The application of wireless near infrared spectroscopy on detecting peripheral circulation in patients with diabetes foot ulcer when doing Buerger's exercise

Chen, Min Ling; Lin, Bor-Shyh; Su, Chun-Yuan; Lin, Yen Bin; Chen, Mei Yen; Shen, Jen Hsiang; Chang, Chang‐Cheng

doi:10.1002/lsm.22667

Cited by 15 publications

(19 citation statements)

References 24 publications

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“…After a detailed assessment, we included 6 studies. 38-43 We excluded 25 studies retrieved in full text due to the following reasons: inclusion criteria were not met (n = 18) 44-61 ; presented as a debate article, conference abstracts, trial registrations (n = 5) 62-66 ; and duplicate data (n = 2). 67,68…”

Section: Resultsmentioning

confidence: 99%

“…A citation search in Web of Science of all 6 included studies yielded 3 additional studies. Huang et al 69 presented data for 3-month follow-up of the same population of patients as Chen et al, 40 Chang et al, 70 and finally Nwankwo et al 71 Authors of the 3 trial registrations 64-66 were contacted by email in order to obtain unpublished data. Two replies were received: Jørgensen provided his PhD thesis 72 including data from NCT02785198 65 and the same data from the conference abstract originally excluded.…”

Section: Resultsmentioning

confidence: 99%

“…After a detailed assessment, we included 6 studies. [38][39][40][41][42][43] We excluded 25 studies retrieved in full text due to the following reasons: inclusion criteria were not met (n = 18) [44][45][46][47][48][49][50][51][52][53][54][55][56][57][58][59][60][61] ; presented as a debate article, conference abstracts, trial registrations (n = 5) [62][63][64][65][66] ; and duplicate data (n = 2). 67,68 A citation search in Web of Science of all 6 included studies yielded 3 additional studies.…”

Section: Study Identificationmentioning

confidence: 99%

“…Wound condition change was an outcome measure in all but one study, either reported in a dichotomous 41,70 or numeric 38,39,43,71,72 scale. Two studies included laboratory measures as primary outcomes 40,69 (Table 1). In total, 5 studies reported adverse events of various severity 39,42,43,70,72 (Table 5).…”

Section: Benefits and Harms Of Exercise Therapymentioning

confidence: 99%

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Benefits and Harms of Exercise Therapy for Patients With Diabetic Foot Ulcers: A Systematic Review

Aagaard

Moeini

Skou

et al. 2020

The International Journal of Lower Extremity Wounds

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Aim Exercise therapy is a core element in the treatment of diabetes, but the benefits and harms for patients with a diabetic foot ulcer (DFU) are unknown. We therefore aimed to systematically review the benefits on health-related quality of life (HRQoL) and harms of exercise therapy for patients with DFU. Methods We searched 6 major databases. We performed citation and reference searches of included studies and contacted authors of ongoing trials. We included randomized controlled trials (RCTs) to assess potential benefits on HRQoL and harms of exercise therapy. Observational studies were included to identify potential harms of exercise therapy. Results We included 10 published publications of 9 trials and results from 2 unpublished trials including a total of 281 individuals with DFUs receiving various forms of exercise therapy. Due to lack of HRQoL measurements and high heterogeneity, it was not possible to perform meta-analyses. Results on HRQoL was present in one unpublished study. Harms reported ranged from musculoskeletal problems, increased wound size, to amputation; however, no safe conclusions could be drawn from the available data due to high heterogeneity and risk of bias in the trials. Conclusions/Interpretation Protective strategies are often preferred over therapeutic exercise that might have unforeseen consequences for patients over time. Based on the current literature, no evidence-based recommendations can be provided on the benefits and harms of exercise therapy for patients with DFUs. Well-conducted RCTs are needed to guide rehabilitation including detailed description of adverse events and an exercise program in a semisupervised or fully supervised setting.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Study Identificationmentioning

confidence: 99%

Section: Benefits and Harms Of Exercise Therapymentioning

confidence: 99%

See 2 more Smart Citations

Benefits and Harms of Exercise Therapy for Patients With Diabetic Foot Ulcers: A Systematic Review

Aagaard

Moeini

Skou

et al. 2020

The International Journal of Lower Extremity Wounds

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“…The near-infrared light can provide a better penetrating depth in the living tissue. Measuring the blood flow information in the regional tissue including skin, fat, and muscle can be obtained with the aid of NIRS [36][37][38][39][40]. With the aid of the fundamental principle of near-infrared spectroscopy, this novel optic fiber technique might be helpful for guiding our needle tip into the trachea.…”

Section: Discussionmentioning

confidence: 99%

Dual-wavelength fiber-optic technique to assist needle cricothyroidotomy

et al. 2020

Self Cite

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The traditional needle cricothyroidotomy procedure is performed blindly without any medical equipment. Complications including posterior tracheal wall perforation, accidental vessel puncture, and missed tracheal puncture are reported. Therefore, we proposed a dual-wavelength fiber-optic technique based on the technique of near-infrared spectroscopy to assist operators performing needle cricothyroidotomy in a swine model. We embedded optical fibers in a 16-gauge intravenous needle catheter. Real-time data were displayed on an oscilloscope, and we used the program to analyze the data immediately. The change of optical density corresponding to 690-nm and 850-nm wavelengths and hemoglobin parameters (HbO 2 and Hb concentrations) was analyzed immediately using the program in the laptop. Unique and significant optical differences were presented in this experiment. We could easily identify every different tissue by the change of optical density corresponding to 690-nm and 850-nm wavelengths and hemoglobin parameters (HbO 2 and Hb concentrations). Statistical method (Kruskal-Wallis H test) was used to compare differences in tissues at each time-point, respectively. The p values in every tissue in optical density change corresponding to 690 nm and 850 nm were all < 0.001. Furthermore, the p values in every tissue in Hb and HbO 2 were also all < 0.001. The results were statistically significant. This is the first and novel study to introduce a dual-wavelength embedded fibers into a standard cricothyroidotomy needle. This proposed system might be helpful to provide us real-time information of the advanced needle tip to decrease possible complications.

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Near infrared spectroscopy in peripheral artery disease and the diabetic foot: A systematic review

Joseph

Munshi

Agarini

et al. 2022

Diabetes Metabolism Res

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With the need for tools that assess microvascular status in diabetic foot disease (DFD) being clear, near infrared spectroscopy (NIRS) is a putative method for noninvasive testing of the diabetic foot. The use of NIRS in patients with peripheral arterial disease (PAD) has extended to its role in studying the pathophysiology of DFD. NIRS generates metrics such as recovery time, deoxygenation, oxygen consumption (VO 2 ), tissue oxygen saturation (StO 2 ), total haemoglobin (HbT), and oxyhaemoglobin area under the curve (O 2 Hb AUC ). NIRS may potentially help the multidisciplinary team stratify limbs as high-risk, especially in diabetic patients with symptoms masked by peripheral neuropathy. NIRS may be useful for assessing treatment effectiveness and preventing deterioration of patients with PAD.

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The application of wireless near infrared spectroscopy on detecting peripheral circulation in patients with diabetes foot ulcer when doing Buerger's exercise

Cited by 15 publications

References 24 publications

Benefits and Harms of Exercise Therapy for Patients With Diabetic Foot Ulcers: A Systematic Review

Benefits and Harms of Exercise Therapy for Patients With Diabetic Foot Ulcers: A Systematic Review

Dual-wavelength fiber-optic technique to assist needle cricothyroidotomy

Near infrared spectroscopy in peripheral artery disease and the diabetic foot: A systematic review

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