Effects of laser therapy on patients with diabetic foot

Detalhes bibliográficos
Autor(a) principal: Cordeiro, André Luiz
Data de Publicação: 2022
Outros Autores: Freitas, Ana Beatriz Silva, Pereira, Érica Fernanda Grisóstomo, Mota, Maria Taynan Santana, Barros, Roberto Moreno
Tipo de documento: Artigo
Idioma: por
Título da fonte: Clinical and Biomedical Research
Texto Completo: https://seer.ufrgs.br/index.php/hcpa/article/view/99616
Resumo: Introduction: Diabetic foot ulcers are a major cause of nontraumatic amputations. Low-level laser therapy (LLLT) has shown good results in accelerating chronic woundhealing, especially in conditions of reduced microcirculation. Therefore, the objective this study was evaluate the effects of LLLT on the treatment of patients with diabetic foot.Methodology: We conducted a systematic review in the electronic databases PubMed, LILACS, and SciELO, with no restrictions on date of publication. The following terms were used: “Diabetes Mellitus”, “Hyperglycemia”, “Lasers”, “Diabetic Foot”, and “Pressure Ulcer”, in English and Portuguese. We excluded nonrandomized studies,case reports, clinical observations, and reviews. The Cochrane Collaboration was used to evaluate the methodological quality of the studies.Results: The search yielded 24 articles, of which 18 were excluded because they did not fit the study objective. Study results on the use of LLLT for diabetic ulcerhealing were statistically significant. Only one study had no statistical significance when compared to the control group. Still, all studies showed LLLT to be effective,even if indirectly.Conclusion: The use of LLLT promotes important effects on the improvement of wound healing in patients with diabetic ulcers. However, there is no consensus onthe literature regarding the best parameters to apply this technique.
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spelling Effects of laser therapy on patients with diabetic footEfeitos da laserterapia em pacientes com pé diabéticoIntroduction: Diabetic foot ulcers are a major cause of nontraumatic amputations. Low-level laser therapy (LLLT) has shown good results in accelerating chronic woundhealing, especially in conditions of reduced microcirculation. Therefore, the objective this study was evaluate the effects of LLLT on the treatment of patients with diabetic foot.Methodology: We conducted a systematic review in the electronic databases PubMed, LILACS, and SciELO, with no restrictions on date of publication. The following terms were used: “Diabetes Mellitus”, “Hyperglycemia”, “Lasers”, “Diabetic Foot”, and “Pressure Ulcer”, in English and Portuguese. We excluded nonrandomized studies,case reports, clinical observations, and reviews. The Cochrane Collaboration was used to evaluate the methodological quality of the studies.Results: The search yielded 24 articles, of which 18 were excluded because they did not fit the study objective. Study results on the use of LLLT for diabetic ulcerhealing were statistically significant. Only one study had no statistical significance when compared to the control group. Still, all studies showed LLLT to be effective,even if indirectly.Conclusion: The use of LLLT promotes important effects on the improvement of wound healing in patients with diabetic ulcers. However, there is no consensus onthe literature regarding the best parameters to apply this technique.Introdução: As úlceras de pé diabético representam uma importante causa de amputações não-traumáticas. A terapia com laser de baixa intensidade tem demonstrado bons resultados ao acelerar a cicatrização de feridas crônicas, sobretudo em condições de microcirculação reduzida. Objetivo: Avaliar os efeitos da laserterapia no tratamento dos pacientes com pé diabético. Metodologia: Tratou-se de uma revisão sistemática de estudos contidos nas bases de dados eletrônicos PubMed, Lilacs e Scielo, sem restrição de ano, utilizando os descritores “Diabetes Mellitus”, “Diabetes”, “Hiperglicemia”, “Laser”, “Laserterapia”, “Pé diabético” na língua inglesa e portuguesa. Foram excluídos os estudos não-randomizados, relatos de caso, observações clínicas e revisões. A Escala Physiotherapy Evidence Database (PEDro) foi utilizada para analisar a qualidade metodológica dos estudos. Resultados: Foram encontrados 84 artigos, sendo excluídos 80 por não se adequarem ao objetivo do estudo. Em três dos estudos incluídos o uso de laserterapia mostrou-se como uma forma de tratamento eficaz para pacientes com pés diabéticos, acelerando o processo de reparação tecidual e consequentemente diminuindo o tamanho da ferida e apenas em um estudo não foi possível constatar melhora na redução da úlcera, a justificativa para isso pode estar no curto período de observação. Conclusão: O uso da laserterapia é uma intervenção que promove efeitos importantes na melhora da cicatrização das feridas em pacientes em úlceras diabéticas. No entanto, não há congruência na literatura de quais são os parâmetros mais adequados para aplicação dessa técnica.HCPA/FAMED/UFRGS2022-05-25info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-reviewed Systematic Reviewapplication/pdfhttps://seer.ufrgs.br/index.php/hcpa/article/view/99616Clinical & Biomedical Research; Vol. 42 No. 1 (2022): Clinical and Biomedical ResearchClinical and Biomedical Research; v. 42 n. 1 (2022): Clinical and Biomedical Research2357-9730reponame:Clinical and Biomedical Researchinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSporhttps://seer.ufrgs.br/index.php/hcpa/article/view/99616/84847Copyright (c) 2022 Clinical and Biomedical Researchhttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCordeiro, André LuizFreitas, Ana Beatriz SilvaPereira, Érica Fernanda GrisóstomoMota, Maria Taynan SantanaBarros, Roberto Moreno2024-01-19T14:12:51Zoai:seer.ufrgs.br:article/99616Revistahttps://www.seer.ufrgs.br/index.php/hcpaPUBhttps://seer.ufrgs.br/index.php/hcpa/oai||cbr@hcpa.edu.br2357-97302357-9730opendoar:2024-01-19T14:12:51Clinical and Biomedical Research - Universidade Federal do Rio Grande do Sul (UFRGS)false
dc.title.none.fl_str_mv Effects of laser therapy on patients with diabetic foot
Efeitos da laserterapia em pacientes com pé diabético
title Effects of laser therapy on patients with diabetic foot
spellingShingle Effects of laser therapy on patients with diabetic foot
Cordeiro, André Luiz
title_short Effects of laser therapy on patients with diabetic foot
title_full Effects of laser therapy on patients with diabetic foot
title_fullStr Effects of laser therapy on patients with diabetic foot
title_full_unstemmed Effects of laser therapy on patients with diabetic foot
title_sort Effects of laser therapy on patients with diabetic foot
author Cordeiro, André Luiz
author_facet Cordeiro, André Luiz
Freitas, Ana Beatriz Silva
Pereira, Érica Fernanda Grisóstomo
Mota, Maria Taynan Santana
Barros, Roberto Moreno
author_role author
author2 Freitas, Ana Beatriz Silva
Pereira, Érica Fernanda Grisóstomo
Mota, Maria Taynan Santana
Barros, Roberto Moreno
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Cordeiro, André Luiz
Freitas, Ana Beatriz Silva
Pereira, Érica Fernanda Grisóstomo
Mota, Maria Taynan Santana
Barros, Roberto Moreno
description Introduction: Diabetic foot ulcers are a major cause of nontraumatic amputations. Low-level laser therapy (LLLT) has shown good results in accelerating chronic woundhealing, especially in conditions of reduced microcirculation. Therefore, the objective this study was evaluate the effects of LLLT on the treatment of patients with diabetic foot.Methodology: We conducted a systematic review in the electronic databases PubMed, LILACS, and SciELO, with no restrictions on date of publication. The following terms were used: “Diabetes Mellitus”, “Hyperglycemia”, “Lasers”, “Diabetic Foot”, and “Pressure Ulcer”, in English and Portuguese. We excluded nonrandomized studies,case reports, clinical observations, and reviews. The Cochrane Collaboration was used to evaluate the methodological quality of the studies.Results: The search yielded 24 articles, of which 18 were excluded because they did not fit the study objective. Study results on the use of LLLT for diabetic ulcerhealing were statistically significant. Only one study had no statistical significance when compared to the control group. Still, all studies showed LLLT to be effective,even if indirectly.Conclusion: The use of LLLT promotes important effects on the improvement of wound healing in patients with diabetic ulcers. However, there is no consensus onthe literature regarding the best parameters to apply this technique.
publishDate 2022
dc.date.none.fl_str_mv 2022-05-25
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Systematic Review
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://seer.ufrgs.br/index.php/hcpa/article/view/99616
url https://seer.ufrgs.br/index.php/hcpa/article/view/99616
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://seer.ufrgs.br/index.php/hcpa/article/view/99616/84847
dc.rights.driver.fl_str_mv Copyright (c) 2022 Clinical and Biomedical Research
http://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 Clinical and Biomedical Research
http://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv HCPA/FAMED/UFRGS
publisher.none.fl_str_mv HCPA/FAMED/UFRGS
dc.source.none.fl_str_mv Clinical & Biomedical Research; Vol. 42 No. 1 (2022): Clinical and Biomedical Research
Clinical and Biomedical Research; v. 42 n. 1 (2022): Clinical and Biomedical Research
2357-9730
reponame:Clinical and Biomedical Research
instname:Universidade Federal do Rio Grande do Sul (UFRGS)
instacron:UFRGS
instname_str Universidade Federal do Rio Grande do Sul (UFRGS)
instacron_str UFRGS
institution UFRGS
reponame_str Clinical and Biomedical Research
collection Clinical and Biomedical Research
repository.name.fl_str_mv Clinical and Biomedical Research - Universidade Federal do Rio Grande do Sul (UFRGS)
repository.mail.fl_str_mv ||cbr@hcpa.edu.br
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