Impact of Different Therapeutic Modalities on Healing of Diabetic Foot Ulcers
Shehab Mahmoud Abd El- Kader 1 * , Eman M Ashmawy 2
More Detail
1 Department of Physical therapy for cardiopulmonary disorders and Geriatrics, Faculty of Physical Therapy, Cairo University, Egypt
2 Department of Physical therapy, Faculty of Applied Medical Sciences, King Abdulaziz University, Saudi Arabia
* Corresponding Author


Diabetic patients are particularly burdened by foot ulcer as about 2.5% of patients with diabetes will develop a foot ulcer each year leads to lower extremity amputation by 15–40 times in diabetics greater than the rate in patients without diabetes mellitus. The aim of this study was to determine which therapeutic method out from hyperbaric oxygen therapy (HBO); laser and ultrasound, in addition to medical treatment obtain the best improvement in healing rate of foot ulcers in diabetic patients. Forty- five non-insulin dependent diabetic patients of both sexes complicated with foot ulcer grade II. Their age ranged from 35 to 50 years. were included into 3 equal groups ; Group (A) received laser therapy, group (B) received HBO and group (C) received the pulsed ultrasound therapy in addition to medical treatment. Measurements of ulcer surface area and volume for all patients in the three groups were done before treatment and after two months at the treatment program. There was a statistically significant difference between mean levels of the investigated parameters in laser therapy group and HBO group and HBO group & pulsed ultrasound therapy group after treatment. Where there was no significant difference between laser therapy group & pulsed ultrasound therapy group (p>0.05). It is recommended to use HBO in addition to medical treatment to accelerate healing rate of foot ulcers in diabetic patients.


This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Original Article

Eur J Gen Med, 2015 - Volume 12 Issue 4, pp. 319-325

Publication date: 15 Oct 2015

Article Views: 963

Article Downloads: 631

Open Access References How to cite this article