Comparative study on laser and LED influence on tissue repair and improvement of neuropathic symptoms during the treatment of diabetic ulcers

Lasers Med Sci. 2019 Sep;34(7):1365-1371. doi: 10.1007/s10103-019-02724-5. Epub 2019 Feb 4.

Abstract

To compare the influence of laser and LED on tissue repair and neuropathic symptoms during treatment of diabetic foot. An intervention survey conducted in a health center located in Brazil, contemplating ten sessions, twice a week, with randomization in two groups. In one group, the wounds were treated with GaAlAs laser, with a wavelength of 830 nm, 30 mW, and power density 0.84 W/cm2, the other group by LED 850 nm, 48 mW, and power density 1.05 W/cm2. For the analysis of wound size, photographic records analyzed by the ImageJ® software were used, and the neuropathy evaluation card examined. With regard to the laser group, a reduction in wound extension of 79.43% was observed at the end of the 10th session; the patients in the LED group had a 55.84% decrease in the healing process; comparing the two therapies was observed a better healing in the participants of the laser group, with 81.17%, in relation to the LED after the end of the sessions; regarding the evaluation of the neuropathic condition, there was a significant improvement in both therapies. There was improvement of the neuropathic signs and symptoms, also improvement of the tissue repair in the two therapeutic modalities; however, the laser presented a higher rate of speed in relation to the LED.

Keywords: Diabetes mellitus; Lasers; Phototherapy; Ulcers.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Diabetic Foot / surgery*
  • Diabetic Neuropathies / complications*
  • Female
  • Humans
  • Laser Therapy*
  • Lasers, Semiconductor / therapeutic use
  • Low-Level Light Therapy
  • Male
  • Middle Aged
  • Wound Healing / radiation effects*