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Effects of Intermittent Calf Muscle Electrical Stimulation on Walking Capacity in Claudicants Living with Type 2 Diabetes / Christian Ellul in Journal of the American Podiatric Medical Association, vol. 110, 01 (Janvier-février 2020)
[article]
in Journal of the American Podiatric Medical Association > vol. 110, 01 (Janvier-février 2020)
Titre : Effects of Intermittent Calf Muscle Electrical Stimulation on Walking Capacity in Claudicants Living with Type 2 Diabetes Type de document : article de périodique Auteurs : Christian Ellul ; Cynthia Formosa ; Alfred Gatt Année de publication : 2020 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:C:Claudication intermittente:Claudication intermittente / thérapie
[Thésaurus Mesh]Claudication intermittente
[Thésaurus Mesh]Diabète de type 2
[Thésaurus Mesh]Électrothérapie
[Thésaurus Mesh]Études prospectives
[Thésaurus Mesh]Muscles
[Thésaurus Mesh]Pied diabétique
[Thésaurus Mesh]Traitement par les exercices physiques
[Thésaurus HELB]:Paramédical:molletMots-clés : prospective studies diabetes mellitus, type 2 diabetic foot intermittent claudication exercise therapy electric stimulation therapy Résumé : Background: First-line therapy for diabetic patients presenting with intermittent claudication includes supervised exercise programs to improve walking distance. However, exercise comes with a variety of barriers and may be contraindicated in certain conditions. The aim of this study was to evaluate whether calf muscle electrostimulation improves claudication distance.
Methods: A prospective, one-group, pretest-posttest study design was used on 40 participants living with type 2 diabetes mellitus, peripheral artery disease (ankle brachial pressure index, <0.90), and calf muscle claudication. Calf muscle electrostimulation of varying frequencies (1–250 Hz) was prescribed on both limbs for 1-hour daily sessions for 12 consecutive weeks. The absolute claudication distance (ACD) was measured at baseline and after the intervention.
Results: The recruited cohort (30 men and ten women; mean age, 71 years; mean ankle brachial pressure index, 0.70) registered a mean ± SD baseline ACD of 333.71 ± 208 m. After a mean ± SD of 91.68 ± 6.23 days of electrical stimulation, a significant mean ± SD increase of 137 ± 136 m in the ACD (P = .001, Wilcoxon signed rank test) was registered. Improvement was found to be sex independent, but age was negatively correlated with proportion of improvement (r = –0.361; P = .011, Pearson correlation test).
Conclusions: Electrical stimulation of varying frequencies on ischemic calf muscles significantly increased the maximal walking capacity in claudicants with type 2 diabetes. This therapeutic approach should be considered in patients with impaired exercise tolerance or as an adjunct treatment modality.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
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