Publications

Background: Diabetic Foot Ulcer (DFU) is a global health care problem that exerts a major cause of morbidity and mortality among diabetic patients. Pulsed Electromagnetic field (PEMF) is a non-invasive technique exerts beneficial effects on wound healing. laser therapy stimulates cell molecules and is strongly considered as a promising wound healing tool for chronic wounds. Aim: To compare the effect of two therapeutic modalities used to treat infected DFU; the first is PEMF (2 G) alone compared to PEMF (2 G) in addition to infra-red laser therapy 5 J/cm2. Methods: A prospective, single blind, controlled trial on thirty diabetic foot ulcer patients who were randomly assigned into group A (GA) received 2 Gauss (G) Pulsed Electromagnetic Field (PEMF) 10 minutes per session, in addition to the prescribed medical treatment (Diabetic drugs only) and nursing care. Group B (GB) received the same regimen of PEMF in addition to 5 J/cm² Infra-red laser therapy for 12 sessions. Results: Statistical analysis showed that the adjuvant magnetic and laser therapy had more significant reduction in the colony count number in DFU (P< 0.0001). Conclusion: 5 J/cm2 infra-red laser and 2 G. PEMF are known to be effective and recommended modalities in reducing the infection of infected diabetic foot ulcer. Combining both modalities has shown more remarkable reduction in wound infection regarding the same used parameters of treatment.