USE OF PHOTOBIOMODULATION IN THE TREATMENT OF BREAST POSTPARTUM INTERCURRENCY: INTEGRATIVE REVIEW

Authors

Abstract

Objective: To analyze the evidence available in the literature about the use of photobiomodulation in the treatment of breast complications in the postpartum. Method: Integrative review of manuscripts in National Library of Medicine National Institutes of Health (PubMed), Web of Science, Latin American and Caribbean Health Sciences Literature (LILACS), Cumulative Index to Nursing and Allied Health Literature (CINAHL), EMBASE, and Scopus databases. Original articles written in Portuguese and English were included, analyzed according to the level of evidence and methodological quality. Results: The sample consisted of five articles. Based on the analysis of the results, three thematic categories were created: types of photobiomodulator used in breast complications, effects of photobiomodulators on healing of breast complications, and effects of photobiomodulators on reducing nipple pain. Both light-emitting diode (LED) and laser photobiomodulators were effective in the treatment of nipple trauma, as the application accelerated the healing process. Low-intensity laser therapy was found to be effective intreating nipple injuries in nursing mothers with pain, providing relief and prolonging exclusive breastfeeding. The single application laser protocol was not effective in reducing pain in women with damaged nipples. Conclusion: This study is an effort to mitigate existing gaps between nursing assistance and research, as it contributes to care based on evidence-based practice.

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Author Biographies

Patrícia Scotini Freitas   , Universidade Federal de Alfenas – Alfenas (MG), Brazil.

 

 

 

Fábio de Souza Terra, Universidade Federal de Alfenas – Alfenas (MG), Brazil.

 

 

 

Eliza Maria Rezende Dázio, Universidade Federal de Alfenas – Alfenas (MG), Brazil.

 

 

References

Rodrigues VO, Silva BCA, Jesus AC, Cruz AS, Lima SPP, Gomes DR, Mattos MP. O fazer profissional no cotidiano: vivências de práticas educavas na prevenção de intercorrências mamárias que incentivam a promoção do aleitamento materno. Saúde Redes. 2018;4(4):147-57. https://doi.org/10.18310/2446-4813.2018v4n4p147-157

Coca KP, Pinto VL, Westphal F, Mania PNA, Abrão ACFV. Conjunto de medidas para o incentivo do aleitamento materno exclusivo intra-hospitalar: evidências de revisões sistemáticas. Rev Paul Pediatr. 2018;36(2):214-20. https://doi.org/10.1590/1984-0462/;2018;36;2;00002

Brasil. Ministério da Saúde. Secretaria de Atenção Primaria à Saúde. Departamento de Promoção da Saúde. Guia alimentar para crianças brasileiras menores de 2 anos [Internet]. Brasília: Ministério da Saúde, 2019 [acessado em 10 ago. 2022]. Disponível em: https://www.svb.org.br/images/guia_da_crianca_2019.pdf

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Saúde da criança: aleitamento materno e alimentação [Internet]. Brasília: Ministério da Saúde; 2015 [acessado em 10 ago. 2022]. Disponível em: https:// bvsms.saude.gov.br/bvs/publicacoes/ saude_crianca_aleitamento_materno_cab23.pdf

Moraes BA, Gonçalves AC, Strada JKR, Gouveia HG. Factors associated with the interruption of exclusive breastfeeding in infants up to 30 days old. Rev Gaúcha Enferm. 2016;37(spe.):e2016-0044. https://doi.org/10.1590/1983-1447.2016.esp.2016-0044

Urasaki MBM, Teixeira CI, Cervellini MP. Trauma mamilar: cuidados adotados por mulheres no pós-parto. ESTIMA, Braz. J. Enterostomal Ther. 2017;15(1):26-34. https://doi.org/10.5327/Z1806-3144201700010005

Dias JS, Vieira TO, Vieira GO. Fatores associados ao trauma mamilar no período lactacional: uma revisão sistemática. Rev Bras Saúde Matern Infant. 2017;17(1):43-58. https://doi.org/10.1590/1806-93042017000100003

Puapornpong P, Paritakul P, Suksamarnwong M, Srisuwan S, Ketsuwan S. Nipple pain incidence, the predisposing factors, the recovery period after care management, and the exclusive breastfeeding outcome. Breastfeed Med. 2017;12:169-73. https://doi.org/10.1089/bfm.2016.0194

Federação Brasileira das Associações de Ginecologia e Obstetrícia. Mastite puerperal [Internet]. 2018 [acessado em 20 dez. 2021]. Disponível em: https://www.febrasgo.org.br/pt/noticias/item/309-mastite-puerperal

Feitosa DPRA, Moreira LC, Possobon RF, Lodi JC. Treatment for pain and mamilar trauma in breastfeeding women: literature review. Nursing [Internet]. 2019 [acessado em 15 out. 2022];22(256):3160-4. Disponível em: https://www.revistanursing.com.br/index.php/revistanursing/article/view/378/359

Benefield LE. Implementing evidence-based practice in home care. Home Healthc Nurse. 2003;21(12):804-9. https://doi.org/10.1097/00004045-200312000-00005

Mendes KDS, Silveira RCCP, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Contexto Enferm. 2008;17(4):758-64. https://doi.org/10.1590/S0104-07072008000400018

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrowet CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hróbjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372(71):1-9. https://doi.org/10.1136/bmj.n71

Melnyk BM, Fineout-Overholt E, Stillwell SB, Williamson KM. Evidence-based practice: step by step: the seven steps of evidencebased practice. Am J Nurs. 2010;110(1):51-3. https://doi.org/10.1097/01.NAJ.0000366056.06605.d2

CLARIVATE. EndNote Online [Internet]. 2021 [acessado em 13 fev. 2022]. Disponível em: https://clarivate.com/webofsciencegroup/support/endnote/endnote-online

Ouzzani M, Hossam H, Zbys F, Ahmed E. Rayyan: a web and mobile app for systematic reviews. Syst Rev. 2016;5:210. https://doi.org/10.1186/s13643-016-0384-4

Fernandes DL. Representações sociais de adolescentes sobre o câncer de colo do útero [dissertação online]. Recife: Universidade Federal do Pernambuco; 2011 [acessado em 12 jan. 2022]. Disponível em: https://repositorio.ufpe.br/bitstream/123456789/9254/1/arquivo3051_1.pdf

Polit DF, Beck CT. Fundamentos de pesquisa em enfermagem: avaliação de evidências para a prática da enfermagem. Porto Alegre: Artmed; 2019. 431 p.

Law M, Stewart D, Pollock N, Letts L, Bosch J, Westmorland M. Guidelines for critical review form: quantitative studies [Internet]. Hamilton: McMaster University Occupational Evidence-based Practice Research Group; 1998 [acessado em 14 jan. 2022]. Disponível em: https://canchild.ca/system/tenon/assets/attachments/000/000/366/original/quantguide.pdf

Araújo AR, Nascimento ALV, Silva FS, Camargos JM, Muradas MS, Faria NVMG. Fotobiomodulação como uma nova abordagem para o tratamento de traumas mamilares: um estudo piloto, randomizado e controlado. Fisioter Brasil. 2013;14(1):20-9.https://doi.org/10.33233/fb.v14i1.364

Camargo BTS, Coca KP, Amir LH, Corrêa L, Aranha ACC, Marcacine KO, Abuchaim ESV, Abrão ACFV. The effect of a single irradiations of low-level laser on nipple pain in breastfeeding women: a randomized controlled trial. Lasers Med Sci.2020;35(1):63-9. https://doi.org/10.1007/s10103-019-02786-5

Coca KP, Marcacine KO, Gamba MA, Corrêa L, Aranha AC, Abrão AC. Efficacy of low-level laser therapy in relieving nipple pain in breastfeeding women: a triple-blind, randomized, controlled trial. Pain Manag Nurs. 2016;17(4):281-9. https://doi.org/10.1016/j.pmn.2016.05.003

Chaves ME, Araújo AR, Santos SF, Pinotti M, Oliveira LS. LED phototherapy improves healing of nipple trauma: a pilot study. Photomed Laser Surg. 2012;30(3):172-8. https://doi.org/10.1089/pho.2011.3119

Nogueira DNG, Curan FMS, Cardelli AAM, Ferrari RAP, Tokushima T, Andraus, RAC. Low-level laser: cost of therapy fornipple trauma. Rev Bras Saúde Mater Infant. 2021;21(1):151-9. https://doi.org/10.1590/1806-93042021000100008

Mester E. A laser sugar alkamazaea a gyogyaezatban. Orv Hetilap. 1966;107:1012.

Sant’anna EF, Araújo MTS, Nojima LI, Cunha AC, Silveira BL, Marquesan M. High-intensity laser application in Orthodontics. Dental Press J Orthod. 2017;22(6):99-109. https://doi.org/10.1590/2177-6709.22.6.099-109.sar

De Paula S. Comparação do laser e led no processo de cicatrização de feridas cutâneas: uma revisão. Ciênc Saúde. 2016;9(1):55-61. https://doi.org/10.15448/1983-652X.2016.1.21840

Mota LR. Eficácia da fotobiomodulação no tratamento do envelhecimento facial por utilização de LEDs vermelho e âmbar: estudo clínico, randomizado, controlado [dissertação online]. São Paulo: Universidade Nove de Julho; 2018 [acessado em 10 maio 2022]. Disponível em: https://bibliotecatede.uninove.br/bitstream/tede/2622/2/Lidiane%20Rocha%20Mota.pdf

Corazza AV. Fotobiomodulação comparativa entre o laser e LED de baixa intensidade na angiogênese de feridas cutâneas de ratos [tese online]. São Paulo: Universidade de São Paulo; 2005 [acessado em 8 maio 2021]. Disponível em: https://teses.usp.br/teses/disponiveis/82/82131/tde-25072006-095614/publico/TDE_AdalbertoVieiraCorazza.pdf

Gomes CF, Schapochnik A. O uso terapêutico do laser de baixa intensidade (LBI) em algumas patologias e sua relação com a atuação na fonoaudiologia. Distúrb comum. 2017;29(3):570-8. https://doi.org/10.23925/2176-2724.2017v29i3p570-578

Ang Khaw CM, Dalci O, Foley M, Petocz P, Darendeliler MA, Papadopoulou AK. Physical properties of root cementum: Part 27. Effect of low-level laser therapy on the repair of orthodontically induced inflammatory root resorption: A double-blind, split mouth, randomized controlled clinical trial. Am J Orthod Dentofacial Orthop. 2018;154(3):326-36. https://doi.org/10.1016/j.ajodo.2018.04.022

Conselho Federal de Enfermagem. Parecer de Câmara Técnica nº 13/2018/CTLN/COFEN [Internet]. Brasil: Conselho Federal de Enfermagem; 2018 [acessado em 15 mar. 2022]. Disponível em: http://www.cofen.gov.br/parecer-n-13-2018-cofen-ctln_65231.html

Moore ZEH, Cowman S. Repositioning for treating pressure ulcers. Cochrane Database Syst Rev. 2015;(1):CD006898. https://doi.org/10.1002/14651858.CD006898.pub4

Rodrigues JMS, Acosta AA, Gouvea PB, Massaroli R. Uso do laser de baixa intensidade nas radiodermites: revisão sistemática. J Nurs Health. 2020;10(2):e20102009. https://doi.org/10.15210/JONAH.V10I2.17831

Nabi S, Amin K, Masoodi A, Farooq R, Purra AR, Ahangar FA. Effect of preoperative ibuprofen in controlling postendodontic pain with and without low-level laser therapy in single visit endodontics: A randomized clinical study. Indian J Dent Res. 2018;29(1):46-50. https://doi.org/10.4103/ijdr.IJDR_327_15

Lopes EL, Bezerra MMM. Aleitamento materno: fatores de riscos para o desmame precoce. Fractal Rev Psicol. 2020;14(53):1138-53. https://doi.org/10.14295/idonline.v14i53.2930

Santos SF. Dispositivo fotobiomodulador para o tratamento de traumas mamilares [dissertação online]. Belo Horizonte: Universidade Federal de Minas Gerais; 2013 [acessado em 20 dez. 2021]. Disponível em: https://repositorio.ufmg.br/bitstream/1843/BUBD 9G8E63/1/dispositivo _fotobiomodulador_ para_o_tratamento_de_traumas_mamilares__suellen__fons_ca_santos.pdf

Ruh AC, Frigo L, Cavalcanti MFXB, Svidnicki P, Vicari VN, Lopes-Martins RAB, Leal Junior ECP, De Isla N, Diomede F, Trubiani O, Favero GM. Laser photobiomodulation in pressure ulcer healing of human diabetic patients: gene expression analysis of inflammatory biochemical markers. Lasers Med Sci. 2018;33(1):165-71. https://doi.org/10.1007/s10103-017-2384-6

Bernardes LO, Jurado SR. Efeitos da laserterapia no tratamento de lesões por pressão: uma revisão sistemática. Rev Cuidarte. 2018;9(3):2423-34. https://doi.org/10.15649/cuidarte.v9i3.574

Lima AD, Aguiar DF, Borges GM, Trindade HA, Rocha GM. Effects of low intensity laserterapy in patients with pressure ulcers. Res Soc Dev. 2020;9(11):e91391110621. https://doi.org/10.33448/rsd-v9i11.10621

Taradaj J, Shay B, Dymarek R, Sopel M, Walewicz K, Beeckman D, Schoonhoven L, Gefen A, Rosińczuk J. Effect of laser therapy on expression of angio- and fibrogenic factors, and cytokine concentrations during the healing process of human pressure ulcers. Int J Med Sci. 2018;15(11):1105-12. https://doi.org/10.7150/ijms.25651

Baxter GD, Liu L, Petrich S, Gisselman AS, Chapple C, Anders JJ, Tumilty S. Low level laser therapy (Photobiomodulation therapy) for breast cancer-related lymphedema: a systematic review. BMC Cancer. 2017;17(1):833. https://doi.org/10.1186/s12885-017-3852-x

ChenY, Chen XL, Zou X L, Chen SZ, Zou J, Wang Y. Efficacy of low-level laser therapy in pain management after root canal treatment or retreatment: a systematic review. Lasers Med Sci. 2019;34(7):1305-16. https://doi.org/10.1007/s10103-019-02793-6

Asutay F, Ozcan-Kucuk A, Alan H, Koparal M. Three-dimensional evaluation of the effect of low-level laser therapy on facial swelling after lower third molar surgery: A randomized, placebo-controlled study. Niger J Clin Pract. 2018;21(9):1107-13. https://doi.org/10.4103/njcp.njcp_38_18

Published

2023-05-31

How to Cite

1.
Oliveira AG de, Paraizo-Horvath CMS, Leite EPR de C, Freitas   PS, Terra F de S, Dázio EMR. USE OF PHOTOBIOMODULATION IN THE TREATMENT OF BREAST POSTPARTUM INTERCURRENCY: INTEGRATIVE REVIEW. ESTIMA [Internet]. 2023 May 31 [cited 2024 Mar. 5];21. Available from: https://www.revistaestima.com.br/estima/article/view/1329

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Review article

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