THE EFFECT OF LOW LEVEL LASER THERAPY IN THE PROCESS OF WOUND HEALING IN DIABETIC FOOT ULCER

THE EFFECT OF LOW LEVEL LASER THERAPY

IN THE PROCESS OF WOUND HEALING IN DIABETIC FOOT ULCER

Ray Indra Wibowo, Nury Nusdwinuringtyas, Elida Ilyas, Em Yunir, Surjanto Hartono

Departement of Physical Medical and Rehabilitation , Faculty of Medicine University of Indonesia/ Cipto Mangunkusumo Hospital, Jakarta, Indonesia

Abstract : The objective of this research is to enhance alternative of wound healing of diabetic foot ulcer using Low Level Laser Therapy, by evaluating the effect of Low Level Laser Therapy in the process of wound healing in diabetic foot ulcer. Research design using experimental clinical trial at Department of Physical Medicine & Rehabilitation, Metabolic & Endocrine clinic Department of Internal Medicine and inpatient ward of Dr Cipto Mangunkusumo Hospital, Jakarta. Subject of the research are 34 patients with diabetic foot ulcer, 17 in the intervention group and 17 in the control group. Both groups are homogen in terms of age distribution, BMI, duration of Diabetic Mellitus, level of HbA1C, duration of ulceration and initial ulcer size. Intervention group had standard wound dressing with NaCl 0.9% combined with Low Level Laser stimulation of 5 Joule/cm² , twice weekly. The control group had standard wound dressing with NaCl 0.9% twice weekly. Ulcer size was evaluated weekly for the duration of 5 weeks. The outcome parameter determined by changes in ulcer size and the result is the rate of wound healing in the intervention group was significantly higher than in the control group. It was found that wound dressing combined with Low Level Laser stimulation, can accelerate wound healing.

Keywords : Diabetic foot, ulcer, Low Level Laser therapy

Low Laser Power for Wound Healing of Diabetic Foot

Ray Wibowo, Nury Nusdwinuringtyas, Elida Ilyas, Em Yunir, Suryanto

ABSTRACT

Objective :

To enhance alternative of wound healing of diabetic foot ulcer using Low Level Laser Therapy, by evaluating the effect of Low Level Laser Therapy in the process of wound healing in diabetic foot ulcer

Design :

Experimental clinical trial

Setting :

Department of Physical Medicine & Rehabilitation, Metabolic & Endocrine clinic Department of Internal Medicine Dr Cipto Mangunkusumo Hospital, Jakarta and inpatient ward of Dr Cipto Mangunkusumo Hospital, Jakarta

Subject :

34 patient with diabetic foot ulcer, 17 in the intervention group and 17 in the control group. Both group are homogen in terms of age distribution, BMI, duration of Diabetic Mellitus, level of HbA1C, duration of ulcearation and initial ulcer size.

Intervention :

Intervention group had standard wound dressing with NaCl 0.9% combined with Low Level Laser stimulation of 5 Joule/cm² , twice weekly. The control group had standard wound dressing with NaCl 0.9% twice weekly. Ulcer size was evaluated weekly for the duration of 5 weeks

Main outcome measure :

Ulcer healing, determined by changes in ulcer size

Result :

Rate of wound healing in the intervention group was significantly higher than in the control group

Conclusion :

Wound dressing combined with Low Level Laser stimulation, can accelerate wound healing, determined by higher wound healing rate

Keywords : Diabetic foot, ulcer, Low Level Laser therapy

The effect of low level LASER therapy decrease pain on Carpal Tunnel Syndrome (CTS)

Abstract

Topic : The effect of low level LASER therapy decrease pain on Carpal Tunnel Syndrome (CTS)
Fadil, Hamidah. Nusdwinuringtyas ,Nury

Design : Experimental parallel study to compare decrease pain and to know the additional theurapetic effect,between grou using neutral wrist splint and low level LASER therapy (theurapeutic group) and group using neutral wrist splint ( control group)

Subject : Forty six sample with CTS come from Department Physical Medicine and Rehabilitation and referred from Neurology Depatment RSCM Hospital Jakarta

Method : Subjects were randomized into two groups : the theurapetic group compared with control group the treatment for two weeks.The pain was scored using Visual Analoque Scale (VAS) on the beginning of the study and everyday evaluation of the pain for both group

Result : Samples were analyzed with paired t test and Mann Whitney U there was significant decrease of VAS and the response was seen on the tenth day after treatment on both group ( p<>