Wound Surface Area and Colony Count of Various Modes of Phototherapy

Background: The degree of tissue damage caused by related inflammatory and immunological sequelae poses a major therapeutic treatment problem in burn wounds. Chronic wounds frequently have a significant bioburden and pathogens that are resistant to antibiotics. This review article discusses present research on phototherapy, which is believed to be useful in managing wound bioburden and promoting healing.Objective: To evaluate the wound healing efficacy of polarized light therapy (BLT) against low-level laser therapy (GaAs laser) in order to determine which is more efficient and successful at speeding burn healing.Subject and methods: The current study enrolled thirty patients having partial thickness thermal burn on the forearm (dermal burn). They were selected from Burn Unit at Legislation Association Hospital for Burns & Oncology. They were randomly assigned into two equal groups: Group (A) that included fifteen patients who received the BLT with mean age of 28.8 ± 2.51 years old and group (B) that enrolled fifteen patients who received LLLT with mean age of 29.6 ± 2.79 years old. Both groups also received traditional physical therapy and conservative treatment for the burn site three times weekly for four weeks.Results: Group A and B showed a significant reduction in colony count and wound surface area after treatment in comparison to that before treatment (p > 0.001). In group A, the colony count and wound surface area decreased by 38.63% and 55.1% respectively, but in group B, by 15.6% and 37.92% respectively.Conclusion: Both polarized light therapy and low-level laser therapy had a therapeutic efficiency on wound healing, but BLT is more efficient and more successful in the acceleration of the burned wounds healing

Post-Mastectomy Shoulder Pain and Lymphedema Responses to Ga-As Laser Versus Microcurrent Electrical Stimulation

Objective: to evaluate the efficacy of GA-AS laser against microcurrent electrical stimulation on postmastectomy shoulder pain as well as lymphedema. Method: a double blinded randomized controlled study. sixty breast cancer patients with lymph-edema stage I and II ,40-55 years old were assigned randomly into study -group A, n = 20 or study -group B, (n = 20) in addition to control group C, (n = 20). The study group was given 20 minutes GA-AS laser, 90 minutes complete decongestive therapy (CDT). study -group B received 20 minutes of microcurrent electrical stimulation (MENS) and 90minutes CDT, control group C was given 90 minutes CDT. All treatment interventions were applied at a frequency of three sessions per week for 12 weeks. Arm volume calculated by circumference measurement, Shoulder and Hand (DASH) questionnaire as well as pain intensity utilizing a visual analogue scale (VAS) were measured at before and following 12 weeks of treatment. Results: a statistically significant difference has been detected in limb volume, DASH questionnaire as well as VAS favoring the study group A ((p = 0.001).) and the study group B ((p = 0.001). following 12 weeks of intervention. The mean (SD) for limb-volume, DASH questionnaire as well as pain score were 1236.74 ± 43.34, 27.21 ± 7.16, and 3.20 ± 0.62in the study group A, and 1331.76 ± 46.92, 34.52 ± 4.38 and 3.90 ± 0.78in the study group B and 1390.18 ± 58.77 ml, 40.68 ± 6.93and 5.30 ± 0.86in the control group C respectively. Conclusion: adding GA-AS laser and microcurrent electrical stimulation to the conventional physical therapy program had a valuable effect than traditional physical therapy program alone in improving postmastectomy shoulder pain as well as lymphedema

Effect of gallium arsenide laser versus pulsed electromagnetic field on healing of pressure ulcers patients

Purpose: to evaluate the effect of Gallium Arsenide laser versus pulsed electromagnetic field on healing of pressure ulcers. Methods of evaluation: - (Measurement of the ulcer surface area (USA), ulcer volume measurement (UVM) and the colony count (CC). Methods: 40 diabetic patients with pressure ulcers grade II, their ages ranged from 40 – 60 years, were divided randomly into two equal groups in number. Group (A) Gallium arsenide (Ga-As) laser group:  This group was consisted of 20 patients who received the Gallium arsenide (Ga-As) laser therapy 3 times per week for 2 months  in addition to the routine conventional treatment (dressing – manage bacterial contamination – relieve pressure, friction, and shear – remove necrotic debris – correct nutritional deficits). Group (B) PEMFT  group:  20 patients who received the Pulsed electromagnetic field therapy (PEMFT) 3 times per week for 2 months  in addition to the routine conventional treatment (dressing – manage bacterial contamination – relieve pressure, friction, and shear – remove necrotic debris – correct nutritional deficits). Results: Results showed that both the Ga-As laser and the PEMFT, were significantly effective in improving healing of pressure ulcers as manifested by the highly decreased USA, UVM and CC in both groups.&nbsp

Efficacy of polarized light therapy versus monochromatic infrared energy in the treatment of venous leg ulcer

Purpose: To evaluate the effects of polarized light therapy versus monochromatic infrared energy in the treatment of venous leg ulcers. Methods of evaluation: - (Measurement of the ulcer surface area (USA) and the ulcer volume measurement (UVM). Methods: Forty patients suffering from stage 2 lower limb venous ulcers were selected randomly from the vascular and general surgeries departments of Kasr-El-Aini Hospital. These patients were divided randomly into two equal groups in number: One was treated with the polarized light therapy (BLT) besides the regular ulcer care (topical and general medications as well as the intermittent surgical curettage) for three months, while the other was treated with the monochromatic infrared energy (MIRE) therapy, medical treatment and the and the regular ulcer care (topical and general medications as well as the intermittent surgical curettage) for three months or till healing, their ages were ranged from 50 to 65 years. Results: Results showed that both the BLT and MIRE were effective in enhancing the healing of the lower limb venous ulcers as manifested by the highly significant decreases in ulcer surface area  (USA) and ulcer volume measurement  (UVM)

Low level laser therapy versus polarized light therapy on healing of foot burn

Purpose: to evaluate the efficacy of the low level laser therapy (LLLT) versus polarized light therapy (BLT) on healing of foot burn. Methods of evaluation (Burn surface area and colony count). Methods: Forty patients who had partial thickness thermal burn affecting foot with the percentage of total body surface area (TBSA) ranging from 1% to 5%. Their ages were ranged from 25 to 35 years, diagnosis was clinically by physician, the patients were randomly divided into two equal groups in number; two study groups (one for LLLT and the other for BLT). The first study group (A) was composed of twenty patients who received the LLLT in addition to the traditional physical therapy routine and conservative treatment of the burn wound for one month. The second study group (B) was composed of twenty patients who received the BLT in addition to traditional physical therapy routine and conservative treatment for the burn wound. Duration of treatment was session (10 minutes) once daily, three times per week for one month or until wound healing. Results and Conclusion: Results showed that the application of both polarized light therapy and Ga-As laser had a valuable healing effect.&nbsp

Effect of polarized light therapy versus low level laser therapy on oral mucositis in cancer patients receiving chemotherapy

Purpose: to evaluate the efficacy of polarized light therapy versus low level laser therapy on oral mucositis in cancer patients receiving chemotherapy. Methods of evaluation (Measurement of the WHO oral mucositis scale and the Common toxicity criteria scale).  Methods: Forty cancer patients receiving chemotherapy (Males and Females) who had oral mucositis, ulceration pain and their ages ranged from 30 to 55 years were divided into two groups. Group (A) composed of 20 patients received the low level laser therapy (LLLT) in addition to the routine medical care of oral mucositis Group (B) composed of 20 patients received Bioptron light therapy (BLT) in addition to the routine medical care of oral mucositis, duration of the BLT or LLLT application was 10 minutes applied daily for 30 days. Results and conclusion: Results showed that application of both the BLT and the LLLT had a valuable healing effect on oral mucositis in cancer patients receiving chemotherapy as evidenced by the highly decreases of the WHO oral mucositis scale and the Common toxicity criteria scale. But low level laser therapy (LLLT) was more beneficial than the Bioptron light therapy (BLT)

Pulsed electromagnetic field therapy versus extracorporeal shock wave therapy in the treatment of iliohypogastric neuralgia postinguinal herniorrhaphy

To evaluate the efficacy of pulsed electromagnetic field therapy versus extracorporeal shock wave therapy in the treatment of iliohypogastric neuralgia post inguinal herniorraphy.Measurement of the serum cortisol level and the carbamazepin medicament intake. 40 male and female patients with iliohypogastric neuralgia post inguinal herniorraphy were divided into two groups. Group (A)  received the thoracolumbar pulsed electromagnetic field therapy.Group (B) received the thoracolumbar extracorporeal shock wave therapy, duration of treatment was 20 minutes, every other day for the 3 months as a total period of treatment in addition to the traditional physical therapy and medical care for 3 months in group (A) and in group (B)  the following parameters were used as following: 1,000 impulses; energy flux density (ED) varied from the lowest (0.08 mJ/mm2) to the highest energy level (0.44 mJ/mm2), depending on patient’s pain tolerance, on the trigger point area,over the thoracolumbar region paravertebrally once every two weeks for 12 weeks (3 months) on the affected side, the handpiece of the ESWT device was positioned perpendicular on the target area of treatment and moved circular over gel that was used over the target area of treatment in addition to the traditional physical therapy and medical care for 3 months.&nbsp