Effects of laser therapy on patients with diabetic foot
DOI:
https://doi.org/10.22491/2357-9730.99616Abstract
Introduction: Diabetic foot ulcers are a major cause of nontraumatic amputations. Low-level laser therapy (LLLT) has shown good results in accelerating chronic wound
healing, 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 ulcer
healing 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 on
the literature regarding the best parameters to apply this technique.
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