Pulsed electromagnetic fields versus laser therapy on enhancing recovery of diabetic foot ulcer

A single blind randomized controlled trial

Nisreen Afify Abd El Rasheed, Noha F. Mahmoud, Hamada Ahmed Hamada, Ayman El Khatib

Research output: Contribution to journalArticleResearchpeer-review

1 Citation (Scopus)

Abstract

Background: The nature of chronic diabetic foot ulceration disables the normal stages of healing, inducing a state of pathological inflammation resulting in a delayed healing process which predisposes the patients to infections. Purpose: This study was performed to compare between laser therapy and pulsed electromagnetic field (PEMF) therapy in management of infected diabetic foot ulcers. Design: A prospective, randomized, single-blind, pre–post-test, controlled trial. Setting: Participants were referred from the Outpatient Clinic Kasr El-Ani hospital to be treated in the Outpatient Clinic, Faculty of physical Therapy, Cairo University. The study was conducted between June 2015 and August 2016. Participants: Thirty participants with diabetic foot ulcers, their age ranged from 45-60 years. Interventions: The first group (GA) received 0.5 Gauss PEMF and the second group (GB) received 10 J/cm2 Infra-red laser therapy. Main Outcome Measure: the primary outcome was wound surface area while the secondary outcome was colony count that were measured before the experiment and after 12 sessions of treatment. Results: Thirty participants with DFU (group A n=15; group B n=15) were randomized and analyzed. Comparing both groups post-program revealed that there was significant reduction in wound surface area in favor of (GB). However, no significant difference was found in colony count. Conclusion: 10 J/cm2 infra-red laser and 0.5 Gauss. PEMF are two effective and recommended modalities in management of infected diabetic foot ulcer. However, laser therapy is better for wound regeneration regarding the same used parameters of treatment.

Original languageEnglish
Pages (from-to)8509-8514
Number of pages6
JournalBiomedical Research (India)
Volume28
Issue number19
Publication statusPublished - 1 Jan 2017

Fingerprint

Diabetic Foot
Electromagnetic Fields
Laser Therapy
Electromagnetic fields
Randomized Controlled Trials
Infrared lasers
Recovery
Lasers
Ambulatory Care Facilities
Physical therapy
Wounds and Injuries
Anal Canal
Therapeutics
Regeneration
Outcome Assessment (Health Care)
Inflammation
Infection
Experiments

Keywords

  • Diabetic foot ulcers
  • Laser
  • PEMF
  • Staphylococcus

Cite this

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title = "Pulsed electromagnetic fields versus laser therapy on enhancing recovery of diabetic foot ulcer: A single blind randomized controlled trial",
abstract = "Background: The nature of chronic diabetic foot ulceration disables the normal stages of healing, inducing a state of pathological inflammation resulting in a delayed healing process which predisposes the patients to infections. Purpose: This study was performed to compare between laser therapy and pulsed electromagnetic field (PEMF) therapy in management of infected diabetic foot ulcers. Design: A prospective, randomized, single-blind, pre–post-test, controlled trial. Setting: Participants were referred from the Outpatient Clinic Kasr El-Ani hospital to be treated in the Outpatient Clinic, Faculty of physical Therapy, Cairo University. The study was conducted between June 2015 and August 2016. Participants: Thirty participants with diabetic foot ulcers, their age ranged from 45-60 years. Interventions: The first group (GA) received 0.5 Gauss PEMF and the second group (GB) received 10 J/cm2 Infra-red laser therapy. Main Outcome Measure: the primary outcome was wound surface area while the secondary outcome was colony count that were measured before the experiment and after 12 sessions of treatment. Results: Thirty participants with DFU (group A n=15; group B n=15) were randomized and analyzed. Comparing both groups post-program revealed that there was significant reduction in wound surface area in favor of (GB). However, no significant difference was found in colony count. Conclusion: 10 J/cm2 infra-red laser and 0.5 Gauss. PEMF are two effective and recommended modalities in management of infected diabetic foot ulcer. However, laser therapy is better for wound regeneration regarding the same used parameters of treatment.",
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Pulsed electromagnetic fields versus laser therapy on enhancing recovery of diabetic foot ulcer : A single blind randomized controlled trial. / El Rasheed, Nisreen Afify Abd; Mahmoud, Noha F.; Hamada, Hamada Ahmed; El Khatib, Ayman.

In: Biomedical Research (India), Vol. 28, No. 19, 01.01.2017, p. 8509-8514.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - Pulsed electromagnetic fields versus laser therapy on enhancing recovery of diabetic foot ulcer

T2 - A single blind randomized controlled trial

AU - El Rasheed, Nisreen Afify Abd

AU - Mahmoud, Noha F.

AU - Hamada, Hamada Ahmed

AU - El Khatib, Ayman

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N2 - Background: The nature of chronic diabetic foot ulceration disables the normal stages of healing, inducing a state of pathological inflammation resulting in a delayed healing process which predisposes the patients to infections. Purpose: This study was performed to compare between laser therapy and pulsed electromagnetic field (PEMF) therapy in management of infected diabetic foot ulcers. Design: A prospective, randomized, single-blind, pre–post-test, controlled trial. Setting: Participants were referred from the Outpatient Clinic Kasr El-Ani hospital to be treated in the Outpatient Clinic, Faculty of physical Therapy, Cairo University. The study was conducted between June 2015 and August 2016. Participants: Thirty participants with diabetic foot ulcers, their age ranged from 45-60 years. Interventions: The first group (GA) received 0.5 Gauss PEMF and the second group (GB) received 10 J/cm2 Infra-red laser therapy. Main Outcome Measure: the primary outcome was wound surface area while the secondary outcome was colony count that were measured before the experiment and after 12 sessions of treatment. Results: Thirty participants with DFU (group A n=15; group B n=15) were randomized and analyzed. Comparing both groups post-program revealed that there was significant reduction in wound surface area in favor of (GB). However, no significant difference was found in colony count. Conclusion: 10 J/cm2 infra-red laser and 0.5 Gauss. PEMF are two effective and recommended modalities in management of infected diabetic foot ulcer. However, laser therapy is better for wound regeneration regarding the same used parameters of treatment.

AB - Background: The nature of chronic diabetic foot ulceration disables the normal stages of healing, inducing a state of pathological inflammation resulting in a delayed healing process which predisposes the patients to infections. Purpose: This study was performed to compare between laser therapy and pulsed electromagnetic field (PEMF) therapy in management of infected diabetic foot ulcers. Design: A prospective, randomized, single-blind, pre–post-test, controlled trial. Setting: Participants were referred from the Outpatient Clinic Kasr El-Ani hospital to be treated in the Outpatient Clinic, Faculty of physical Therapy, Cairo University. The study was conducted between June 2015 and August 2016. Participants: Thirty participants with diabetic foot ulcers, their age ranged from 45-60 years. Interventions: The first group (GA) received 0.5 Gauss PEMF and the second group (GB) received 10 J/cm2 Infra-red laser therapy. Main Outcome Measure: the primary outcome was wound surface area while the secondary outcome was colony count that were measured before the experiment and after 12 sessions of treatment. Results: Thirty participants with DFU (group A n=15; group B n=15) were randomized and analyzed. Comparing both groups post-program revealed that there was significant reduction in wound surface area in favor of (GB). However, no significant difference was found in colony count. Conclusion: 10 J/cm2 infra-red laser and 0.5 Gauss. PEMF are two effective and recommended modalities in management of infected diabetic foot ulcer. However, laser therapy is better for wound regeneration regarding the same used parameters of treatment.

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