ulcer

Joseph LH 1 , Paungmali A 2 , Dixon J 3 , Holey L 3 , Naicker AS 4 , Htwe O 4

Affiliations 

  • 1 Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, 50200, Thailand; Physiotherapy Programme, School of Rehabilitation Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia. Electronic address: leonardjoseph85@hotmail.com
  • 2 Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, 50200, Thailand
  • 3 Health and Social Care Institute, School of Health and Social Care, Teesside University, Middlesbrough, United Kingdom
  • 4 Department of Orthopedics, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
J Bodyw Mov Ther, 2016 Jul;20(3):650-6.
PMID: 27634091 DOI: 10.1016/j.jbmt.2016.01.010

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 

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