Document Detail


Phototherapy promotes healing of chronic diabetic leg ulcers that failed to respond to other therapies.
MedLine Citation:
PMID:  19588536     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: We tested the hypothesis that combined 660 and 890 nm LED phototherapy will promote healing of diabetic ulcers that failed to respond to other forms of treatment. RESEARCH DESIGN AND METHODS: A double-blind randomized placebo controlled design was used to study 23 diabetic leg ulcers in two groups of 14 patients. Group one ulcers were cleaned, dressed with 1% silver sulfadiazine cream and treated with "placebo" phototherapy (<1.0 J cm(-2)) twice per week, using a Dynatron Solaris 705(R) device. Group two ulcers were treated similarly but received 3 J cm(-2) dose. RESULTS: At each of 15, 30, 45, 60, 75, and 90 days of healing, mean ulcer granulation and healing rates were significantly higher for group two than the "placebo" group (P < 0.02). While "placebo" treated ulcers worsened during the initial 30 days, group two ulcers healed rapidly; achieving 56% more granulation and 79.2% faster healing by day 30, and maintaining similarly higher rates of granulation and healing over the "placebo" group all through. By day 90, 58.3% of group two ulcers had healed fully and 75% had achieved 90-100% healing. In contrast, only one "placebo" treated ulcer healed fully by day 90; no other ulcer attained > or =90% healing. CONCLUSION: Combined 660 and 890 nm light promotes rapid granulation and healing of diabetic ulcers that failed to respond to other forms of treatment.
Authors:
Debora G Minatel; Marco Andrey C Frade; Suzelei C França; Chukuka S Enwemeka
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Lasers in surgery and medicine     Volume:  41     ISSN:  1096-9101     ISO Abbreviation:  Lasers Surg Med     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-15     Completed Date:  2009-11-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8007168     Medline TA:  Lasers Surg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  433-41     Citation Subset:  IM    
Copyright Information:
Copyright 2009 Wiley-Liss, Inc.
Affiliation:
Department of Biotechnology, University of Ribeirão Preto, Ribeirão Preto, Brazil.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Cohort Studies
Diabetes Mellitus, Type 2 / complications*,  pathology,  physiopathology
Double-Blind Method
Female
Granulation Tissue / pathology,  radiation effects
Humans
Laser Therapy, Low-Level / instrumentation*
Lasers, Semiconductor / therapeutic use*
Leg Ulcer / etiology,  pathology,  radiotherapy*
Male
Middle Aged
Treatment Outcome
Wound Healing / radiation effects*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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