Physical therapy in diabetic foot ulcer: Research progress and clinical application

Int Wound J. 2023 Oct;20(8):3417-3434. doi: 10.1111/iwj.14196. Epub 2023 Apr 24.

Abstract

Diabetes foot ulcer (DFU) is one of the most intractable complications of diabetes and is related to a number of risk factors. DFU therapy is difficult and involves long-term interdisciplinary collaboration, causing patients physical and emotional pain and increasing medical costs. With a rising number of diabetes patients, it is vital to figure out the causes and treatment techniques of DFU in a precise and complete manner, which will assist alleviate patients' suffering and decrease excessive medical expenditure. Here, we summarised the characteristics and progress of the physical therapy methods for the DFU, emphasised the important role of appropriate exercise and nutritional supplementation in the treatment of DFU, and discussed the application prospects of non-traditional physical therapy such as electrical stimulation (ES), and photobiomodulation therapy (PBMT) in the treatment of DFU based on clinical experimental records in ClinicalTrials.gov.

Keywords: diabetes foot ulcer; electrical stimulation; medical expenses; photobiomodulation therapy; physical therapy.

Publication types

  • Review

MeSH terms

  • Diabetes Mellitus*
  • Diabetic Foot* / complications
  • Humans
  • Physical Examination
  • Physical Therapy Modalities
  • Risk Factors