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Effect of Biofeedback-Assisted Relaxation Training on Foot Ulcer Healing

Birgitta Rice Researcher, Epidemiology Clinical Research Center, University of Minnesota, 1100 Washington Ave S, Ste 201, Minneapolis, MN 55415. At the time of the study, Ms. Rice was Intervention Coordinator, Department of Endocrinology, University of Wisconsin Medical School, Madison.

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Alan J. Kalker Clinical Instructor, University of Wisconsin Hospital and Clinics, Madison; Podiatrist, Kalker Podiatric Medicine Clinic, Middleton, WI.

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Jay V. Schindler Assistant Professor, Oregon State University, Corvallis.

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Russell M. Dixon Associate Professor, Department of Endocrinology, University of Wisconsin Medical School, Madison.

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A prospective, randomized study was conducted to determine the effect of biofeedback-assisted relaxation training on foot ulcer healing. For patients with chronic nonhealing foot ulcers, medical care was combined with a standardized biofeedback-assisted relaxation training program in the experimental group. The intervention was designed to increase peripheral perfusion, thereby promoting healing. A total of 32 patients with chronic nonhealing ulcers participated in the study. In the experimental group, 14 out of 16 ulcers (87.5%) healed, as compared with 7 out of 16 ulcers (43.8%) in the control group. (J Am Podiatr Med Assoc 91(3): 132-141, 2001)