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Study aim
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for Comparison of cryotherapy along laser therapy effects and specific laser therapy effects alone on diabetic foot ulcers
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Design
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In this study, 30 patients with diabetic foot ulcers, grade 2 and 3 will be randomly divided into three groups by randomization blocks (10 patients in each group).
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Settings and conduct
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The study will be conducted in the diabetes clinic and physiotherapy department of the Semnan Kowsar Hospital (Iran).
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Participants/Inclusion and exclusion criteria
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Participating are diabetic patients with diabetic foot ulcers.
Inclusion criteria: Past history of diabetes more than 5 years, age more than 50 years, having at least one noninfectious, non-ischemic and non-hemorrhagic diabetic foot ulcer.
Exclusion criteria: Creatinine level higher than 2, ischemia, infection (fever, leukocytosis, elevated ESR level), receiving of corticosteroid or immunosuppressive drug, ulceration due to any causes other than diabetes mellitus, large vessels involvement, chemotherapy, underlying disease, sensitivity to cryotherapy .
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Intervention groups
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Group A (Cryotherapy and Laser Therapy): Patients in this group, receive cold therapy with ice pack for 30 minutes per session, and laser therapy (low power with an intensity of 3 J/cm2, 6 sessions per week for 4 weeks in addition to routine.
Second group (laser therapy): Patients in this group, receive laser therapy (low power with an intensity of 3 J/cm2, 6 sessions per week for 4 weeks in addition to routine treatments.
Third Group (control): Patients in this group will receive only routine therapies.
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Main outcome variables
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Reduction in diabetic foot ulcer size