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Hyperbaric Oxygen Therapy Combined with Polarized Light Therapy on Neuropathic Foot Ulcer: A Randomized Controlled
Siham Fahmy1, Amir N Wadee2, Hanan Hosny M Battesha3
1Associate professor of physical therapy for dermatology and surgery at the Military Medical Academy and Modern University for Technology and Information.
Combining hyperbaric oxygen therapy (HBO) and polarized light therapy (PLT) significantly improves neuropathic foot ulcers and peripheral neuropathy. This combined treatment enhances tissue oxygenation and aids in healing, offering a promising approach for patients.
Area of Science:
- Regenerative Medicine
- Diabetic Foot Complications
- Neuropathy Treatment
Background:
- Peripheral neuritis and neuropathic foot ulcers cause significant functional impairment and amputation risk.
- Hyperbaric oxygen therapy (HBO) and polarized light therapy (PLT) individually show promise in improving neuropathy and wound healing.
- Tissue oxygenation and cellular regeneration are key factors in managing these conditions.
Purpose of the Study:
- To evaluate the combined efficacy of HBO followed by PLT in treating neuropathic foot ulcers.
- To assess the impact of this combined therapy on peripheral neuropathy.
- To compare the outcomes of combined HBO + PLT with standard care.
Main Methods:
- A randomized controlled trial involving 40 patients aged 55-70 years.
- Patients were assigned to either an experimental group (HBO + PLT) or a control group (standard care).
- Key outcome measures included ulcer volume, transcutaneous oxygen tension (TcPO2), and Michigan Neuropathy Questionnaire (MNQ) scores, assessed over four weeks.
Main Results:
- The experimental group receiving HBO + PLT showed significant improvements in ulcer volume, TcPO2, and MNQ scores compared to the control group.
- These improvements indicate enhanced tissue oxygenation and reduced neuropathy.
- The combined therapy proved effective as an adjunctive treatment for neuropathic foot ulcers.
Conclusions:
- The combination of hyperbaric oxygen therapy and polarized light therapy offers a significant benefit for patients with neuropathic foot ulcers.
- This therapeutic approach effectively enhances tissue oxygenation (TcPO2) and improves outcomes for peripheral neuropathy.
- The findings support HBO followed by PLT as a valuable adjunctive therapy for managing these complex conditions.
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