Application of photodynamic therapy, laser therapy, and a cellulose membrane for calcaneal pressure ulcer treatment in a diabetic patient: A case report

Objective: A pressure ulcer (PU) is an area of tissue trauma caused by continuous and prolonged pressure, often associated with hospitalised patients immobilised due to neurological problems, negatively affecting their quality of life, and burdening the public budget. The aim of this study was to report the follow-up, for 45 weeks, of three patients with neurological lesions due to trauma who subsequently developed PUs, and who were treated with a combination of photodynamic therapy (PDT), low level laser therapy (LLLT) and cellulose membrane (CM). Method: PDT was mediated by the photosensitiser curcumin on a 1.5% emulsion base. Blue LED light at 450 nm was delivered continuously for 12 minutes at an irradiance of 30mW/cm2 and total energy delivered to the tissue was 22J/cm2. LLLT was performed with 660 nm laser, punctuated and continuous, twice a week with parameters: spot size 0.04cm2, power of 40mW, 10 seconds per point, fluence of 10J/cm2 and irradiance of 1000mW/cm2. Results: All PUs had a significant reduction (range: 95.2–100%) of their area after 45 weeks of follow-up and two PUs had complete healing at 20 weeks and 30 weeks. All of the PUs showed a reduction in contamination with the PDT treatments in different proportions. Conclusion: From the results obtained, we conclude that the combination of PDT, LLLT and CM is a promising treatment for PU healing.

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Photodynamic Therapy, Laser Therapy and Cellulose Membrane for the Healing of Venous Ulcers: Results of a Pilot Study

Journal of Nursing & Care ◽

10.4172/2167-1168.1000387 ◽

2017 ◽

Vol 06 (02) ◽

Cited By ~ 1

Author(s):

Vitoria H Maciel Coelho ◽

Luiza D Alvares ◽

Fernanda M Carbinatto ◽

Antonio E de Aquino Junior ◽

Dora Patricia Ramirez Angarita ◽

...

Keyword(s):

Photodynamic Therapy ◽

Pilot Study ◽

Laser Therapy ◽

Cellulose Membrane ◽

Venous Ulcers

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Efficacy of deep tissue laser therapy in pressure ulcer healing in patient with quadriplegia: Case Report

Revista Pesquisa em Fisioterapia ◽

10.17267/2238-2704rpf.v11i3.3784 ◽

2021 ◽

Vol 11 (3) ◽

Author(s):

Manu Goyal ◽

Saumya Kothiyal

Keyword(s):

Case Report ◽

Laser Therapy ◽

Pressure Ulcer ◽

Near Infrared ◽

Pressure Ulcers ◽

Treatment Time ◽

Dose Range ◽

Infrared Laser ◽

Advisory Panel ◽

Class Iv

CONTEXT: Pressure ulcers (PU) are the most common complication noted in bed-ridden patients. The purpose of this case report is to explore the efficacy of class IV near-infrared laser therapy in the treatment of large and severe pressure ulcers. FINDINGS: A 53-years-old male diagnosed with quadriplegia due to cervical spine tuberculosis at level C5-C6 was admitted to a hospital with an unstageable pressure ulcer over the sacrum and National Pressure Ulcer Advisory Panel Pressure stage 3 ulcers over the right trochanteric area for pressure injury. No associated comorbidities like diabetes mellitus and hypertension were present. The Lite Cure Gallium-Aluminum-Arsenide (GaAlAs) class IV near-infrared laser, non-contact, continuous beam emission (non-pulsing) at 980nm wavelength, was used. The dosage parameters used were: 7.5 - 10 watts power; dose range 7 J/cm2 - 9 J/cm2; sacral area (13×9) cm2 and trochanteric area (10×8) cm2; at varying energy densities; treatment time ranges between 8 to 15 minutes for each ulcer. Total 19 sessions over 6 weeks were given to treat pressure ulcers. Dimensions (area) and severity stage of pressure ulcer were noted pre-intervention and after the intervention. The post-treatment data revealed the clinical improvement in both outcomes. CONCLUSION/CLINICAL SIGNIFICANCE: This case report demonstrates the anti-inflammatory, analgesic, and bio-stimulative healing effects of Class IV laser therapy treatment showing a reduction in the dimensions and severity of pressure ulcers.

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