Pressure ulcers

LLLT for pressure ulcers systematic review

Machado RS, Viana S, Sbruzzi G. Lasers in Medical Science. 2017.

Source

A pressure-ulcer review found limited randomized evidence, with one 658 nm study showing significant ulcer reduction.

Evidence grade

very-low

Effect direction

mixed

Panel relevance

not-panel-replicable

Key findings

  • Only four randomized studies were included.
  • One study found 71% pressure-ulcer reduction and 47% complete healing after 1 month with 658 nm LLT.
  • The review found no evidence supporting wavelengths above 658 nm or probe-cluster approaches for pressure ulcers.

Protocol details

Wavelengths658, 808, 904, 940 nm
IrradianceNot reported mW/cm2
FluenceNot reported J/cm2
Session timeNot reported minutes
FrequencyClinical wound protocol-specific
DurationOne positive study assessed 1 month of therapy
Treatment areaPressure ulcers
Device typeLow-level laser therapy

Caveats

  • Pressure ulcers require medical wound care.
  • Evidence is very small and not suitable for home-panel protocols.