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Erschienen in: Lasers in Medical Science 6/2021

15.11.2020 | Review Article

Photobiomodulation: systematic review and meta-analysis of the most used parameters in the resolution diabetic foot ulcers

verfasst von: Luan dos Santos Mendes-Costa, Vanessa Garcia de Lima, Maria Paula Ribeiro Barbosa, Ludmila Evangelista dos Santos, Suélia de Siqueira Rodrigues Fleury Rosa, José Carlos Tatmatsu-Rocha

Erschienen in: Lasers in Medical Science | Ausgabe 6/2021

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Abstract

The most common photobiomodulation parameters used to aid in the treatment of diabetic foot ulcers were investigated in this paper. The databases MEDLINE, LILACS, MEDCARIB, PAHO-IRIS, and WHOLIS were searched with the following descriptors: diabetic foot ulcers AND low-level laser therapy OR low-level therapy AND wound healing; this search was conducted from January of 2014 to December of 2019. Inclusion criteria were randomized clinical trials on humans. Exclusion criteria were systematic reviews, literature reviews, studies with animals, studies lacking photobiomodulation parameters, and studies with non-diabetic individuals. The Jadad scale was used in order to analyze the methodological quality of the matching papers. There were seventeen studies found on PubMed and four on LILACS. Among these, seven were selected, according to the inclusion and exclusion criteria. Two out of the seven matching studies obtained a high score, and five obtained a low score, on the Jadad scale. The studies settled on the use of 600-nm and 800-nm wavelength spectrum. Most of the analyzed papers on photobiomodulation on diabetic foot ulcers did not describe the detailed parameters in their methodology. None of the studies featured the maximum score with regard to the Jadad scale for methodological quality. The relations of energy versus wavelength and power versus wavelength were divergent among the parameters on the papers. Therefore, it is necessary to analyze the parameters for an optimized power value in order to improve the results of the treatment.
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Metadaten
Titel
Photobiomodulation: systematic review and meta-analysis of the most used parameters in the resolution diabetic foot ulcers
verfasst von
Luan dos Santos Mendes-Costa
Vanessa Garcia de Lima
Maria Paula Ribeiro Barbosa
Ludmila Evangelista dos Santos
Suélia de Siqueira Rodrigues Fleury Rosa
José Carlos Tatmatsu-Rocha
Publikationsdatum
15.11.2020
Verlag
Springer London
Erschienen in
Lasers in Medical Science / Ausgabe 6/2021
Print ISSN: 0268-8921
Elektronische ISSN: 1435-604X
DOI
https://doi.org/10.1007/s10103-020-03192-y

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