- Original article
- Open Access
Efficiency of therapeutic ultrasound, low-level laser and compression therapy for healing of venous leg ulcers
Egyptian Rheumatology and Rehabilitation volume 42, pages 27–33 (2015)
To evaluate the efficiency of therapeutic Ultrasound, low level laser and compression therapy for healing of venous Leg ulcers and Compare the effect of modalities on the ulcers.
Subjects and methods
Three groups were included in the study. Group I: 20 patients with leg ulcers treated with low level laser therapy. Group II: 20 patients with leg ulcers treated with ultrasound therapy. Group III: 20 patients with leg ulcers treated by compression therapy (four layer bandage) were used in this study. All patients were subjected to detailed history, clinical evaluation in addition to X-ray of legs and feet, and Doppler ultrasound of both legs. The main variables for follow up were the measurement of the area of the lesions under aseptic conditions at 0, 1, 2, 3 months and qualitative clinical evaluation of the ulcers by physician and by the patient. The results from group I, group II and group III were obtained and then compared with each others.
According to the size of the ulcer, some ulcers heal within 1 month which is (15.6%) in group I, (10%) in group II, and (28.5%) in group III. Some ulcers heal within 2 months which is (28%) in group I, (23.3%) in group II and (37%) in group III. The remaining ulcers heal within 3 months or more which are (56%) in group I, (66.6%) in group II and (34.2%) in group III. Thus the percentage of healing denoting that compression bandage technique used in group III is the most efficient in healing of chronic venous leg ulcer followed by laser therapy and lastly US therapy (P = 0.04 at the end of the first month and P = 0.03 at the end of the third month).
Compression therapy is the most efficient treatment of venous leg ulcers. Low level laser therapy and Ultrasound therapy are useful methods as a conservative treatment of venous leg ulcers and can be used in ulcers of small size.
Taradaj J, Blaszczak E, Polak A, et al. Physical therapy in the treatment of venous leg ulcers. Wounds 2012; 24:138–145.
Nicolaides AN, Allegra C, Bergan J, Bradbury A, Cairols M, Carpentier P, et al. Management of chronic venous disorders of the lower limbs: guidelines according to scientific evidence. Int Angiol 2008; 27:1–59.
Júnior A, Vieira B, Andrade L, et al. Effects of low-level laser therapy on the progress of wound healing in humans: the contribution of in vitro and in vivo experimental studies. J Vasc Bras 2007; 6:258–266.
Dolibog P, Franek A, Taradaj J, Blaszczak E, Cierpka L. Efficiency of therapeutic ultrasound for healing venous leg ulcers in surgically-treated patients. Wounds 2008; 20.
Cullum N, Fletcher A, Semlyen A, Sheldon TA. Compression therapy for venous leg ulcers. Qual Health Care 1997; 6:226–231.
Brown GS. Reporting outcomes for stage IV pressure ulcer healing: a proposal. Adv Skin Wound Care 2000; 13:277–283.
Taradaj J, Franek A, Blaszczak E, et al. Using physical modalities in the treatment of venous leg ulcers: a 14-year comparative clinical study. Wounds 2012; 24:215–226.
Eklof B. Classifying venous disease. In:Bergan Jeds The vein book. London: Elservier Inc; 2007. 111–117.
Herascu N, Velciu B, Calin M, Savastru D, Talianu C. Low-level laser therapy (LLLT) efficacy in post-operative wounds. Photomed Laser Surg 2005; 23:70–73.
Milic DJ, Zivic SS, Bogdanovic DC, Jovanovic MM, Jankovic RJ, Milosevic ZD, et al. The influence of different sub-bandage pressure values on venous leg ulcers healing when treated with compression therapy. J Vasc Surg 2010; 51:655–661.
Brizzio E, Amsler F, Lun B, Blättler W. Comparison of low-strength compression stockings with bandages for the treatment of recalcitrant venous ulcers. J Vasc Surg 2010; 51:410–416.
Lagan KM, Mc Donough SM, Clements BA, Baxter GD. A case report of low intensity laser therapy (LILT) in the management of venous ulceration: potential effects of wound debridement upon efficacy. J Clin Laser Med Surg 2000; 18:15–22.
Cullum N, Nelson EA, Flemming K, Sheldon T. Systematic reviews of wound care management: (5) beds; (6) compression; (7) laser therapy, therapeutic ultrasound, electrotherapy and electromagnetic therapy. Health Technol Assess 2001; 5:1–221.
Patrycja D, Andrzej F, Jakub T, Edward B, L Cierpka. Efficiency of therapeutic ultrasound for healing venous leg ulcers in surgically-treated patients. Wounds 2008; 20.
Lagattolla N, Burnand K, Eastham D. A comparison of perforating vein ligation, stanozolol and stockings in the prevention of recurrent venous ulceration. Phlebology 1995; 10:79–85.
Wright DD, Franks PJ, Blair SD, Backhouse CM, Moffatt C, McCollum CN Oxerutins in the prevention of recurrence in chronic venous ulceration: randomized controlled trial. Br J Surg 1991; 78:1269–1270.
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Cite this article
Ezzeldin, N., Said, D., Said, S. et al. Efficiency of therapeutic ultrasound, low-level laser and compression therapy for healing of venous leg ulcers. Egypt Rheumatol Rehabil 42, 27–33 (2015). https://doi.org/10.4103/1110-161X.155641
- venous ulcers
- therapeutic ultrasound
- low level laser
- compression therapy