The Effect of Combined 650 nm and Infrared Laser on Chronic Diabetic Foot Ulcer Surface Area:

NCT ID: NCT05517863

Last Updated: 2023-10-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

45 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-03-01

Study Completion Date

2022-07-27

Brief Summary

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Objective: investigate the effect of combined 650 nm and infrared laser on chronic diabetic foot ulcer surface area.

Participants: The forty five patients will assigned randomly into three equal groups, each group consist of 15 patients, group A received laser therapy in sequential mode, group B received laser therapy in separate mode and the control group C receive traditional wound care

Detailed Description

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Objective: investigate the effect of combined 650 nm and infrared laser on chronic diabetic foot ulcer surface area.

Participants: The forty five patients will assigned randomly into three equal groups, each group consist of 15 patients, group A received laser therapy in sequential mode, group B received laser therapy in separate mode and the control group C receive traditional wound care Outcomes: the primary outcomes were the wound surface area measurement, % of wound complete closure and % of days needed for surface area reduction before and after receiving the treatment protocol for two consequetive months, and the secondary outcomes were % of wound cause and location frequencies

Conditions

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Diabetic Foot Wound Heal

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

group A received laser therapy in sequential mode, group B received laser therapy in separate mode and the control group C receive traditional wound care
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors
the patient didn't know the types of modes of laser applied even in the control group i used light not laser to equalize the blindness

Study Groups

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laser sequential mode

All patients received 2 sessions of laser therapy / week with different wavelengths in sequential mode in two consecutive months of treatment aiming complete wound closure , patients received \& infrared laser therapy plus traditional wound care

Group Type EXPERIMENTAL

laser therapy

Intervention Type DEVICE

All patients received 2 sessions of laser therapy / week in two consecutive months of treatment aiming complete wound closure , patients received \& infrared laser therapy plus traditional wound care:

(I) Use red \& infrared laser therapy device with 4 different wavelengths in a synchronized mode:

1. 980 nm for wound decontamination, improve circulation, lymphatic drainage
2. 915 nm enhances O2 delivery
3. 810 nm increases ATP production
4. 650 nm accelerate surface healing, tissue regeneration plus traditional wound treatment mentioned before

laser seperate mode

All patients received 2 sessions of laser therapy / week with different wavelengths in seperate mode in two consecutive months of treatment aiming complete wound closure , patients received \& infrared laser therapy plus traditional wound care

Group Type EXPERIMENTAL

laser therapy

Intervention Type DEVICE

All patients received 2 sessions of laser therapy / week in two consecutive months of treatment aiming complete wound closure , patients received \& infrared laser therapy plus traditional wound care:

(I) Use red \& infrared laser therapy device with 4 different wavelengths in a synchronized mode:

1. 980 nm for wound decontamination, improve circulation, lymphatic drainage
2. 915 nm enhances O2 delivery
3. 810 nm increases ATP production
4. 650 nm accelerate surface healing, tissue regeneration plus traditional wound treatment mentioned before

traditional wound care

(II) Traditional wound care inform of

1. Wound care treatment

* Debridement to remove necrotic tissue
* Irrigation of the wound by normal saline
* Change dressing daily to protect wound from infection
2. Foot care

* Wash feet daily, dry carefully especially between toe
* Avoid extreme temperatures
* Inspection daily of foot blisters
3. Foot wear

* Avoid walking bare foot
* Properly fitted shoes
* Avoid wearing open-toed shoes

Group Type ACTIVE_COMPARATOR

laser therapy

Intervention Type DEVICE

All patients received 2 sessions of laser therapy / week in two consecutive months of treatment aiming complete wound closure , patients received \& infrared laser therapy plus traditional wound care:

(I) Use red \& infrared laser therapy device with 4 different wavelengths in a synchronized mode:

1. 980 nm for wound decontamination, improve circulation, lymphatic drainage
2. 915 nm enhances O2 delivery
3. 810 nm increases ATP production
4. 650 nm accelerate surface healing, tissue regeneration plus traditional wound treatment mentioned before

Interventions

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laser therapy

All patients received 2 sessions of laser therapy / week in two consecutive months of treatment aiming complete wound closure , patients received \& infrared laser therapy plus traditional wound care:

(I) Use red \& infrared laser therapy device with 4 different wavelengths in a synchronized mode:

1. 980 nm for wound decontamination, improve circulation, lymphatic drainage
2. 915 nm enhances O2 delivery
3. 810 nm increases ATP production
4. 650 nm accelerate surface healing, tissue regeneration plus traditional wound treatment mentioned before

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* 1- Diabetic patients with either type I or II 2- Age from 18-60 years old, both sexes 3- Ulcer lasting longer than two months 4- DFU grade 1 or 2 according to Wagner classification. 5- All patients able to walk dependently

Exclusion Criteria

1. Patients with vascular disease
2. Patients with fixed ankle deformity as Charcot foot or stiffness
3. Patients with any type of osteomyelitis associated with DFU
4. Patients with renal or hepatic failure
5. BMI \< 30 kg/m2 as Obesity can cause poor perfusion due to vascular insufficiencies; altered population of immune mediators may lengthen the inflammatory process \& decrease oxygenation of subcutaneous adipose tissue which is liable to be infected.
Minimum Eligible Age

20 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Heidy F. Ahmed

OTHER

Sponsor Role lead

Responsible Party

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Heidy F. Ahmed

Doctor of physical therapy at Al kasr Al Anini teaching hospital, Cairo, Egypt

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Mahmoud S El Basiouny

Role: PRINCIPAL_INVESTIGATOR

national institute of laser sciences

Heidy F Ahmed, master

Role: PRINCIPAL_INVESTIGATOR

Kasr al aini

Locations

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National Institute of Laser Sciences

Giza, , Egypt

Site Status

Countries

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Egypt

References

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Experimental Study of the Effect of Photobiomodulation Therapy on the Regulation of the Healing Process of Chronic Wounds

Reference Type BACKGROUND

Hamblin, M. R., Agrawal, T., & de Sousa, M. (Eds.). (2016). Handbook of low-level laser therapy. CRC Press.

Reference Type BACKGROUND

Rupel K, Zupin L, Colliva A, Kamada A, Poropat A, Ottaviani G, Gobbo M, Fanfoni L, Gratton R, Santoro M, Di Lenarda R, Biasotto M, Zacchigna S. Photobiomodulation at Multiple Wavelengths Differentially Modulates Oxidative Stress In Vitro and In Vivo. Oxid Med Cell Longev. 2018 Nov 11;2018:6510159. doi: 10.1155/2018/6510159. eCollection 2018.

Reference Type BACKGROUND
PMID: 30534349 (View on PubMed)

Lima AMCT, da Silva Sergio LP, de Souza da Fonseca A. Photobiomodulation via multiple-wavelength radiations. Lasers Med Sci. 2020 Mar;35(2):307-316. doi: 10.1007/s10103-019-02879-1. Epub 2019 Sep 16.

Reference Type BACKGROUND
PMID: 31523781 (View on PubMed)

Mosca RC, Ong AA, Albasha O, Bass K, Arany P. Photobiomodulation Therapy for Wound Care: A Potent, Noninvasive, Photoceutical Approach. Adv Skin Wound Care. 2019 Apr;32(4):157-167. doi: 10.1097/01.ASW.0000553600.97572.d2.

Reference Type BACKGROUND
PMID: 30889017 (View on PubMed)

Leyane TS, Jere SW, Houreld NN. Cellular Signalling and Photobiomodulation in Chronic Wound Repair. Int J Mol Sci. 2021 Oct 18;22(20):11223. doi: 10.3390/ijms222011223.

Reference Type BACKGROUND
PMID: 34681882 (View on PubMed)

de Sousa AP, Paraguassu GM, Silveira NT, de Souza J, Cangussu MC, dos Santos JN, Pinheiro AL. Laser and LED phototherapies on angiogenesis. Lasers Med Sci. 2013 May;28(3):981-7. doi: 10.1007/s10103-012-1187-z. Epub 2012 Aug 25.

Reference Type BACKGROUND
PMID: 22923269 (View on PubMed)

Moskvin SV, Geynitz AV, Askhadulin EV. Efficiency of a New Combined Laser Therapy in Patients With Trophic Ulcers of Lower Extremities and Chronic Venous Insufficiency. J Lasers Med Sci. 2017 Summer;8(3):132-135. doi: 10.15171/jlms.2017.24. Epub 2017 Jun 27.

Reference Type BACKGROUND
PMID: 29123633 (View on PubMed)

de Lima FJ, Barbosa FT, de Sousa-Rodrigues CF. Use alone or in Combination of Red and Infrared Laser in Skin Wounds. J Lasers Med Sci. 2014 Spring;5(2):51-7.

Reference Type BACKGROUND
PMID: 25653799 (View on PubMed)

Santos NR, de M Sobrinho JB, Almeida PF, Ribeiro AA, Cangussu MC, dos Santos JN, Pinheiro AL. Influence of the combination of infrared and red laser light on the healing of cutaneous wounds infected by Staphylococcus aureus. Photomed Laser Surg. 2011 Mar;29(3):177-82. doi: 10.1089/pho.2009.2749. Epub 2011 Jan 8.

Reference Type BACKGROUND
PMID: 21214389 (View on PubMed)

Other Identifiers

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LASER.REC/2022

Identifier Type: -

Identifier Source: org_study_id

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