The Efficacy of Hyperbaric Oxygen Therapy versus Low Level Laser Therapy on Transcutaneous Oxygen Saturation for Venous Leg Ulcer
Authors/Creators
- 1. PhD in Physical Therapy for Surgery and Head of HBO and Foot Care Center at Kobri El koba Military Medical Collection, Egypt
- 2. Vice president of the Military Medical Academy, Cairo, Egypt
Description
Abstract
Background and Purpose
Venous ulcers are most common kind of chronic leg ulcers represents about 60 to 80% and considered the main cause of morbidity. Hyperbaric Oxygen therapy recorded s significant improvement of wound healing and tissue repair at all stages.
Wound healing was one of the first areas in which the effect of Low Level Laser Therapy was investigated; laser irradiation is releasing of Vascular Endothelial Growth Factor (VEGF) which stimulates not only angiogenesis but also endothelial cell growth.
This study investigated the effect of Hyperbaric oxygen therapy versus Low level laser therapy on transcutaneous oxygen saturation (TcPo2) at the margin of chronic leg ulcers.
Patients and Methods
Forty patients with chronic venous ulcers suffering for more than 6 weeks without improvement, there ages ranged from 20 - 60 were included in the present study. Those patients were classified randomly into 2 groups of equal number, 20 patients for each group. The first group (Group A) was treated with Low Level Laser Therapy by Scanner Infrared diode laser with wavelengths 880 and 950 nanometer- Energy density 5 Joul/ cm 2 – time of session depended on ulcer parameters (once daily for repeated 10 days) and the second group (Group B) was treated with Hyperbaric Oxygen Therapy by Hyperbaric oxygen chamber at pressure 1.5 Bar , time of session 90 minutes with 60 minutes breathing 100 % pure oxygen through the individual mask ( once daily for repeated 10 sessions).
Results
Hyperbaric oxygen therapy get the higher mean value recorded 1.884 ± 0.506. While the mean value of low level laser therapy recorded 0.265 ± 0.529.
Conclusion
Improving the microcirculation and increasing transcutaneous oxygen saturation to the ulcer region with hyperbaric oxygen therapy was more than low level diode laser.
Notes
Files
IJCMC-3-132.pdf
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References
- Vasudevan B. Pathophysiology and classification of leg ulcers. Indian Dermatology Online Journal. 2014 Sep;5(3):366-370.
- Millan BS. Venous Ulcers Diagnosis and Treatment. Am FamPhysician.2019 Sep;100(5):298-305.
- Kulcke A. Principels and contexts of tissue oxygenation imaging(HSI technology) and transcutaneous oxygen measurment in tissue (TcPo2);2019.
- Vincent E. Reference value of transcutaneous oxygen measurement in diabetic patients compared with non diabetic patients. J Vasc Surg. 2008 Aug;48(2):382-388.
- Dunnwald T. Combined Hyperbaric Oxygen Partial Pressure at1.4 Bar with Infrared Radiation: A Useful Tool To Improve Tissue Hypoxemia. Med Sci Monit. 2018 Jun;24:4009-4019.
- Latham E. Hyperbaric oxygen therapy. Medscape. 2009.
- Niinikoski JH. Clinical hyperbaric oxygen therapy, wound perfusion and transcutaneous oximetry. World Surgery Journal.2004 Mar;28(3):307-311.
- Bhutani S, Vishwanath G. Hyperbaric oxygen and wound healing. Indian Plast Surg Journal. 2012 May;45(2):316-324.
- Ramos FS. The effects of transcutaneous low-level laser therapy on the skin healing process: an experimental model. Lasers Med Sci Journal. 2018 Jul;33(5):967-976.
- Fiorio FB. Photo biomodulation therapy action in wound repair skin induced in aged rat sold: time course of biomarkers inflammatory and repair. Lasers Med Sci Journal. 2017Nov;32(8):1769-1782.