Research Articles · %812 %e, %2013

HYPER BARIC OXYGEN THERAPY VERSUS MONOCHROMATIC INFRARED THERAPY IN THE MANAGEMENT OF DIABETIC FOOT ULCER

Safa S. Abdel Karim, Emad T. Ahmed

##submission.abstract##

The purpose of this study was to compare the effectiveness of Monochromatic infrared therapy (MIRE) or hyperbaric oxygen therapy(HPOT) in the management of diabetic foot ulcer.
Materials and methods:
Forty patients who had diabetic foot ulcer for more than 6 months and not respondent well to medical treatment. Patients were classified into 4 equal groups 10 of each, Group (1): control group which received conventional therapy of the ulcer. Group (2) received 40 minute of monochromatic infrared energy(MIRE) , Group (3): received 40 minutes of HPOT. , And group (4): received 20 minutes of MIRE in addition to 20 minutes of HPOT (MIRE/HPOT). All groups received treatment 5 days per week for 60 days. Measurements of ulcer surface area were conducted before treatment, and after 60 days of treatment.
Results:
The one way analysis of variance was used to compare ulcer surface area which revealed that both treatment groups (MIRE and HPOT) had significant (P< 0.05) decrease in ulcer surface area after 60 days post application of treatment. On the other hand, the combination of MIRE and HPOT showed a highly significant decrease in ulcer surface area when compared with control or with individual treatment.
Conclusion:
The results of this study suggest that combination of MIRE to HPOT is more effective than individual treatment to enhance the healing rate of diabetic foot ulcer.