Effect of Photobiomodulation on Repairing Pressure Ulcers in Adult and ElderlyPatients: A Systematic Review.

Abstract

Evaluation of photobiomodulation therapy (PBMT) in the treatment of pressure ulcers in adults and the elderly. Systematic review, based on the recommendations of the handbook, proposed by Cochrane. The search was carried out in databases, records of randomized clinical trials, list of references cited in the selected articles, as well as a manual search in meetings and specialized journals. A total of 1342 studies were identified, 18 were preselected and 5 were included in this review. Clinical heterogeneity of the participants was observed, in addition to variation in the laser parameters and predominance of studies of low methodological quality. PBMT with the use of laser (658nm; 4Jcm-2 ;50mw) showed complete wound healing (P<0.001) when compared to lasers (990nm and 808nm). However, there was no statistically significant difference in relation to time to complete wound healing and in area reduction compared to standard care. PBMT in the infrared wavelength showed efficacy in the healing of the pressure ulcer, similar to the standard care presented in the different studies. PBMT (658nm) was effective in promoting healing when compared to standard care. Laser can be a therapy of choice in the treatment of pressure ulcers, since no evidence has been found to refute its clinical application.