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http://dx.doi.org/10.6114/jkood.2016.29.4.014

Review of the Properties of the Laser and the Spectrum of Laser Instruments for Diabetic Ulcer  

Kang, Ki-wan (Department of Internal medicine, College of Korean medicine, Woosuk University)
Kang, Ja-yeon (Department of Internal medicine, College of Korean medicine, Woosuk University)
Jeong, Min-jeong (Department of Pediatrics, College of Korean medicine, Woosuk University)
Kim, Hong-jun (Department of Prescription, College of Korean medicine, Woosuk University)
Seo, Hyung-sik (Department of Ophthalmology, Otolaryngology and Dermatology, School of Korean Medicine, Pusan National University)
Jang, In-soo (Department of Internal medicine, College of Korean medicine, Woosuk University)
Publication Information
The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology / v.29, no.4, 2016 , pp. 14-23 More about this Journal
Abstract
Objectives : One of major complications of diabetes, diabetic ulcer is also one of the main reasons for amputation, and the prevalence rate is 4-10%. Laser therapy is widely used for leg ulcer and diabetic ulcer, and it is known to improve wound epithelialization, cellular content, and collagen deposition. The purpose of this study is to investigate the properties of the laser and the spectrum of laser instruments for diabetic ulcer. Methods : We performed literature search using the PubMed, Cochrane, CINAHL and Web of science for the data in English. In addition, other databases were checked for different languages such as OASIS and NDSL for the literature in Korean, CNKI in Chinese, and CiNii and J-STAGE written in Japanese. We excluded all review article and experimental studies, and only clinical studies using laser or light emitting diode (LED) for diabetic ulcer were selected. Results : A total twenty papers were selected. Different light sources were used as follows: LED, HeNe, InGaAlP, GaAlAs, GaAs, CO2, and KTP. The number of LED studies was 9, and HeNe laser was 7, and InGaAlP and GaAlAs laser was 2, GaAs, CO2, and KTP laser was 1 for each. Various energy density of the clinical study were reported. Conclusions : It is suggested that to select appropriate laser type and give the adequate output power to treat diabetic ulcer. Further evaluation and research for the condition of laser therapy to treat diabetic ulcers are warranted.
Keywords
Diabetic ulcer; Diabetic foot; Laser therapy; LLLT; Photobiomodulation;
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Times Cited By KSCI : 3  (Citation Analysis)
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1 Abd El-Kader SM, Ashmawy EM. Impact of Different Therapeutic Modalities on Healing of Diabetic Foot Ulcers. Eur J Gen Med. 2015;12(4):319-25.
2 Kajagar BM, Godhi AS, Pandit A, Khatri S. Efficacy of Low Level Laser Therapy on Wound Healing in Patients with Chronic Diabetic Foot Ulcers-A Randomised Control Trial. Indian J Surg. 2012;74(5):359-63.   DOI
3 Sun XH, Bian YJ, Bian XP. A Case Report of Abdominal Diabetic Chronic Ulcer Treated with Semiconductor Laser. Chin J Laser Med Surg. 2012;21(2):130-1.
4 Kaviani A, Djavid GE, Ataie-Fashtami L, Fateh M, Ghodsi M, Salami M, et al. A Randomized Clinical Trial on the Effect of Low-Level Laser Therapy on Chronic Diabetic Foot Wound Healing: A Preliminary Report. Photomed Laser Surg. 2011;29(2):109-16.   DOI
5 Minatel DG, Frade MA, Franca SC, Enwemeka CS. Phototherapy Promotes Healing of Chronic Diabetic Leg Ulcers That Failed to Respond to Other Therapies. Lasers Surg Med. 2009;41(6):433-41.   DOI
6 Minatel DG, Enwemeka CS, Franca SC, Frade MA. Phototherapy (LEDs 660/890㎚) in the treatment of leg ulcers in diabetic patients: case study. An Bras Dermatol. 2009;84(3):279-83.   DOI
7 Park HW. Efficiency of a Low Level Laser to the Wound in the Foot of a Diabetic Patient: Case Report. J Korean Photodyn Assoc. 2007:4(1):40-2.
8 Kazemi-Khoo N. Successful treatment of diabetic foot ulcers with low-level laser therapy. The Foot. 2006;16(4):184-7.   DOI
9 Nteleki B, Abrahamse H, Houreld NN. Conventional podiatric intervention and phototherapy in the treatment of diabetic ulcers. Semin Vasc Surg. 2015;28(3-4):172-83.   DOI
10 Schindl A, Heinze G, Schindl M, Pernerstorfer-Schon H, Schindl L. Systemic Effects of Low-Intensity Laser Irradiation on Skin Microcirculation in Patients with Diabetic Microangiopathy. Microvasc Res. 2002;64(2):240-6.   DOI
11 Lagan KM, Maxter GD, Ashford RL. Combined phototherapy low intensity laser therapy in the management of diabetic ischaemic and neuropathic ulceration: A sigle case series investigation. Laser Ther. 1998;10:103-10.   DOI
12 Landau Z, Schattner A. Topical Hyperbaric Oxygen and Low Energy Laser Therapy for Chronic Diabetic Foot Ulcers Resistant to Conventional Treatment. Yale J Biol Med. 2001;74(2):95-100.
13 Schindl M, Kerschan K, Schindl A, SchoEn H, Heinzl H, Schindl L. Induction of complete wound healing in recalcitrant ulcers by low intensity laser irradiation depends on ulcer cause and size. Photodermatol Photoimmunol Photomed. 1999;15(1):18-21.   DOI
14 Schindl A, Schindl M, Pernerstorfer-Schon H, Kerschan K, Knobler R, Schindl L. Diabetic Neuropathic Foot Ulcer: Successful Treatment by Low-Intensity Laser Therapy. Dermatology. 1999;198(3):314-6.   DOI
15 Schindl A, Schindl M, Schon H, Knobler R, Havelec L, Schindl L. Low-Intensity Laser Irradiation Improves Skin Circulation in Patients With Diabetic Microangiopathy. Diabetes Care. 1988;21(4):580-4.   DOI
16 Landau Z. Topical hyperbaric oxygen and low energy laser for the treatment of diabetic foot ulcers. Arch Orthop Trauma Surg. 1998;117(3):156-8.   DOI
17 Rinaldi F, Alberetto M, Pontiroli A. The diabetic foot. General considerations and proposal of a new therapeutic and preventive approach. Diabetes Res Clin Pract. 1993;21(1):43-9.   DOI
18 Tuner J, Hode L. Laser Therapy Clinical Practice and Scientific Background. Jang IS Trans. Seoul:Jeongdam. 2011:29-35, 41-2, 45-8, 75-7.
19 Seo DK, Lee HS. Management of Diabetic Foot Ulcer. J Korean Foot Ankle Soc. 2014;18(1):1-7.   DOI
20 National Health Insurance Service. 2014 Statistical Yearbook on the Usage of Medical Services by Region [cited 2015 Oct 3] Available from: URL: http://www.mohw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=8&CONT_SEQ=326989.
21 Lee DJ, Kim CY, Kwon K, Seo HS. Case Study on Treating Acne Scar Using Hani-maehwa Laser. J Korean Med Ophthalmol Otolaryngol Dermatol. 2016;29(2):106-11.
22 Singh N, Armstrong DG, Lipsky BA. Preventing Foot Ulcers in Patients With Diabetes. JAMA. 2005;293(2):217-28.   DOI
23 Litscher G, Shikora D. Laserneedle-Acupuncture Science and Practice. Seoul: Medical Korea. 2007:160.
24 Hwang EH, Yang CS, Jang IS. The Spectrum of Laser Instruments for Laser Acupuncture Application. The Acupuncture. 2009;26(1):49-57.
25 Carvalho AF, Feitosa MC, Coelho NP, Rebelo VC, Castro JG, Sousa PR, et al. Low-level laser therapy and Calendula officinalis in repairing diabetic foot ulcers. Rev Esc Enferm USP. 2016;50(4):626-34.
26 Sanati MH, Torkaman G, Hedayati M, Alamdari MI. Effect of Ga-As Laser on Decrease of Wound Surface Area and ABI Value In Diabetic Foot Ulcers. J Zanjan Univ Med Sci Health Serv. 2016;24(103):20-31.
27 Feitosa MC, Carvalho AF, Feitosa VC, Coelho IM, Oliveira RA, Arisawa EA. Effects of the Low-Level Laser Therapy (LLLT) in the process of healing diabetic foot ulcers. Acta Cir Bras. 2015;30(12):852-7.   DOI
28 Monami M, Genovese S, Anichini R, Fondelli C, Romagnoli F, Bartoli N, et al. Randomised, double-blind versus placebo, proof of concept clinical trial to evaluate efficacy and safety of g.68.y/etoh in diabetic infected foot ulcers (DANTE study). Diabetologia. 2012;55(Suppl1):S476.
29 World Association of Laser Therapy. Consensus agreement on the design and conduct of clinical studies with low-level laser therapy and light therapy for musculoskeletal pain and disorders. Photomed Laser Surg. 2006;24(6):761-2.   DOI
30 Zhang LJ. Case Series of He-Ne Laser Therapy with Surgery in Diabetic Foot Ulcer. Chin Community Doctors. 2012;14:92.
31 Cao JH, Yang XJ, Gao YL, Liu JL, Wei FY, Zhang YH. Clinical study of Laser Therapy with Oointment in Diabetic Foot Ulcer. Chin Rural Health. 2015;6(12):31.
32 Santomauro AC Jr., Tardivo JP, Mascarenas BM, Ramiro RE, Santomauro AT, Correa JA, et al. A New Proposal for the Treatment of Patients with Diabetic Foot Photodynamic Therapy. Diabetes. 2015;64(Suppl1):A185-6.