Reversal of diabetic peripheral neuropathy and new wound incidence: the role of MIRE.
نویسندگان
چکیده
OBJECTIVE To determine if improved foot sensitivity to the Semmes-Weinstein 10-g (5.07) monofilament, originally impaired because of diabetic peripheral neuropathy, might be associated with a reduced incidence of new diabetic foot wounds. DESIGN Retrospective cohort study using a health status questionnaire. SUBJECTS Sixty-eight individuals over age 64 with diabetes, diabetic peripheral neuropathy, and loss of protective sensation who had clinically demonstrable increases in foot sensation to the Semmes-Weinstein monofilament after treatment with monochromatic near infrared photo energy. MAIN RESULTS After reversal of diabetic peripheral neuropathy following treatment with monochromatic near infrared photo energy, only 1 of 68 patients developed a new diabetic foot wound, for an incidence of 1.5%. Comparatively, the incidence previously reported in the Medicare-aged population with diabetes was 7.3%. CONCLUSIONS Improved foot sensitivity to the Semmes-Weinstein monofilament in patients previously suffering from loss of protective sensation due to diabetic neuropathy appears to be associated with a lower incidence of new diabetic foot ulcers when compared with the expected incidence in the Medicare-aged population with diabetes. CLINICAL RELEVANCE Therapeutic interventions that effectively improve foot sensitivity that has been previously diminished due to diabetic peripheral neuropathy may substantially reduce the incidence of new foot wounds in the Medicare-aged population with diabetes.
منابع مشابه
The use of monochromatic infrared energy in wound management.
Monochromatic infrared energy (MIRE) is the process of delivering photo energy to the layers of the skin via light emitting diodes placed externally on the skin. This energy stimulates the microcirculation in the tissues to increase blood flow and to release free radical nitric oxide, which helps to form cell receptors for growth factors and angiogenesis, and augments collagen formation in heal...
متن کاملReversal of diabetic peripheral neuropathy with phototherapy (MIRE) decreases falls and the fear of falling and improves activities of daily living in seniors.
OBJECTIVE to determine whether restoration of sensation, impaired due to diabetic peripheral neuropathy (DPN), would reduce the number of falls and the fear of falling and improve activities of daily living (ADL) in a Medicare-aged population. DESIGN retrospective cohort study of patients with documented, monochromatic near-infrared phototherapy (MIRE)-mediated, symptomatic reversal of DPN. ...
متن کاملCOMPARISON OF DIABETIC FOOT ULCER HEALING IN DIFFERENT SEVERITY CLASSIFICATION OF NEUROPATHY
Background: Peripheral neuropathy is one of the most common problems in diabetic patients. The increased risk of Diabetic Foot Ulceration (DFU) and amputation would be a complication of diabetic neuropathy. The aim of this study was to compare the DFU healing in different severity classification of neuropathy. Methods: This is a retrospective study that was conducted over a two-year period fro...
متن کاملSymptomatic reversal of peripheral neuropathy in diabetic patients
Objective: There is no therapy which reverses peripheral neuropathy (PN) in most diabetic patients. We hypothesized that a FDA cleared medical device, which emits monochromatic near infrared (890 nm) photo energy (MIRE) would improve neural function lost during diabetes. Research Design arid Methods: 49 consecutive diabetic subjects (Type 1. n=25: Type II, n=24). with established neuropathy rec...
متن کاملSymptomatic reversal of peripheral neuropathy in patients with diabetes.
Forty-nine consecutive subjects with established diabetic peripheral neuropathy were treated with monochromatic near-infrared photo energy (MIRE) to determine if there was an improvement of sensation. Loss of protective sensation characterized by Semmes-Weinstein monofilament values of 4.56 and above was present in 100% of subjects (range, 4.56 to 6.45), and 42 subjects (86%) had Semmes-Weinste...
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ورودعنوان ژورنال:
- Advances in skin & wound care
دوره 17 6 شماره
صفحات -
تاریخ انتشار 2004