LEDとLASERの効果の皮膚創傷治癒に対する定性的比較：実験的研究の系統的レビュー

This systematic review presents qualitative comparisons between LED and LASER photobiomodulation in cutaneous wound healing, limited by the substantial heterogeneity of experimental parameters. Chronic wounds represent a major clinical challenge due to prolonged healing times, high risk of infection, and increased healthcare costs. Photobiomodulation (PBM) using low-level laser therapy (LLLT) and light-emitting diode (LED) devices has emerged as a promising therapeutic strategy for tissue repair. However, the equivalence of the biological and therapeutic effects of these light sources remains debated. The aim of this review is to clarify these effects by systematically comparing LLLT and LED sources on cutaneous wound healing. Comprehensive searches were conducted in PubMed, Web of Science, Scopus, and Embase using terms related to wound healing, LLLT, and LED. We included exclusively controlled in vivo or in vitro studies that directly compared the effects of LLLT and LED on cutaneous wound healing or related biological processes. Of 2020 identified studies, 16 met the inclusion criteria. Both LED and laser promote relevant cellular effects, contributing to the tissue repair process. Findings indicate that both devices promote similar photobiomodulatory effects by activating key cellular and molecular mechanisms essential for wound repair. This review presents predominantly qualitative comparisons between LED and LASER in wound healing, limited by the substantial heterogeneity of experimental parameters. Nevertheless, the available evidence indicates that, although LLLT shows quantitatively superior effects on parameters such as blood vessel density and caliber and type I collagen deposition, both modalities demonstrate similar preclinical effects. (International Prospective Register of Systematic Reviews registration number: CRD420251086145).