EFFICACY OF LOW LEVEL LASER THERAPY ON WOUND HEALING IN PATIENTS WITH TYPE 2 DIABETIC FOOT ULCERS

M Manivannan, E Jayakanthan

Abstract


Objective:The aim of this study was to find the effect of low level LASER therapy on wound healing in patients with type 2 diabetic foot ulcers.

Methodology:Quasi experimental pretest–posttest type, Inclusion criteria was patient with type 2 Diabetic foot ulcer of both gender, Age 50–70 and exclusion criteria was osteomyelitis and traumatic scars. Applying inclusion and exclusion criteria,10 subjects with type 2 Diabetic foot ulcer were selected and consent was taken, Ulcer area was calculated by obtaining the impression of ulcer on a sheet of cellophane paper and then transferring the imprint onto a graph paper. LASER was given with duration of exposure calculated to deliver 2–4 J/cm2 at 60mW,5kHz, daily for 15 days.

Results: Initial mean size of ulcer was 911.4580mm2,the final area of ulcer after the treatment with LASER for a duration of 15 days was 835.4430mm2.Mean reduction in ulcer area was 76.0150mm2.There was a significant reduction in the size of ulcer post the treatment of LASER and the p-value was p<0.001 shows the size of ulcer was significantly reduced.CONCLUSION: Low Level LASER therapy is effective modality to facilitate wound healing in patients with Type 2 Diabetic foot ulcers.


Keywords


Diabetes mellitus, type 2 Diabetic foot ulcers, LASER.

Full Text:

10-13

References


Bal A, Das AK, Pendsey S, Suresh KR, Vishwanathan V, Ambardekar P. Handbook of diabetic foot care.Bangalore: Diabetic Foot Society of India; 2005.

Brem H, Sheehan P, Rosenberg HJ, Schneider JS, Boulton AJ. Evidence-based protocol for diabetic foot ulcers.

National diabetes fact sheet: general information and national estimates on diabetes in the United States, 2002.Atlanta: US Dept of Health and Human Services; 2002.

Eldor R, Raz I, Ben Yehuda A, Boulton AJ. New and experimental approaches to treatment of diabetic foot ulcers: a comprehensive review of emerging treatment strategies. Diabet Med. 2004;21(11):1161–1173.

Millington JT, Norris TW. Effective treatment strategies for diabetic foot wounds. J Fam Pract.2000

Dyson M. Adjuvant therapies; ultrasound, laser therapy, electrical stimulation, hyperbaric oxygen and VAC-therapy. In: Morrison MJ, Moffatt CJ, Franks PJ, editors. Leg ulcers: a problem-based learning approach.Philadelphia: Mosby, Elsevier; 2007. pp. 429–451.

Rinaldi F, Alberetto M, Pontiroli A. The diabetic foot. General considerations and proposal of a new therapeutic and preventive approach. DiabetesResClinPract. 1993.

Baxter GD. Therapeutic lasers: theory and practice. Edinburgh: Churchill Livingstone; 1994

Ferney R, MauroT. Using lasers in diabetic wound healing. Diabetes TechnolTher. 1999

Damme H, Limet R. The diabetic foot. Rev Med Liege. 2005

Shobhana R, Rama Rao P, Lavanya A, Viswanathan V, Ramachandra A. Cost burden to diabetic patients with foot complications—a study from southern India

Boulton M, Marshall J. He-Ne laser stimulation of human fibroblast proliferation and attachment in vitro. Laser Life Sci.

Landau Z, Schattner A. Topical hyperbaric oxygen and low energy laser therapy for chronic diabetic foot ulcers resistant to conventional treatment.

Schindl A, Heinze G, Schindl M, Pernerstorfer-Schon H, Schindl L. Systemic effects of low-intensity laser irradiation on skin microcirculation in patients with diabetic microangiopathy.

Pereira AN, Eduardo Cde P, Matson E, Marques MM. Effect of low power laser irradiation on cell growth and procollagen synthesis of cultured fibroblasts.

Schindl M, Kerschan K, Schindl A, Schon H, Heinzl H, Schindl L. Induction of complete wound healing in recalcitrant ulcers by low-intensity laser irradiation depends on ulcer cause and size. PhotodermatolPhotoimmunolPhotomed. 1999

Maiya GA, Kumar P, Rao L. Effect of low intensity helium-neon (He-Ne) laser irradiation on diabetic wound healing dynamics. Photomed Laser Surg. 2005

Basford C. Low energy laser therapy: controversies and new research findings.

Haas AF, Isseroff RR, Wheeland RG, Rood PA, Graves PJ. Low energy helium-neon laser irradiation increases the motility of human keratinocytes.

Schindl A, Schindl M, Schon H, Knobler R, Havelec L, Schindl L. Low-intensity laser irradiation improves skin circulation in participants with diabetic microangiopathy. Diabetes Care.

Medrado AR, Pughese LS, Reis SR, Andrade ZA. Influence of low level laser therapy on wound healing and its biological action on myofibroblasts.

Koutam M, Janisch R, Veselska R. Effects of low power laser irradiation on cell proliferation. Scr Med.2003;73(3):163–172.


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