Volume 9, Issue 2 (lasers in medicine 2012)
lmj 2012, 9(2): 36-41 |
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Kazemi khoo N, Hajizade M, Hashem Dabaghian F. Effects of low level laser therapy on grades II and III of diabetic foot ulcers. lmj 2012; 9 (2) :36-41
URL: http://icml.ir/article-1-259-en.html
URL: http://icml.ir/article-1-259-en.html
Department of Medical Genetics, Tehran University of medical sciences, Tehran, Iran.
Abstract: (5859 Views)
Objective: The aim of this study was to evaluate the effect of Low Level laser Therapy on foot ulcers in diabetic type 2 patients.
Background: Lasers have been used in medicine for more than 40 years. Recently, they have been examined for the potential application of enhancing wound healing. Ulcers in diabetic patients are more difficult to heal, due to reduced microcirculation and other disorders that affect wound healing.
Material and Methods: 30 type 2 diabetic patients, with grade 2 and 3 diabetic foot ulcers were treated with low level laser therapy. The mean duration of diabetes was 14.3 years and ulcers were present since average 3.4 months ago. Sessions were every other day for 10-15 sessions and then continuing the course two times a week until complete healing or reduced grading to 1.
Results: Mean wound's area before treatment was 43.5 cm2 (range: 0.09- 62.5), after about 18 sessions (range: 8-46) of therapy it was 0.3 cm2 (range: 0- 1.7), P<0.001. There was no relapse or other problem with ulcers during 3 months of follow-up. With this treatment regimen, there were no side-effects reported by the patients.
Conclusion: Low level laser therapy could be a safe and effective method for treatment of diabetic foot ulcers. However, clinical trials with higher sample size are proposed to evaluate more the efficacy of low level laser therapy in treatment of this type of wounds.
Background: Lasers have been used in medicine for more than 40 years. Recently, they have been examined for the potential application of enhancing wound healing. Ulcers in diabetic patients are more difficult to heal, due to reduced microcirculation and other disorders that affect wound healing.
Material and Methods: 30 type 2 diabetic patients, with grade 2 and 3 diabetic foot ulcers were treated with low level laser therapy. The mean duration of diabetes was 14.3 years and ulcers were present since average 3.4 months ago. Sessions were every other day for 10-15 sessions and then continuing the course two times a week until complete healing or reduced grading to 1.
Results: Mean wound's area before treatment was 43.5 cm2 (range: 0.09- 62.5), after about 18 sessions (range: 8-46) of therapy it was 0.3 cm2 (range: 0- 1.7), P<0.001. There was no relapse or other problem with ulcers during 3 months of follow-up. With this treatment regimen, there were no side-effects reported by the patients.
Conclusion: Low level laser therapy could be a safe and effective method for treatment of diabetic foot ulcers. However, clinical trials with higher sample size are proposed to evaluate more the efficacy of low level laser therapy in treatment of this type of wounds.
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