Wound treatment using low-level laser as adjuvant therapy: an integrative literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v11i11.33276

Keywords:

Low-Level Light Therapy; Pressure Ulcer; Wound Healing; Diabetic foot.

Abstract

This paper is an integrative literature review, under descriptive qualitative design. Its goal is to evaluate the parameters of low intensity laser’s dosimetry in the treatment of lesions caused by pressure and diabetes-related ulcers more largely utilized on scientific evidences. Data was collected from Latin American and Caribbean-based literature available on Ciencias da Saude and Base de Dados de Enfermagem, through Biblioteca Virtual em Saúde; Medical Literature Analysis and Retrieval System Online, through PubMed; Web of Science; Cumulative Index of Nursing and Allied Health and EMBASE, filtered by date from 2016 to 2022. The following controlling and non-controlling key-words were used: low level lighttherapy; LLLT; laser biostimulation, laser therapy, photobiomdulation, wounds and injuries; wound healing; diabetic foot; pressure ulcer. Results: 14 studies were analyzed according to two thematic categories, so an evaluation of the parameters of the Low Intensity Laser used on lesions could be made, according to the following etiologies: diabetic wound and lesion by pressure. Conclusion: All the studies found a positive outlook regarding the use of low intensity laser on the treatment of diabetic-related lesions or the ones caused by pressure. The majority recommended a specific length of red range (558nm-660nm). There were discrepancies regarding the energy applied. Nevertheless, the majority of studies present a window from 3 J/cm2 to 6 J/cm2. The category destined to study diabetes-caused ulcers had the potency of 30mW, on the wide majority of cases. The ones related to lesions caused by pressure showed good results with potencies from 3,6mW to 100mW.

Author Biographies

Thaiz Souza Graneiro, Universidade Federal do Estado do Rio de Janeiro

Enfermeira especialista em Terapia Intensiva.

Mestre em Saúde e Tecnologia do Espaço Hospitalar - PPGSTEH -  UNIRIO 

Cristiane Rodrigues da Rocha, Universidade Federal do Estado do Rio de Janeiro

Doctor in Nursing. Specialist in Obstetrics. Associate Professor at the Department of Maternal and Child Nursing at the Alfredo Pinto School of Nursing at the Federal University of the State of Rio de Janeiro.

Lara Raquel Dias Carvalho, Centro Universitário Unifacid Wyden

Acadêmica de enfermagem

References

Armelin, M. V. A. L., Saraiva, K. V. O., Corazza, A. V., Silva, G. D., Jurado, S. R., & Sanchez, A. (2019). The use of low power laser by nurses in the treatment of cutaneous and oral lesions. Nursing (São Paulo), 22(253), 3006–3010. http://www.revistanursing.com.br/revistas/253/pg114.pdf

Bavaresco, T. (2018). O efeito do laser de baixa potência no tratamento de úlceras venosas avaliado pela Nursing Outcomes Classification (NOC): Ensaio clínico randomizado [Tese de doutorado, Escola de Enfermagem]. Repositório Científico da Universidade Federal do Rio Grande do Sul. https://lume.ufrgs.br/handle/10183/186135

Bernardes, L. O., & Jurado, S. R. (2018). Effects of laser therapy in the treatment of pressure injuries: A systematic review. CuidArte, Enferm., 9(3), 2423–2434. https://doi.org/10.15649/cuidarte.v9i3.574

Brandão, M. G. S. A., Ximenes, M. A. M., Ramalho, A. O., Veras, V. S., Barros, L. M., & Araújo, T. M. (2020). Effects of low-level laser therapy on the healing of foot ulcers in people with diabetes mellitus. Estima (Online), 18, e0320. https://doi.org/10.30886/estima.v18.844_PT

Carvalho, A. F. M., Feitosa, M. C. P., Coelho, N. P. M. F., Rebêlo, V. C. N., Castro, J. G., Sousa, P. R. G., Feitosa, V. C., & Arisawa, E. A. S. (2016). Low-level laser therapy and Calendula officinalis in repairing diabetic foot ulcers. Rev. Esc. Enferm. USP (Online), 50(4), 628–634. https://doi.org/10.1590/S0080-623420160000500013

Conselho Federal de Enfermagem. (2018). Resolução n. 567, de 29 de janeiro de 2018. Aprova o Regulamento da atuação da Equipe de Enfermagem no Cuidado aos pacientes com feridas. Cofen.

Fialho, L. M. F., Baron, M. V., Brandenburg, C., & Martins, A. B. T. (2017). Effects of Helium-Neon (HeNe) and Gallium Arsenide (GaAs) lasers associated with prevention guidelines and treatment of pressure ulcers. Rev. med. Minas Gerais (Online), 27, e-1856. http://www.dx.doi.org/10.5935/2238-3182.20170051

The Joanna Briggs Institute. (2013). New JBI Levels of Evidence. https://nursing.lsuhsc.edu/JBI/docs/LevelsEvidence/JBI-Levels-of-evidence.pdf

Mathur, R.K., Sahu, K., Saraf, S., Patheja, P., Khan, F., & P. K. Gupta. (2017). Low-level laser therapy as an adjunct to conventional therapy in the treatment of diabetic foot ulcers. Lasers med. sci., 32, 275–282. https://doi.org/10.1007/s10103-016-2109-2

Mendes, K. S., Silveira, R. C. C. P., & Galvão, C. M. (2008). Revisão integrativa: Método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & contexto enferm. (Online), 17(4), 758–764. https://doi.org/10.1590/S0104-07072008000400018

Mendes-Costa, L. S., Lima, V. G., Barbosa, M. P. R., Santos, L. E., Rosa, S. S. R. F., Tatmatsu-Rocha, J. C. (2021). Photobiomodulation: systematic review and meta-analysis of the most used parameters in the resolution diabetic foot ulcers. Lasers med. sci., 36(3), 1129–1138. https://doi.org/10.1007/s10103-020-03192-y

Oliveira, F. P., Santana, R. F., Silva, B. P., Candido, J. S. C., Tosin, M. H. S., & Oliveira, B. G. R. B. (2017). Diagnósticos de enfermagem na assistência ambulatorial ao paciente com ferida: Mapeamento cruzado. Rev. Enferm. UERJ (Online), 25, e20028. https://doi.org/10.12957/reuerj.2017.20028

Ruh, A. C., Frigo, L., Cavalcanti, M. F. X. B., Svidnicki, P., & Vicari, V. N. (2018). Laser photobiomodulation in pressure ulcer healing of human diabetic patients: Gene expression analysis of inflammatory biochemical markers. Lasers med. sci., 33(1), 165–171. https://doi.org/ff10.1007/s10103-017-2384-6ff

Santos, J. A. F., Campelo, M. B. D., Oliveira, R. A., Nicolau, R. A., Rezende, V. E. A., & Arisawa, E. A. S. (2018). Effects of low-power light therapy on the tissue repair process of chronic wounds in diabetic feet. Photomed. laser surg., 36(6), 298–304. https://doi.org/10.1089/pho.2018.4455

Santos, J. A. F., Nicolau, R. A., Sant’Anna, L. B., Paterno, J. C., Cristovam, P. C., Gomes, J. A. P., Santos, J. D. M., & Arisawa, E. A. S. (2021). Diabetic foot wounds treated with human amniotic membrane and low-level laser therapy: A pilot clinical study. Wound Manag Prev (Online), 67(8),16–23. https://doi.org/10.1089/pho.2018.4455

Santos, V. L. C. G., Oliveira, A. S. O., Amaral, A. F. S., Nishi, E. T., Junqueira, J. B., & Kim, S. H. P. (2017). Qualidade de vida de pessoas com feridas crônicas: Magnitude das mudanças e fatores preditivos. Rev. Esc. Enferm. USP (Online), 51, e03250. https://doi.org/10.1590/S1980-220X2016049603250

Sousa, R. G., & Batista, K. N. M. (2016). Laser therapy in wound healing associated with diabetes mellitus. An. bras. dermatol. (Online), 91(4), 489–493. https://doi.org/10.1590/abd1806-4841.20163778

Souza, M. T., Silva, M. D., & Carvalho, R. (2010). Revisão integrativa: O que é e como fazer. Einstein (São Paulo), 8(1), 102–106. https://doi.org/10.1590/S1679-45082010RW1134

Sutton, E., Ganie, S., Chan, C., Kaur, A, & Nussbaum, E. (2021). Photobiomodulation and diabetic foot and lower leg ulcer healing: A narrative synthesis. The Foot, 48, 101847. http://dx.doi.org/10.1016/j.foot.2021.101847

Taradaj, J., Shay, B., Dymarek, R., Sopel, M., Walewicz, K., Beeckman, D., Schoonhoven, L., Gefen, A., & Rosińczuk, J. (2018). Effect of laser therapy on expression of angio- and fibrogenic factors, and cytokine concentrations during the healing process of human pressure ulcers. Int. j. med. sci., 15(11), 1105–1112. https://doi.org/10.7150/ijms.25651

Tchanque-Fossuo, C. N., Ho, D., Dahle, S. E., Koo, E., Li, C. S., Isseroff, R. R., & Jagdeo, J. (2016). A systematic review of low-level light therapy for treatment of diabetic foot ulcer. Wound repair regen., 24(2), 418–426. https://doi.org/10.1111/wrr.12399

Published

16/08/2022

How to Cite

GRANEIRO, T. S. .; ROCHA, C. R. da; CARVALHO, L. R. D. Wound treatment using low-level laser as adjuvant therapy: an integrative literature review. Research, Society and Development, [S. l.], v. 11, n. 11, p. e84111133276, 2022. DOI: 10.33448/rsd-v11i11.33276. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/33276. Acesso em: 24 nov. 2024.

Issue

Section

Review Article