Background and aims: Monochromatic pulsating light may have effects on wound healing. In an earlier study of grade II ulcers, there was a tendency toward better healing in the phototherapy group (p=0.06). The present study on patients with grade II ulcers was performed to verify these findings. Data from this study were pooled with data from the earlier study. Methods: Ninety-four patients were offered participation in the new study and 76 patients were evaluated. They were pooled with 87 patients from the earlier study, bringing the total to 163. All patients were treated with monochromatic pulsating light or placebo over the ulcerated area, according to a specified program up to 12 weeks. Results: The mean normalized reduction in pressure ulcer size at week 12 was 0.79 for the phototherapy group and 0.50 for the placebo group (95% confidence interval 0.01–0.53; p=0.039). No serious side-effects were noted. Conclusions: Monochromatic pulsating light accelerates healing in grade II pressure ulcers in elderly patients.
This is a preview of subscription content, log in to check access.
Buy single article
Instant access to the full article PDF.
Price includes VAT for USA
Subscribe to journal
Immediate online access to all issues from 2019. Subscription will auto renew annually.
This is the net price. Taxes to be calculated in checkout.
Mayrovitz HN, Larsen PB. Effects of pulsed electromagnetic fields on skin microvascular perfusion. Wounds 1992; 4: 197–202.
Posten W, Wrone DA, Dover JS, Arndt KA, Silapunt S, Alam M. Low-level laser therapy for wound healing: mechanism and efficacy. Dermatol Surg 2005; 31: 334–40.
Enwemeka CS, Parker JC, Dowdy DS, Harkness EE, Sanford LE, Woodruff LD. The efficacy of low-power lasers in tissue repair and pain control: a meta-analytic study. Photomed Laser Surg 2004; 22: 323–9.
Lanzafame RJ, Stadler I, Coleman J, et al. Temperature-controlled 830-nm low-level laser therapy of experimental pressure ulcers. Photomed Laser Surg 2004; 22: 483–8.
Lucas C, Criens-Poublon LJ, Cockrell CT, de Haan RJ. Wound healing in cell studies and animal model experiments by Low Level Laser Therapy; were clinical studies justified? a systematic review. Lasers Med Sci 2002; 17: 110–34.
Nussbaum EL, Biemann J, Mustard B. Comparison of ultra-sound/ultraviolet-C and laser treatment of pressure ulcers in patients with spinal cord injury. Phys Ther 1994; 74: 812–25.
Lucas C, van Gemert MJ, de Haan RJ. Efficacy of low-level laser therapy in the management of stage III decubitus ulcers: a prospective, observer-blinded multicentre randomised clinical trial. Lasers Med Sci 2003; 18: 72–7.
Schubert V. Effects of phototherapy on pressure ulcer healing in elderly patients after a falling trauma. Photodermatol Photoimmunol Photomed 2001; 17: 32–8.
Dehlin O, Elmståhl S, Gottrup F. Monochromatic phototherapy in elderly patients: a new way of treating chronic pressure ulcers? Aging Clin Exp Res 2003; 15: 259–63.
Takas D, Tellefsen G, Johannsen G. Pain relief after scaling and rootplaning by monochromatic phototherapy (Biolight). Swed Dent J 2006; 30: 69–75.
Harkless LB, DeLellis S, Carnegie DH, Burke TJ. Improved foot sensitivity and pain reduction in patients with peripheral neuropathy after treatment with monochromatic infrared photo energy — MIRE. J Diabetes Complications 2006; 20: 81–7.
Salzberg CA, Cooper-Vastola SA, Perez F, Viehbeck MG, Byrne DW. The effects of non-thermal pulsed electromagnetic energy on wound healing of pressure ulcers in spinal cordinjured patients. A randomized double-blind study. Ostomy Wound Manage 1995; 41: 42–8.
Taly AB, Sivaraman Nair KP, Murali T, John A. Efficacy of multiwavelength light therapy in the treatment of pressure ulcers in subjects with disorders of the spinal cord: a randomized double-blind controlled trial. Arch Phys Med Rehabil 2004; 85: 1657–61.
Jensen-Waern M, Ekman S. Effects of a 2-week treatment with pulsed monochromatic light in healthy pigs: a clinical and morphological study. Photodermatol Photoimmunol Photomed 2000; 16: 178–82.
Bello YM. Phillips TJ. Recent advances in wound healing. JAMA 2000; 283: 716–8.
About this article
Cite this article
Dehlini, O., Elmståhl, S. & Gottrup, F. Monochromatic phototherapy: effective treatment for grade II chronic pressure ulcers in elderly patients. Aging Clin Exp Res 19, 478–483 (2007). https://doi.org/10.1007/BF03324734
- Elderly patients
- pressure ulcer