Photobiomodulation in the treatment of pressure injuries: an integrative review
Keywords:Healing; Wounds; Lasers.
Pressure injuries can be defined as damage to the skin and adjacent soft tissues, usually over bony eminence, caused by prolonged exposure to friction, pressure and shear forces. Thus, the involvement of this type of injury in patients is directly added to the recovery and quality of life of patients. Since, due to the presence of multiple epidemiological factors, the healing of such chronic skin lesions does not occur properly. . Thus, the present study aimed, through an integrative review, to describe the benefits of photobiomodulation in the treatment of pressure injuries. In this sense, the researchers point out that low-level laser therapy works by reducing the migration of inflammatory cells (neutrophils and leukocytes). Improving edema and increasing growth factors, developing a tissue recovery process. However, the controversies regarding the standardization of the parameters to be applied in the therapy make it difficult to choose the dosage to be used. Thus, the need and importance of continuation of research covering the theme is highlighted.
Bardin, L. (1977). Análise de Conteúdo. Edições 70.
Caldas, G. R. F., da Silva, J. W. L., de Oliveira, I. L., de Melo, H. S. L. C., da Silva Santos, I., Galdino, A. T. S., ... & da Silva, C. R. L. (2021). Lesão por pressão: riscos para o desenvolvimento. Research, Society and Development, 10(13), e474101321389-e474101321389.
Delavary, B. M., van der Veer, W. M., van Egmond, M., Niessen, F. B., & Beelen, R. H. (2011). Macrophages in skin injury and repair. Immunobiology, 216(7), 753-762.
Dixit, S., Agrawal, P. R., Sharma, D. K., & Singh, R. P. (2014). Closure of chronic non healing ankle ulcer with low level laser therapy in a patient presenting with thalassemia intermedia: Case report. Indian Journal of Plastic Surgery, 47(03), 432-435.
Donoso, M. T. V., Barbosa, S. A. S., Simino, G. P. R., Couto, B. R. G. M., Ercole, F. F., & Barbosa, J. A. G. (2019). Análise de custos do tratamento de lesão por pressão em pacientes internados. Revista de Enfermagem do Centro-Oeste Mineiro, 9.
Ebrahiminaseri, A., Sadeghizadeh, M., Moshaii, A., Asgaritarghi, G., & Safari, Z. (2021). Combination treatment of dendrosomal nanocurcumin and low-level laser therapy develops proliferation and migration of mouse embryonic fibroblasts and alter TGF-β, VEGF, TNF-α and IL-6 expressions involved in wound healing process. PloS one, 16(5), e0247098.
Gomes, T. F., Pedrosa, M. M., de Toledo, A. C. L., Arnoni, V. W., dos Santos Monteiro, M., Piai, D. C., ... & Ferreira, B. (2018). Bactericide effect of methylene blue associated with low-level laser therapy in Escherichia coli bacteria isolated from pressure ulcers. Lasers in medical science, 33(8), 1723-1731.
Haesler, E. (2014). National pressure ulcer advisory panel, european pressure ulcer advisory panel and pan pacific pressure injury alliance. Prevention and treatment of pressure ulcers: quick reference guide, 14-32.
Heiskanen, V., & Hamblin, M. R. (2018). Photobiomodulation: lasers vs. light emitting diodes?. Photochemical & Photobiological Sciences, 17(8), 1003-1017.
Machado, R. S., Viana, S., & Sbruzzi, G. (2017). Low-level laser therapy in the treatment of pressure ulcers: systematic review. Lasers in medical science, 32(4), 937-944.
Mendes, K. D. S., Silveira, R. C. D. C. P., & Galvão, C. M. (2019). Uso de gerenciador de referências bibliográficas na seleção dos estudos primários em revisão integrativa. Texto & Contexto-Enfermagem, 28, e20170204.
Piva, J. A. D. A. C., Abreu, E. M. D. C., Silva, V. D. S., & Nicolau, R. A. (2011). Ação da terapia com laser de baixa potência nas fases iniciais do reparo tecidual: princípios básicos. Anais Brasileiros de Dermatologia, 86, 947-954.
Qaseem, A., Humphrey, L. L., Forciea, M. A., Starkey, M., Denberg, T. D., & Clinical Guidelines Committee of the American College of Physicians*. (2015). Treatment of pressure ulcers: a clinical practice guideline from the American College of Physicians. Annals of internal medicine, 162(5), 370-379.
Romanelli, M., Piaggesi, A., Scapagnini, G., Dini, V., Janowska, A., Iacopi, E., ... & EUREKA Study Group. (2018). Evaluation of fluorescence biomodulation in the real-life management of chronic wounds: the EUREKA trial. Journal of wound care, 27(11), 744-753.
Rosa, L. P., da Silva, F. C., Vieira, R. L., Tanajura, B. R., da Silva Gusmão, A. G., de Oliveira, J. M., ... & Bagnato, V. S. (2017). Application of photodynamic therapy, laser therapy, and a cellulose membrane for calcaneal pressure ulcer treatment in a diabetic patient: a case report. Photodiagnosis and Photodynamic Therapy, 19, 235-238.
Ruh, A. C., Frigo, L., Cavalcanti, M. F. X. B., Svidnicki, P., Vicari, V. N., Lopes-Martins, R. A. B., ... & Favero, G. M. (2018). Laser photobiomodulation in pressure ulcer healing of human diabetic patients: gene expression analysis of inflammatory biochemical markers. Lasers in medical science, 33(1), 165-171.
Stefanello, T. D., & Hamerski, C. R. (2006). Tratamento de úlcera de pressão através do laser AsGa de 904 nm: um relato de caso. Arq. ciências saúde UNIPAR, 99-103.
Taradaj, J., Shay, B., Dymarek, R., Sopel, M., Walewicz, K., Beeckman, D., ... & 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. International journal of medical sciences, 15(11), 1105.
Teixeira, A. K. S., Nascimento, T. D. S., Sousa, I. D., Sampaio, L. R. L., & Pinheiro, A. R. M. (2017). Incidência de lesões por pressão em Unidade de Terapia Intensiva em hospital com acreditação. Rev Estima, 15(2), 152-60.
Thome Lima, A. M. C., da Silva Sergio, L. P., da Silva Neto Trajano, L. A., de Souza, B. P., da Motta Mendes, J. P., Cardoso, A. F. R., ... & de Souza da Fonseca, A. (2020). Photobiomodulation by dual-wavelength low-power laser effects on infected pressure ulcers. Lasers in medical science, 35(3), 651-660.
Vocci, M. C., Saranholi, T. L., Miot, H. A., & Abbade, L. P. F. (2022). Intensive Care Pressure Injuries: A Cohort Study Using the CALCULATE and Braden Scales. Advances in skin & wound care, 35(3), 1-8.
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