Effect of gallium arsenide laser versus pulsed electromagnetic field on healing of pressure ulcers patients
Keywords:
gallium arsenide (Ga-As) laser, pulsed electromagnetic field therapy, pressure ulcersAbstract
Purpose: to evaluate the effect of Gallium Arsenide laser versus pulsed electromagnetic field on healing of pressure ulcers. Methods of evaluation: - (Measurement of the ulcer surface area (USA), ulcer volume measurement (UVM) and the colony count (CC). Methods: 40 diabetic patients with pressure ulcers grade II, their ages ranged from 40 – 60 years, were divided randomly into two equal groups in number. Group (A) Gallium arsenide (Ga-As) laser group: This group was consisted of 20 patients who received the Gallium arsenide (Ga-As) laser therapy 3 times per week for 2 months in addition to the routine conventional treatment (dressing – manage bacterial contamination – relieve pressure, friction, and shear – remove necrotic debris – correct nutritional deficits). Group (B) PEMFT group: 20 patients who received the Pulsed electromagnetic field therapy (PEMFT) 3 times per week for 2 months in addition to the routine conventional treatment (dressing – manage bacterial contamination – relieve pressure, friction, and shear – remove necrotic debris – correct nutritional deficits). Results: Results showed that both the Ga-As laser and the PEMFT, were significantly effective in improving healing of pressure ulcers as manifested by the highly decreased USA, UVM and CC in both groups.
Downloads
References
Aaron RZ, Cimbor DA and Simon BS, (2004): "treatment of nonunion fracture with electric and electromagnetic fields". ClinorthtopRelat Res (419):21-29.
Al Rashoud AS, Abboud RJ and Wang W et al., (2014): Efficacy of low-level laser therapy applied at acupuncture points in knee osteoarthritis: a randomized double-blind comparative trial. Physiotherapy, 100(3), 242-248.
Alfredo PP, Bjordal JM and Dreyer SH et al., (2012): Efficacy of low level laser therapy associated with exercises in knee osteoarthritis: a randomized double-blind study. Clinical rehabilitation, 26(6), 523-533.
Amirlak B and Shahabi L, (2017): Skin Anatomy. The integumentary system 7.2: layers of the skin.
Armstrong DG, Boulton AJ and Bus SA et al., (2017): Diabetic Foot Ulcers and Their Recurrence. N Engl J Med; 376:2367.
Attinger CE, Steinberg JS and Meyr AJ et al., (2010): Debridement of the Diabetic Foot Wound. In: Clinical Care of the Diabetic Foot, Second Edition, Armstrong DG, Lavery LA (Eds), American Diabetes Association, Alexandria. p.49.
Avci P, Gupta A and Sadasivam M et al., (2013): Low-level laser (light) therapy (LLLT) in skin: stimulating, healing, restoring. In Seminars in cutaneous medicine and surgery (Vol. 32, No. 1, p. 41). NIH Public Access.
Ay S and Evcik D, (2009): The effects of pulsed electromagnetic fields in the treatment of knee osteoarthritis: a randomized, placebo-controlled trial. Rheumatol Int 29:663-666.
Bachl N, Ruoff G and Wessner B et al., (2008): Electromagnetic interventions in musculoskeletal disorders. Clin Sports Med 27:87-105.
Basso FG, Oliveira CF and Kurachi C et al., (2013): Biostimulatory effect of low-level laser therapy on keratinocytes in vitro. Lasers Med Sci 2013 28(2): 367-374.
Baxter GD, Bell AH and Allen JJ, (2007): Low level laser therapy: current clinical practice in Northern Ireland. Physiotherapy.77:171–178.
Benbow MV, (2007): Diagnosing and assessing wounds. J. of Community Nurs; 21 (8): 26 – 34.
Biga LM, (2019) : Anatomy and Physiology. The integumentary system 5.1: layers of the skin.
Bluestein DK and Javaheri AL, (2008): Pressure ulcers: prevention, evaluation, and management, Am Fam Physicians. 2008; 78 (10): 1186-1194, 1195-1196
Calvin MY, (2008): “Cutaneous Wound Repair.” Laser and wounds, 15 (4): Pp 22-34.
Cavalcanti MF, Silva UH and Leal-Junior EC et al., (2016): Comparative Study of the Physiotherapeutic and Drug Protocol and Low-Level Laser Irradiation in the Treatment of Pain Associated With Temporomandibular Dysfunction. Photomed Laser Surg. [Epub ahead of print].
Chang AC Derman AB and Edward JG, (2011): A comparison of wound area measurement techniques: visitrak versus photography. Journal of plastic surgery vol.11 p.158
Chen YT, Wang HH and Wang TJ et al., (2016): Early application of low-level laser may reduce the incidence of postherpetic neuralgia (PHN). J Am Acad Dermatol. 2016;75(3):572-7.
Clijsen R, Brunner A and Barbero M et al., (2019): Effects of low-level laser therapy on pain in patients with musculoskeletal disorders: a systematic review and meta-analysis. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28145397.
Cotler HB, Chow RT and Hamblin MR et al., (2015): The use of low level laser therapy (LLLT) for musculoskeletal pain. MOJ orthopedics & rheumatology, 2(5).
Da Silva JP, Da Silva MA and Almeida AP et al., (2010): Laser therapy in the tissue repair process: a literature review. Photomedicine and laser surgery, 28(1), 17-21
Frigo L, Fávero GM and Lima HJ et al., (2010): Low-level laser irradiation (InGaAlP-660 nm) increases fibroblast cell proliferation and reduces cell death in a dose-dependent manner. Photomed Laser Surg; 28 Suppl 1: S151-S156.
Hinton PR, (2004): "Statistics Explained"2nd Ed. Rutledge Taylor &Francis Group London Pp149-155.
Kheshie AR, Alayat MS and Ali MM et al., (2014): High- intensity versus low-level laser therapy in the treatment of patients with knee osteoarthritis: a randomized controlled trial. Lasers in medical science, 29(4), 1371-1376.
Koh TJ and DiPietro LA, (2011): Inflammation and wound healing: the role of the macrophage. Expert Rev Mol Med; 13:e23.
Law D, McDonough S and Bleakley C et al., (2015): Laser acupuncture for treating musculoskeletal pain: a systematic review with meta-analysis. Journal of acupuncture and meridian studies, 8(1), 2-16.
Nguyen DT, Orgill DP, and Murphy GF, (2009): The pathophysiological basis for wound healing and cutaneous regeneration. Biomaterials for treating skin loss. Wood head Publishing p.25-27.
Pipkin FB, (1984): Medical statistics made easy. Edinburgh London. Melbourne and New York.
Szymanska J, Goralczyk K and Klawe JJ et al., (2013): Phototherapy with low-level laser influences the proliferation of endothelial cells and vascular endothelial growth factor and transforming growth factor-beta secretion. J Physiol Pharmacol 2013;64(3): 387-391.
Whitney JL, (2005): Overview: acute and chronic wounds. Nurs Clin N Am. 40:191-205.
Widana, I.K., Sumetri, N.W., Sutapa, I.K., Suryasa, W. (2021). Anthropometric measures for better cardiovascular and musculoskeletal health. Computer Applications in Engineering Education, 29(3), 550–561. https://doi.org/10.1002/cae.22202
Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). Health and treatment of diabetes mellitus. International Journal of Health Sciences, 5(1), i-v. https://doi.org/10.53730/ijhs.v5n1.2864
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. 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 acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.








