Physiotherapeutic intervention in peripheral arterial disease by functional hyperemia in diabetic patients

Abstract Introduction : Diabetes Mellitus (DM) is conceptualized as a public health problem with varying degrees of morbidity. The physical and functional alternatives for the treatment of circulatory complications of diabetes, such as intermittent claudication, are poorly explored. This indicates...

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Main Authors: Cristiane Wichnieski, Flávia Natacha Salvatori Kirchhof, Pedro Cezar Beraldo, Luiz Bertassoni Neto, Christian Campos Jara
Format: Article
Language:English
Published: Editora Champagnat
Series:Fisioterapia em Movimento
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-51502015000400731&lng=en&tlng=en
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author Cristiane Wichnieski
Flávia Natacha Salvatori Kirchhof
Pedro Cezar Beraldo
Luiz Bertassoni Neto
Christian Campos Jara
author_facet Cristiane Wichnieski
Flávia Natacha Salvatori Kirchhof
Pedro Cezar Beraldo
Luiz Bertassoni Neto
Christian Campos Jara
author_sort Cristiane Wichnieski
collection DOAJ
description Abstract Introduction : Diabetes Mellitus (DM) is conceptualized as a public health problem with varying degrees of morbidity. The physical and functional alternatives for the treatment of circulatory complications of diabetes, such as intermittent claudication, are poorly explored. This indicates the need to search for ancillary techniques that can be used in the physical therapy treatment of diabetic patients. Objective : To investigate the effects of functional hyperemia on peripheral arterial disease in patients with diabetes. Materials and methods: This study was conducted with a group of five volunteers from the Diabetics Association of Parana (Associação Paranaense do Diabético , APAD ), who suffered from peripheral vascular disorders in the lower limbs. All subjects attended 10 sessions (twice weekly). Functional hyperemia was induced by programmed exercise therapy that consisted of walking on a treadmill. Results : There was a significant increase in mean activity time (F9,36 = 13.710; p < 0.001 ), mean walking distance (F9,36 = 27.689 ; p < 001), and mean speed (F9,36 = 15.638 ; p < .001). No statistically significant differences in the ankle-brachial index were noted. Conclusion : There was a significant increase in walking distance, time, and speed for diabetic subjects. Our findings indicate the importance of physical therapists in the supervised treatment of peripheral vascular disorders in diabetic patients.
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spelling doaj.art-b252f6c0f8da4f92b44ba1509f3d612f2022-12-22T01:56:37ZengEditora ChampagnatFisioterapia em Movimento1980-591828473174010.1590/0103-5150.028.004.AO10S0103-51502015000400731Physiotherapeutic intervention in peripheral arterial disease by functional hyperemia in diabetic patientsCristiane WichnieskiFlávia Natacha Salvatori KirchhofPedro Cezar BeraldoLuiz Bertassoni NetoChristian Campos JaraAbstract Introduction : Diabetes Mellitus (DM) is conceptualized as a public health problem with varying degrees of morbidity. The physical and functional alternatives for the treatment of circulatory complications of diabetes, such as intermittent claudication, are poorly explored. This indicates the need to search for ancillary techniques that can be used in the physical therapy treatment of diabetic patients. Objective : To investigate the effects of functional hyperemia on peripheral arterial disease in patients with diabetes. Materials and methods: This study was conducted with a group of five volunteers from the Diabetics Association of Parana (Associação Paranaense do Diabético , APAD ), who suffered from peripheral vascular disorders in the lower limbs. All subjects attended 10 sessions (twice weekly). Functional hyperemia was induced by programmed exercise therapy that consisted of walking on a treadmill. Results : There was a significant increase in mean activity time (F9,36 = 13.710; p < 0.001 ), mean walking distance (F9,36 = 27.689 ; p < 001), and mean speed (F9,36 = 15.638 ; p < .001). No statistically significant differences in the ankle-brachial index were noted. Conclusion : There was a significant increase in walking distance, time, and speed for diabetic subjects. Our findings indicate the importance of physical therapists in the supervised treatment of peripheral vascular disorders in diabetic patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-51502015000400731&lng=en&tlng=enDiabetes ComplicationsIntermittent claudicationExercise therapyCollateral circulationPhysical Therapy
spellingShingle Cristiane Wichnieski
Flávia Natacha Salvatori Kirchhof
Pedro Cezar Beraldo
Luiz Bertassoni Neto
Christian Campos Jara
Physiotherapeutic intervention in peripheral arterial disease by functional hyperemia in diabetic patients
Fisioterapia em Movimento
Diabetes Complications
Intermittent claudication
Exercise therapy
Collateral circulation
Physical Therapy
title Physiotherapeutic intervention in peripheral arterial disease by functional hyperemia in diabetic patients
title_full Physiotherapeutic intervention in peripheral arterial disease by functional hyperemia in diabetic patients
title_fullStr Physiotherapeutic intervention in peripheral arterial disease by functional hyperemia in diabetic patients
title_full_unstemmed Physiotherapeutic intervention in peripheral arterial disease by functional hyperemia in diabetic patients
title_short Physiotherapeutic intervention in peripheral arterial disease by functional hyperemia in diabetic patients
title_sort physiotherapeutic intervention in peripheral arterial disease by functional hyperemia in diabetic patients
topic Diabetes Complications
Intermittent claudication
Exercise therapy
Collateral circulation
Physical Therapy
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-51502015000400731&lng=en&tlng=en
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AT pedrocezarberaldo physiotherapeuticinterventioninperipheralarterialdiseasebyfunctionalhyperemiaindiabeticpatients
AT luizbertassonineto physiotherapeuticinterventioninperipheralarterialdiseasebyfunctionalhyperemiaindiabeticpatients
AT christiancamposjara physiotherapeuticinterventioninperipheralarterialdiseasebyfunctionalhyperemiaindiabeticpatients