Photobiomodulation therapy in neuroischaemic diabetic foot ulcers: A novel method of limb salvage

Arun G. Maiya, A. Sampath Kumar, Animesh Hazari, Radhika Jadhav, L. Ramachandra, H. Manjunatha Hande, Shenoy K. Rajgopal, Shubha G. Maiya, Prabath Kalkura, Laxmikant G. Keni

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective: Low-level laser therapy (also known as photobiomodulation therapy, PBMT) promotes accelerated healing of diabetic foot ulcers (DFUs), thereby preventing the risk of future complications and amputation. The aim of this study was to determine the effect of PBMT, with structured, graded mobilisation and foot care, on DFU healing dynamics. Method: Patients diagnosed with type 2 diabetes, diabetic peripheral neuropathy and presenting with a chronic neuroischaemic DFU, were treated with PBMT using scanning and non-contact probe methods. The DFU was clinically observed and the area measured every seven days until complete healing. Neuropathic parameters were also measured. The PBMT was administered until complete closure of the DFU and patients also undertook a programme of graded mobilisation. Results: A total of 17 participants were recruited, with a mean age of 69±8 years, and a mean duration of diabetes of 13±5 years. Mean complete closure time was 26±11days. In addition, a mean reduction of the semi-quantitative vibration pressure threshold from 49±2 volts to 20±4 volts was observed in all participants. Conclusion: PBMT can be effectively used as a treatment mode for neuroischaemic DFUs in patients with type 2 diabetes. Graded mobilisation with focused foot care could improve the function of people living with type 2 diabetes with a chronic DFU. Declaration of interest: The authors have no conflicts of interest to declare. The study is supported by the World Diabetes Foundation funded project 'Diabetic foot care: stepping ahead' (WDF-15/941), American Society of Laser Surgery and Medicine. The scientific paper is selected for travel grant support.

Original languageEnglish
Pages (from-to)837-842
Number of pages6
JournalJournal of wound care
Volume27
Issue number12
DOIs
Publication statusPublished - 02-12-2018

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Limb Salvage
Diabetic Foot
Type 2 Diabetes Mellitus
Foot
Conflict of Interest
Low-Level Light Therapy
Diabetic Neuropathies
Organized Financing
Laser Therapy
Peripheral Nervous System Diseases
Vibration
Amputation
Medicine
Pressure

All Science Journal Classification (ASJC) codes

  • Fundamentals and skills
  • Nursing (miscellaneous)

Cite this

Maiya, A. G., Kumar, A. S., Hazari, A., Jadhav, R., Ramachandra, L., Hande, H. M., ... Keni, L. G. (2018). Photobiomodulation therapy in neuroischaemic diabetic foot ulcers: A novel method of limb salvage. Journal of wound care, 27(12), 837-842. https://doi.org/10.12968/jowc.2018.27.12.837
Maiya, Arun G. ; Kumar, A. Sampath ; Hazari, Animesh ; Jadhav, Radhika ; Ramachandra, L. ; Hande, H. Manjunatha ; Rajgopal, Shenoy K. ; Maiya, Shubha G. ; Kalkura, Prabath ; Keni, Laxmikant G. / Photobiomodulation therapy in neuroischaemic diabetic foot ulcers : A novel method of limb salvage. In: Journal of wound care. 2018 ; Vol. 27, No. 12. pp. 837-842.
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abstract = "Objective: Low-level laser therapy (also known as photobiomodulation therapy, PBMT) promotes accelerated healing of diabetic foot ulcers (DFUs), thereby preventing the risk of future complications and amputation. The aim of this study was to determine the effect of PBMT, with structured, graded mobilisation and foot care, on DFU healing dynamics. Method: Patients diagnosed with type 2 diabetes, diabetic peripheral neuropathy and presenting with a chronic neuroischaemic DFU, were treated with PBMT using scanning and non-contact probe methods. The DFU was clinically observed and the area measured every seven days until complete healing. Neuropathic parameters were also measured. The PBMT was administered until complete closure of the DFU and patients also undertook a programme of graded mobilisation. Results: A total of 17 participants were recruited, with a mean age of 69±8 years, and a mean duration of diabetes of 13±5 years. Mean complete closure time was 26±11days. In addition, a mean reduction of the semi-quantitative vibration pressure threshold from 49±2 volts to 20±4 volts was observed in all participants. Conclusion: PBMT can be effectively used as a treatment mode for neuroischaemic DFUs in patients with type 2 diabetes. Graded mobilisation with focused foot care could improve the function of people living with type 2 diabetes with a chronic DFU. Declaration of interest: The authors have no conflicts of interest to declare. The study is supported by the World Diabetes Foundation funded project 'Diabetic foot care: stepping ahead' (WDF-15/941), American Society of Laser Surgery and Medicine. The scientific paper is selected for travel grant support.",
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Maiya, AG, Kumar, AS, Hazari, A, Jadhav, R, Ramachandra, L, Hande, HM, Rajgopal, SK, Maiya, SG, Kalkura, P & Keni, LG 2018, 'Photobiomodulation therapy in neuroischaemic diabetic foot ulcers: A novel method of limb salvage', Journal of wound care, vol. 27, no. 12, pp. 837-842. https://doi.org/10.12968/jowc.2018.27.12.837

Photobiomodulation therapy in neuroischaemic diabetic foot ulcers : A novel method of limb salvage. / Maiya, Arun G.; Kumar, A. Sampath; Hazari, Animesh; Jadhav, Radhika; Ramachandra, L.; Hande, H. Manjunatha; Rajgopal, Shenoy K.; Maiya, Shubha G.; Kalkura, Prabath; Keni, Laxmikant G.

In: Journal of wound care, Vol. 27, No. 12, 02.12.2018, p. 837-842.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Photobiomodulation therapy in neuroischaemic diabetic foot ulcers

T2 - A novel method of limb salvage

AU - Maiya, Arun G.

AU - Kumar, A. Sampath

AU - Hazari, Animesh

AU - Jadhav, Radhika

AU - Ramachandra, L.

AU - Hande, H. Manjunatha

AU - Rajgopal, Shenoy K.

AU - Maiya, Shubha G.

AU - Kalkura, Prabath

AU - Keni, Laxmikant G.

PY - 2018/12/2

Y1 - 2018/12/2

N2 - Objective: Low-level laser therapy (also known as photobiomodulation therapy, PBMT) promotes accelerated healing of diabetic foot ulcers (DFUs), thereby preventing the risk of future complications and amputation. The aim of this study was to determine the effect of PBMT, with structured, graded mobilisation and foot care, on DFU healing dynamics. Method: Patients diagnosed with type 2 diabetes, diabetic peripheral neuropathy and presenting with a chronic neuroischaemic DFU, were treated with PBMT using scanning and non-contact probe methods. The DFU was clinically observed and the area measured every seven days until complete healing. Neuropathic parameters were also measured. The PBMT was administered until complete closure of the DFU and patients also undertook a programme of graded mobilisation. Results: A total of 17 participants were recruited, with a mean age of 69±8 years, and a mean duration of diabetes of 13±5 years. Mean complete closure time was 26±11days. In addition, a mean reduction of the semi-quantitative vibration pressure threshold from 49±2 volts to 20±4 volts was observed in all participants. Conclusion: PBMT can be effectively used as a treatment mode for neuroischaemic DFUs in patients with type 2 diabetes. Graded mobilisation with focused foot care could improve the function of people living with type 2 diabetes with a chronic DFU. Declaration of interest: The authors have no conflicts of interest to declare. The study is supported by the World Diabetes Foundation funded project 'Diabetic foot care: stepping ahead' (WDF-15/941), American Society of Laser Surgery and Medicine. The scientific paper is selected for travel grant support.

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