Photobiomodulation therapy in neuroischaemic diabetic foot ulcers: a novel method of limb salvage
| Autor: | Prabath Kalkura, Laxmikant G. Keni, Shubha G Maiya, H Manjunatha Hande, Radhika Jadhav, A. Sampath Kumar, Animesh Hazari, L Ramachandra, Shenoy K Rajgopal, Arun G. Maiya |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Nursing (miscellaneous) medicine.medical_treatment Limb salvage 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Diabetic Neuropathies Laser therapy medicine Humans 030212 general & internal medicine Low-Level Light Therapy Low level laser therapy Aged Wound Healing business.industry Middle Aged Limb Salvage medicine.disease Diabetic foot Diabetic Foot Surgery Treatment Outcome Female Fundamentals and skills business |
| Zdroj: | Journal of Wound Care. 27:837-842 |
| ISSN: | 2052-2916 0969-0700 |
| Popis: | Objective: Low-level laser therapy (also known as photobiomodulation therapy, PBMT) promotes accelerated healing of diabetic foot ulcers (DFUs), thereby preventing the risk of future complications and amputation. The aim of this study was to determine the effect of PBMT, with structured, graded mobilisation and foot care, on DFU healing dynamics. Method: Patients diagnosed with type 2 diabetes, diabetic peripheral neuropathy and presenting with a chronic neuroischaemic DFU, were treated with PBMT using scanning and non-contact probe methods. The DFU was clinically observed and the area measured every seven days until complete healing. Neuropathic parameters were also measured. The PBMT was administered until complete closure of the DFU and patients also undertook a programme of graded mobilisation. Results: A total of 17 participants were recruited, with a mean age of 69±8 years, and a mean duration of diabetes of 13±5 years. Mean complete closure time was 26±11days. In addition, a mean reduction of the semi-quantitative vibration pressure threshold from 49±2 volts to 20±4 volts was observed in all participants. Conclusion: PBMT can be effectively used as a treatment mode for neuroischaemic DFUs in patients with type 2 diabetes. Graded mobilisation with focused foot care could improve the function of people living with type 2 diabetes with a chronic DFU. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|