Effects and parameterization of low-level laser therapy in diabetic ulcers: an umbrella review of systematic reviews and meta-umbrella.
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| Title: | Effects and parameterization of low-level laser therapy in diabetic ulcers: an umbrella review of systematic reviews and meta-umbrella. |
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| Authors: | Miranda, Mariana Bezerra1,2 (AUTHOR) mariana.miranda@ufdpar.edu.br, Alves, Rayana Fontenele1,2 (AUTHOR) rayanafontenele@hotmail.com, da Rocha, Rebeca Barbosa1 (AUTHOR) rebecarocha.fisioterapeuta@gmail.com, Cardoso, Vinicius Saura1,2 (AUTHOR) vscfisio@ufdpar.edu.br |
| Source: | Lasers in Medical Science. 2/21/2025, Vol. 40 Issue 1, p1-13. 13p. |
| Abstract: | This study aimed to systematically verify the available systematic reviews and meta-analyses of Low-level laser therapy (LLLT) in diabetic foot ulcer (DFUs) to identify the effects and optimal parameters of LLLT in the management of DFUs. This umbrella review was written according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) report items and registered in the International Prospective Register of Systematic Review (PROSPERO). The search for articles was performed in the Pubmed, Scopus, Web of Science and Embase databases. The following terms were used: Diabetic Foot, Diabetic Neuropathies, Peripheral Vascular Diseases, Peripheral Neuropathy, Diabetic Foot Ulcer, LASER Therapy, Low-Level Light Therapy, LLLT, LASER Biostimulation, Low Intensity LASER Irradiation, Low Power LASER Irradiation, Low Intensity LASER Therapy, Low Power LASER Therapy. A search was performed in the references section of the included studies. The systematic review (SR) included studies that compared LLLT with non-therapeutic doses (parameters considered low to modify healing), sham irradiation, and conventional DFU treatment. The interventions were performed using red and infrared wavelengths. Although two studies included in the SR used wavelengths below 600 nm, these were combined with diodes with infrared wavelengths within the same device. Another study performed a comparative analysis of LLLT at different wavelengths (632 nm and 904 nm), with area reduction rates of 63.7% and 56.8%, respectively, with no statistically significant difference. This is study indicated that, compared with standard treatment and non-irradiation treatments, the use of photobiomodulation (PBM) with different parameters was effective in promoting UPD healing. Further studies are warranted to determine the ideal parameters for improving patient outcomes. (International Prospective Register of Systematic Review Registration number: CRD42022362447). [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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| Header | DbId: egs DbLabel: Engineering Source An: 183310186 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Effects and parameterization of low-level laser therapy in diabetic ulcers: an umbrella review of systematic reviews and meta-umbrella. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Miranda%2C+Mariana+Bezerra%22">Miranda, Mariana Bezerra</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<i> mariana.miranda@ufdpar.edu.br</i><br /><searchLink fieldCode="AR" term="%22Alves%2C+Rayana+Fontenele%22">Alves, Rayana Fontenele</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<i> rayanafontenele@hotmail.com</i><br /><searchLink fieldCode="AR" term="%22da+Rocha%2C+Rebeca+Barbosa%22">da Rocha, Rebeca Barbosa</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> rebecarocha.fisioterapeuta@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Cardoso%2C+Vinicius+Saura%22">Cardoso, Vinicius Saura</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<i> vscfisio@ufdpar.edu.br</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Lasers+in+Medical+Science%22">Lasers in Medical Science</searchLink>. 2/21/2025, Vol. 40 Issue 1, p1-13. 13p. – Name: Abstract Label: Abstract Group: Ab Data: This study aimed to systematically verify the available systematic reviews and meta-analyses of Low-level laser therapy (LLLT) in diabetic foot ulcer (DFUs) to identify the effects and optimal parameters of LLLT in the management of DFUs. This umbrella review was written according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) report items and registered in the International Prospective Register of Systematic Review (PROSPERO). The search for articles was performed in the Pubmed, Scopus, Web of Science and Embase databases. The following terms were used: Diabetic Foot, Diabetic Neuropathies, Peripheral Vascular Diseases, Peripheral Neuropathy, Diabetic Foot Ulcer, LASER Therapy, Low-Level Light Therapy, LLLT, LASER Biostimulation, Low Intensity LASER Irradiation, Low Power LASER Irradiation, Low Intensity LASER Therapy, Low Power LASER Therapy. A search was performed in the references section of the included studies. The systematic review (SR) included studies that compared LLLT with non-therapeutic doses (parameters considered low to modify healing), sham irradiation, and conventional DFU treatment. The interventions were performed using red and infrared wavelengths. Although two studies included in the SR used wavelengths below 600 nm, these were combined with diodes with infrared wavelengths within the same device. Another study performed a comparative analysis of LLLT at different wavelengths (632 nm and 904 nm), with area reduction rates of 63.7% and 56.8%, respectively, with no statistically significant difference. This is study indicated that, compared with standard treatment and non-irradiation treatments, the use of photobiomodulation (PBM) with different parameters was effective in promoting UPD healing. Further studies are warranted to determine the ideal parameters for improving patient outcomes. (International Prospective Register of Systematic Review Registration number: CRD42022362447). [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab 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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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s10103-025-04366-2 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 13 StartPage: 1 Titles: – TitleFull: Effects and parameterization of low-level laser therapy in diabetic ulcers: an umbrella review of systematic reviews and meta-umbrella. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Miranda, Mariana Bezerra – PersonEntity: Name: NameFull: Alves, Rayana Fontenele – PersonEntity: Name: NameFull: da Rocha, Rebeca Barbosa – PersonEntity: Name: NameFull: Cardoso, Vinicius Saura IsPartOfRelationships: – BibEntity: Dates: – D: 21 M: 02 Text: 2/21/2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 02688921 Numbering: – Type: volume Value: 40 – Type: issue Value: 1 Titles: – TitleFull: Lasers in Medical Science Type: main |
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