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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The Influence of Photobiomodulation on Pain and Knee Swelling in Patients Post Knee Arthroplasty

Ahmed Mahmoud Nasr Tolba, Rania N. Karkousha, Fatma Seddek Amin, Adham ARE Elgeidi

Ahmed Mahmoud Nasr Tolba, Rania N. Karkousha, Fatma Seddek Amin, Adham ARE Elgeidi – The Influence of Photobiomodulation on Pain and Knee Swelling in Patients Post Knee Arthroplasty. Fizjoterapia Polska 2021; 21(1); 114-118

Abstract
Purpose. This study aimed to investigate the effect of Photobiomodulation on pain and immediate swelling after knee arthroplasty. Materials and Methods. 40 patients with knee arthroplasty participated in this study. Their ages ranged from 50-70 years. They were assigned randomly into two equal groups; control and study groups. Control group received intensive functional rehabilitation program only. Study group received a laser dose of 6 J/cm2 at the surgical incision, medial and lateral femoral condyle, patellar up and down, and popliteal space with 650 nm continuous wave, 60 seconds/point with total dose of 48J each session and intensive functional rehabilitation program. All patients received 12 treatment sessions in six weeks. The pain was measured by pressure algometer and level of knee swelling was measured by tape measurement. Results. Both groups showed significant difference in all variables between pre and post treatment (P < 0.05). Regarding between groups pretreatment statistics, no significant difference was found in level of knee swelling (P > 0.05) and significant difference in level of pain intensity (P < 0.05). While post treatment statistics showed significant difference in pain and knee swelling (P < 0.05). Conclusion. Photobiomodulation is effective in improving pain and knee swelling after knee arthroplasty. Also, it can be concluded that adding photobiomodulation to rehabilitation program after knee arthroplasty gives more improvement in level of pain and knee swelling.
Key words:
photobiomodulation, pain, swelling, knee arthroplasty
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