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Frontiers in Medical Science Research, 2025, 7(3); doi: 10.25236/FMSR.2025.070308.

The Application Effect and Management Strategies of Photobiomodulatory Therapy in the Perioperative Nursing of Patients with Traumatic Spinal Cord Injury

Author(s)

Huifang Gai1,2, Xiurong Yu1, Jing Wang2, Xiaoling Huang2, Na Shen2

Corresponding Author:
Na Shen
Affiliation(s)

1Binzhou Medical University, Yantai, 264000, China

2Chinese PLA 970 Hospital, Yantai, 264000, China

Abstract

To explore the application effect of professional perioperative nursing program in the adjuvant treatment of Photobiomodulation (PBM) in patients with Traumatic Spinal Cord Injury (TSCI).As a new adjuvant therapy, PBM has been proved to be safe and effective, but its special treatment mode (laser acting directly on the surface of the spinal cord and having skin outlet) poses challenges to perioperative care. A total of 34 patients with TSCI admitted to our hospital from October 2022 to October 2024 were included in this study. All patients received PBM irradiation treatment for 7 days after emergency decompression, and a systematic nursing intervention program was implemented, including multidisciplinary collaborative nursing, standardized management of optical fiber pipeline, and prevention of complications. The study showed that all 34 patients successfully completed PBM treatment, and during the nursing intervention, no common complications such as bladder and stool dysfunction, pressure injury, and deep vein thrombosis were observed, and no adverse events such as fiber pipe prolapse, treatment-related infection, or spinal cord nerve function aggravation occurred. By establishing a professional PBM nursing team and integrating evidence-based nursing measures, 34 patients in this study achieved zero complications and the completion rate of the whole treatment was 100%, which provides a practical paradigm for perioperative PBM nursing of TSCI patients.

Keywords

Spinal Cord Injury; Photobiomodulation; Perioperative Nursing; Prevention of Complications

Cite This Paper

Huifang Gai, Xiurong Yu, Jing Wang, Xiaoling Huang, Na Shen. The Application Effect and Management Strategies of Photobiomodulatory Therapy in the Perioperative Nursing of Patients with Traumatic Spinal Cord Injury. Frontiers in Medical Science Research (2025), Vol. 7, Issue 3: 61-67. https://doi.org/10.25236/FMSR.2025.070308.

References

[1] Ilyas Eli, Lerner David-P, Ghogawala Zoher. Acute Traumatic Spinal Cord Injury[J]. Neurologic Clinics, 2021, 39(2): 471-488.

[2] Makeen Baroudi, Rezk Anna, Daher Mohammad, et al. Management of traumatic spinal cord injury: A current concepts review of contemporary and future treatment.[J]. Injury, 2024, 55(6): 111472.

[3] Zhuowen Liang, Lei Tao, Wang Shuang, et al. Clinical safety study of photobiomodulation in acute spinal cord injury by scattering fiber.[J]. Lasers in medical science, 2022, 37(9): 3433-3442.

[4] Xiaoshuang Zuo, Liang Zhuowen, Zhang Jiawei, et al. Photobiomodulation and diffusing optical fiber on spinal cord’s impact on nerve cells from normal spinal cord tissue in piglets[J]. Lasers in Medical Science, 2022, 37(1): 259-267.

[5] Min-Ho Hwang, Lee Jae-Won, Son Hyeong-Guk, et al. Effects of photobiomodulation on annulus fibrosus cells derived from degenerative disc disease patients exposed to microvascular endothelial cells conditioned medium.[J]. Scientific reports, 2020, 10(1): 9655.

[6] Y Gong, Wang S, Liang Z, et al. Label-Free Spectral Imaging Unveils Biochemical Mechanisms of Low-Level Laser  Therapy on Spinal Cord Injury[J]. Cell Physiol Biochem, 2018, 49(3): 1127-1142.

[7] Larry-D Morries, Cassano Paolo, Henderson Theodore-A. Treatments for traumatic brain injury with emphasis on transcranial near-infrared laser phototherapy.[J]. Neuropsychiatric disease and treatment, 2015, 112159-2175.

[8] Gustavo Balbinot, Joner Wiest Matheus, Li Guijin, et al. The use of surface EMG in neurorehabilitation following traumatic spinal cord injury: A scoping review.[J]. Clinical neurophysiology: official journal of the International Federation of Clinical Neurophysiology, 2022, 13861-73.

[9] Kimberly-R Byrnes, Waynant Ronald-W, Ilev Ilko-K, et al. Light promotes regeneration and functional recovery and alters the immune response after spinal cord injury.[J]. Lasers in surgery and medicine, 2005, 36(3): 171-185.

[10] Zhuowen Liang, Lei Tao, Wang Shuang, et al. Photobiomodulation by diffusing optical fiber on spinal cord: A feasibility study in piglet model.[J]. Journal of biophotonics, 2020, 13(4): e201960022.

[11] Timothy-T Roberts, Leonard Garrett-R, Cepela Daniel-J. Classifications In Brief: American Spinal Injury Association (ASIA) Impairment Scale.[J]. Clinical orthopaedics and related research, 2017, 475(5): 1499-1504.

[12] Charlotte-Y Adegeest, Ter Wengel Paula-V, Peul Wilco-C. Traumatic spinal cord injury: acute phase treatment in critical care.[J]. Current opinion in critical care, 2023, 29(6): 659-665.

[13] Rodrigo-Crespo Mosca, Ong Adrian-A, Albasha Omar, et al. Photobiomodulation Therapy for Wound Care: A Potent, Noninvasive, Photoceutical Approach.[J]. Advances in skin & wound care, 2019, 32(4): 157-167.

[14] Lisa Spruce. Back to Basics: Laser Safety[J]. AORN Journal, 2019, 110(5): 524-532.

[15] Mohammad-Sami Walid, Abbara Moataz, Tolaymat Abdullah, et al. The role of drains in lumbar spine fusion.[J]. World neurosurgery, 2012, 77(3-4): 564-568.

[16] Amália-De-Fátima Lucena, Bavaresco Taline, Menegon Dóris-Baratz, et al. Laser in wounds: knowledge translation to an effective and innovative nursing practice[J]. Revista Gaúcha de Enfermagem, 2021, 42e20200396.

[17] Jonviea-D Chamberlain, Buzzell Anne, Gmünder Hans-Peter, et al. Comparison of All-Cause and Cause-Specific Mortality of Persons with Traumatic Spinal Cord Injuries to the General Swiss Population: Results from a National Cohort Study.[J]. Neuroepidemiology, 2019, 52(3-4): 205-213.

[18] Qiao-Ping Li, Li Jing, Pan Hong-Ying. Effects of Online Home Nursing Care Model Application on Patients with Traumatic Spinal Cord Injury.[J]. Risk management and healthcare policy, 2021, 141703-1709.

[19] J Lynch, Cahalan R. The impact of spinal cord injury on the quality of life of primary family caregivers: a literature review.[J]. Spinal cord, 2017, 55(11): 964-978.

[20] Anne Norup, Soendergaard Pernille-Langer, Wolffbrandt Mia-Moth, et al. Psychometric properties of the Danish version of the Caregiver Burden Scale: Investigating predictors and severity of burden after stroke, spinal cord injury, or traumatic brain injury.[J]. Journal of rehabilitation medicine, 2024, 56jrm34732.

[21] Jacinthe-J-E Adriaansen, van Asbeck Floris-W-A, Tepper Marga, et al. Bladder-emptying methods, neurogenic lower urinary tract dysfunction and impact on quality of life in people with long-term spinal cord injury.[J]. The journal of spinal cord medicine, 2017, 40(1): 43-53.

[22] Eren-O Kuris, Alsoof Daniel, Osorio Camilo, et al. Bowel and Bladder Care in Patients With Spinal Cord Injury.[J]. The Journal of the American Academy of Orthopaedic Surgeons, 2022, 30(6): 263-272.

[23] Emre Yilmaz, Benca Eric, Patel Akil-P, et al. What Are Risk Factors for an Ileus After Posterior Spine Surgery?-A Case Control Study.[J]. Global spine journal, 2022, 12(7): 1407-1411.

[24] Hiu-Yan Yeung, Iyer Priya, Pryor Julie, et al. Dietary management of neurogenic bowel in adults with spinal cord injury: an integrative review of literature.[J]. Disability and rehabilitation, 2021, 43(9): 1208-1219.

[25] Xiaohong Tao, Du TingTing. Improving Bowel Function Recovery and Quality of Life in Han Chinese Patients with Spinal Cord Injuries: A Quantitative Assessment-Based Nursing Intervention Study.[J]. Medical science monitor : international medical journal of experimental and clinical research, 2023, 29e939695.

[26] Yoonhee Kim, Jeong Minjae, Park Myung-Woo, et al. Incidence and risk factors of deep vein thrombosis and pulmonary thromboembolism after spinal cord disease at a rehabilitation unit: a retrospective study.[J]. Journal of Yeungnam medical science, 2023, 40(Suppl): S56-S64.

[27] E-C Zakrasek, Creasey G, Crew J-D. Pressure ulcers in people with spinal cord injury in developing nations.[J]. Spinal cord, 2015, 53(1): 7-13.

[28] Ingebjørg Irgens, Midelfart-Hoff Jana, Jelnes Rolf, et al. Videoconferencing in Pressure Injury: Randomized Controlled Telemedicine Trial in Patients With Spinal Cord Injury.[J]. JMIR formative research, 2022, 6(4): e27692.

[29] Ross-A Atkinson, Cullum Nicky-A. Interventions for pressure ulcers: a summary of evidence for prevention and treatment.[J]. Spinal cord, 2018, 56(3): 186-198.

[30] Austin Lui, Park Christine, Chryssikos Timothy, et al. Safety and comparative efficacy of initiating low-molecular-weight heparin within 24 hours of injury or surgery for venous thromboembolism prophylaxis in patients with spinal cord injury: a prospective TRACK-SCI registry study.[J]. Neurosurgical focus, 2023, 55(4): E17.

[31] Stephany-Fernandes Da Rocha Rodrigues, Priego Quesada Jose-Ignácio, Batista Rufino Luiz-Henrique, et al. Physiological parameters and the use of compression stockings in individuals with spinal cord injuries: a scoping review.[J]. Spinal cord, 2022, 60(2): 115-121.

[32] Yang Liu, Meng Yang, Liu Hao, et al. Routinely placing drainage tube in patients with anterior cervical surgery: is it really necessary?[J]. Chinese medical journal, 2021, 134(5): 521-523.

[33] J-J-P Schimmel, Horsting P-P, de Kleuver M, et al. Risk factors for deep surgical site infections after spinal fusion.[J]. European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2010, 19(10): 1711-1719.

[34] Zorica Buser, Chang Ki-Eun, Kall Ronald, et al. Lumbar surgical drains do not increase the risk of infections in patients undergoing spine surgery.[J]. European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2022, 31(7): 1775-1783.

[35] Tej-D Azad, Ran Kathleen-R, Liu Jiaqi, et al. A future blood test for acute traumatic spinal cord injury.[J]. Biomarkers : biochemical indicators of exposure, response, and susceptibility to chemicals, 2023, 28(8): 703-713.

[36] Kristin-E Musselman, Walden Kristen, Noonan Vanessa-K, et al. Development of priorities for a Canadian strategy to advance activity-based therapies after spinal cord injury.[J]. Spinal cord, 2021, 59(8): 874-884.