Basalameh et al. 2013
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Basalamah, Mohammed & Ebid, Anwar & Thabet, Ali & El-Kafy, Ehab. (2013). Effect of Pulsed High Intensity Laser in treatment of Diabetic Foot Ulcer:a Randomized Controlled Study. Jokull. 63.
Design: Randomised Controlled Trial Subjects: 43 patients (ages 40 to 60 years) with grade II diabetic foot ulcers took part in the study. Methods: Participants were randomly assigned to either: • High Intensity Laser Therapy (HILT) group (n=22): YAG 3 sessions/week for 8 weeks plus standard medical treatment • Placebo laser group (n=21): Sham laser treatments plus standard medical treatment. Outcomes included: Wound surface area (WSA) at baseline, after 4 weeks (midpoint) and after 8 weeks. Results: • No significant difference in WSA was observed between both groups at baseline (p>0.001). • The decrease in WSA post treatment was significantly greater in the laser group (4 weeks: 4.40±0.61 cm2, 8 weeks: 0.89±0.58 cm2) as compared to the placebo group (4 weeks: 6.02±0.83 cm2, 8 weeks: 4.21±0.46 cm2) (P<0.01 for 4 and 8 weeks). • The percentage % decrease in WSA after 4 and 8 weeks for laser group was: • Laser group: 4 weeks: 31%, 8 weeks: 79%, • Placebo group: 4 weeks: 0.72%, 8 weeks: 30%.
Key message: High Intensity Laser Therapy proved to be an effective and safe therapy for treatment of chronic grade II diabetic foot ulcers patients.
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