Wound treatment using low-level laser as adjuvant therapy: an integrative literature review
DOI:
https://doi.org/10.33448/rsd-v11i11.33276Keywords:
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.
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
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Thaiz Souza Graneiro; Cristiane Rodrigues da Rocha; Lara Raquel Dias Carvalho
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.