Potential effects of extracorporeal shock wave therapy and photobiomodulation in the treatment of older adults with diabetic foot ulcer

Fatma Aboelmagd M, Samah A. Moawd, Salah Eldin Bassit Elsayed, Anju Verma


Fatma Aboelmagd M, Samah A. Moawd, Salah Eldin Bassit Elsayed, Anju Verma – Potential effects of extracorporeal shock wave therapy and photobiomodulation in the treatment of older adults with diabetic foot ulcer. A randomized clinical trial. Fizjoterapia Polska 2022; 22(2); 186-192

Abstract
Purpose of the study. To compare between the effectiveness of extracorporeal shock wave therapy (ESWT), photobiomodulation(PBMT) and patients receiving routine physical therapy(PT) on tissue viability, pain, and quality of life in older adults with diabetic foot ulcer.
Methods. Forty-five older adults with diabetic foot ulcer (age, 62-70 years) were enrolled into a randomized control trial with parallel group design, assigned into three equal groups; two study groups (ESWT group and PBMT group), and control group (CG). All the groups received the routine PT program, in addition, ESWT group received ESWT and PBMT group received LLLT. Tissue viability, pain, and quality of life (QoL) were assessed pre- and immediately post-treatment.
Results. Non-significant differences in the outcome measures between groups pre-treatment(P > 0.05). Regarding the post-treatment, the study groups showed significant improvements in the study outcome measures (P < 0.001), whereas the control group did not show significant changes (p ˃ 0.05).
Conclusion. ESWT and PBMT produced similar effects on tissue viability, pain, and QoL in older adults with DFU.
Key words:
diabetic foot ulcer, extracorporeal shock wave therapy, photobiomodulation, older adults
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