Aging Clinical and Experimental Research

, Volume 15, Issue 3, pp 259–263

Monochromatic phototherapy in elderly patients: A new way of treating chronic pressure ulcers?

Original Articles

Abstract

Background and aims: Monochromatic pulsating light may have effects of importance for wound healing, and promising results were obtained in an open study on the healing of pressure ulcers, which motivated the present study. Methods: One hundred and sixty-four in- and outpatients with grade II and III ulcers were treated with monochromatic pulsating light or placebo over the ulcerated area, according to a specific therapeutic program. Results: No significant effects were observed in the total material. In a sub-analysis of grade II ulcers, there was a tendency toward better healing in the monochromatic light group (p=0.06). A significantly larger reduction in pressure ulcer size was noted among patients in the treatment group with low body weight (BMI <20). Conclusions: Monochromatic pulsating light may have effects on pressure ulcer healing, and a new study focusing only on grade II ulcers is under way.

Keywords

Elderly monochromatic phototherapy pressure ulcer wound 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Bar CA, Pathy MSJ. Pressure sores. In Pathy MSJ, Ed. Principles and practice of geriatric medicine. 3 ed. Chichester: John Wiley & Sons, 1998: 1375–94.Google Scholar
  2. 2.
    Bergstrom N, Braden B, Kemp M, et al. Multi-site study of incidence of pressure ulcers and the relationship between risk level demographic characteristics, diagnosis and prescription of preventive interventions. J Am Geriatr Soc 1996; 44: 22–30.PubMedGoogle Scholar
  3. 3.
    Brandeis GH, Morris JN, Nash DJ, et al. The epidemiology and natural history of pressure sores in elderly nursing home residents. JAMA 1990; 264: 2905–9.PubMedCrossRefGoogle Scholar
  4. 4.
    Bello YM. Phillips TJ. Recent advances in wound healing. JAMA 2000; 283: 716–8.Google Scholar
  5. 5.
    Cervo FA, Cruz AC, Posillico JA. Pressure ulcers: Analysis of guidelines for treatment and management. Geriatrics 2000; 55: 55–60.PubMedGoogle Scholar
  6. 6.
    Mayrovitz HN, Larsen PB. Effects of pulsed electromagnetic fields on skin microvascular perfusion. Wounds 1992; 4: 197–202.Google Scholar
  7. 7.
    Karu T. Photobiology of low-power laser effects. Health Physics 1989; 56: 691–704.PubMedCrossRefGoogle Scholar
  8. 8.
    Smith KC. The photobiological basis of low level laser radiation therapy. Laser Therapy 1991; 3: 19–24.Google Scholar
  9. 9.
    Gottrup F. Physiology and measurement of tissue perfusion. Ann Chir Gynecol 1994: 83: 183–9.Google Scholar
  10. 10.
    Gottrup F. Prevention of surgical wound infections. N Engl J Med 2000; 342: 202–4.PubMedCrossRefGoogle Scholar
  11. 11.
    Ieran M, Zaffuto S, Bagnacani M, Annovi M, Moratti A, Cadossi R. Effect of low frequency pulsing electromagnetic fields on skin ulcers of venous origin in humans: A double-blind study. J Orthop Res 1990; 8: 276–83.PubMedCrossRefGoogle Scholar
  12. 12.
    Gupta AK, Filonenko N, Salansky N, Sauder DN. The use of low energy photon therapy (LEFT) in venous leg ulcers: a double-blind, placebo-controlled study. Dermatol Surg 1998; 24: 1383–6.PubMedCrossRefGoogle Scholar
  13. 13.
    Nussbaum EL, Biemann J, Mustard B. Comparison of ultrasound/ultraviolet-C and laser treatment of pressure ulcers in patients with spinal cord injury. Phys Ther 1994; 74: 812–25.PubMedGoogle Scholar
  14. 14.
    Schubert V. Effects of phototherapy on pressure ulcer healing in elderly patients after a falling trauma. Photodermatol Photoimmunol Photomed 2001; 17: 32–8.PubMedCrossRefGoogle Scholar
  15. 15.
    Jensen-Waem M, Ekman S. Effects of a two-week treatment with pulsed monochromatic light in healthy pigs: a clinical and morphological study. Photodermatol Photoimmunol Photomed 2000; 16: 178–82.CrossRefGoogle Scholar

Copyright information

© Springer Internal Publishing Switzerland 2003

Authors and Affiliations

  1. 1.Department of Community MedicineLund University, Malmö University HospitalMalmöSweden
  2. 2.Copenhagen Wound Healing CenterBispebjerg University HospitalCopenhagenDenmark

Personalised recommendations