Photobiomodulation: systematic review and meta-analysis of the most used parameters in the resolution diabetic foot ulcers.

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Title: Photobiomodulation: systematic review and meta-analysis of the most used parameters in the resolution diabetic foot ulcers.
Authors: dos Santos Mendes-Costa, Luan1, de Lima, Vanessa Garcia2, Barbosa, Maria Paula Ribeiro1, dos Santos, Ludmila Evangelista3, de Siqueira Rodrigues Fleury Rosa, Suélia3, Tatmatsu-Rocha, José Carlos1,3 tatmatsu@gmail.com
Source: Lasers in Medical Science. Aug2021, Vol. 36 Issue 6, p1129-1138. 10p.
Subjects: Diabetic foot, Clinical trials, Wound healing, Dermatology, Photobiomodulation therapy
Abstract: The most common photobiomodulation parameters used to aid in the treatment of diabetic foot ulcers were investigated in this paper. The databases MEDLINE, LILACS, MEDCARIB, PAHO-IRIS, and WHOLIS were searched with the following descriptors: diabetic foot ulcers AND low-level laser therapy OR low-level therapy AND wound healing; this search was conducted from January of 2014 to December of 2019. Inclusion criteria were randomized clinical trials on humans. Exclusion criteria were systematic reviews, literature reviews, studies with animals, studies lacking photobiomodulation parameters, and studies with non-diabetic individuals. The Jadad scale was used in order to analyze the methodological quality of the matching papers. There were seventeen studies found on PubMed and four on LILACS. Among these, seven were selected, according to the inclusion and exclusion criteria. Two out of the seven matching studies obtained a high score, and five obtained a low score, on the Jadad scale. The studies settled on the use of 600-nm and 800-nm wavelength spectrum. Most of the analyzed papers on photobiomodulation on diabetic foot ulcers did not describe the detailed parameters in their methodology. None of the studies featured the maximum score with regard to the Jadad scale for methodological quality. The relations of energy versus wavelength and power versus wavelength were divergent among the parameters on the papers. Therefore, it is necessary to analyze the parameters for an optimized power value in order to improve the results of the treatment. [ABSTRACT FROM AUTHOR]
Copyright of Lasers in Medical Science is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Photobiomodulation: systematic review and meta-analysis of the most used parameters in the resolution diabetic foot ulcers.
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  Data: <searchLink fieldCode="AR" term="%22dos+Santos+Mendes-Costa%2C+Luan%22">dos Santos Mendes-Costa, Luan</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22de+Lima%2C+Vanessa+Garcia%22">de Lima, Vanessa Garcia</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Barbosa%2C+Maria+Paula+Ribeiro%22">Barbosa, Maria Paula Ribeiro</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22dos+Santos%2C+Ludmila+Evangelista%22">dos Santos, Ludmila Evangelista</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22de+Siqueira+Rodrigues+Fleury+Rosa%2C+Suélia%22">de Siqueira Rodrigues Fleury Rosa, Suélia</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Tatmatsu-Rocha%2C+José+Carlos%22">Tatmatsu-Rocha, José Carlos</searchLink><relatesTo>1,3</relatesTo><i> tatmatsu@gmail.com</i>
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  Data: <searchLink fieldCode="JN" term="%22Lasers+in+Medical+Science%22">Lasers in Medical Science</searchLink>. Aug2021, Vol. 36 Issue 6, p1129-1138. 10p.
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  Data: <searchLink fieldCode="DE" term="%22Diabetic+foot%22">Diabetic foot</searchLink><br /><searchLink fieldCode="DE" term="%22Clinical+trials%22">Clinical trials</searchLink><br /><searchLink fieldCode="DE" term="%22Wound+healing%22">Wound healing</searchLink><br /><searchLink fieldCode="DE" term="%22Dermatology%22">Dermatology</searchLink><br /><searchLink fieldCode="DE" term="%22Photobiomodulation+therapy%22">Photobiomodulation therapy</searchLink>
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  Data: The most common photobiomodulation parameters used to aid in the treatment of diabetic foot ulcers were investigated in this paper. The databases MEDLINE, LILACS, MEDCARIB, PAHO-IRIS, and WHOLIS were searched with the following descriptors: diabetic foot ulcers AND low-level laser therapy OR low-level therapy AND wound healing; this search was conducted from January of 2014 to December of 2019. Inclusion criteria were randomized clinical trials on humans. Exclusion criteria were systematic reviews, literature reviews, studies with animals, studies lacking photobiomodulation parameters, and studies with non-diabetic individuals. The Jadad scale was used in order to analyze the methodological quality of the matching papers. There were seventeen studies found on PubMed and four on LILACS. Among these, seven were selected, according to the inclusion and exclusion criteria. Two out of the seven matching studies obtained a high score, and five obtained a low score, on the Jadad scale. The studies settled on the use of 600-nm and 800-nm wavelength spectrum. Most of the analyzed papers on photobiomodulation on diabetic foot ulcers did not describe the detailed parameters in their methodology. None of the studies featured the maximum score with regard to the Jadad scale for methodological quality. The relations of energy versus wavelength and power versus wavelength were divergent among the parameters on the papers. Therefore, it is necessary to analyze the parameters for an optimized power value in order to improve the results of the treatment. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Lasers in Medical Science is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s10103-020-03192-y
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      – SubjectFull: Wound healing
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              Text: Aug2021
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