Predictors of high and low intensity laser therapy in patients with diabetic foot ulcer: a systematic review
DOI:
https://doi.org/10.33233/fb.v24i5.5240Keywords:
laser therapy, diabetes, foot ulcersAbstract
Introduction: Diabetic foot ulcers have become one of the main problems after the diagnosis of the disease and wound healing are challenges to be overcome. Objective: To verify if the predictors of high and low intensity laser therapy can be considered as a primary indication for the selection of treatments for diabetic foot ulcers. Method: Systematic review in PubMed/Medline, Web of Science, Scopus, Lilacs databases. The PRISMA checklist was used and, for risk of bias, the Physiotherapy Evidence Database (PE-Dro). Results: The importance of the wavelength in the tissue regeneration and granulation process was identified, with the possibility of variations when in low intensity laser therapy, but with high intensity, there should be no variations. Conclusion: Laser therapy may be a primary indication as it allows for a shorter healing time and the use of both high and low intensity irradiation is suggested for a period of at least 4 and maximum 15 weeks, from 2-4 J/cm2 with 660 nm and, fixed dosage of 10 J/cm2 with 660 nm, so that multiple exposures do not occur when in high intensity radiation, since different doses of high intensity can inhibit cell proliferation.
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