Email this article 
Combined physical therapy for diabetic angiopathy
- Authors: Frolov D.V.1,2, Kryukov E.V.1, Gerasimenko M.Y.2, Kulikov A.G.2
-
Affiliations:
- Main Military Clinical Hospital Named After Academician N.N. Burdenko
- Russian Medical Academy of Continuous Professional Education
- Issue: Vol 19, No 1 (2020)
- Pages: 25-31
- Section: Original studies
- URL: https://rjpbr.com/1681-3456/article/view/41832
- DOI: https://doi.org/10.17816/1681-3456-2020-19-1-4
- ID: 41832
Cite item
Open Access
Access granted
Abstract
Background. The problem of diabetic angiopathy is characteristic of countries even with a high level of development of medicine. The high frequency of complications of diabetes with high biological and social significance determines the need for their correction.
The purpose of the work was to increase the effectiveness of rehabilitation treatment for patients with diabetic angiopathy through the combined use of therapeutic exercises and functional electrical stimulation of the lower extremities.
Methods. A prospective cohort study was conducted, in which 90 patients (63 men and 27 women) with an established diagnosis of type 2 diabetes took part.
Results. It was found that the use of therapeutic gymnastics and training walking on a treadmill and functional neuroelectrostimulation of the lower extremities increase the motor capabilities of patients due to the analgesic effect, improved neurogenic control of vasoconstriction of arteriovenous anastomoses and increased capillary blood flow.
Conclusion. Functional electrical stimulation method can be effectively used in physical therapy programs for patients with diabetic lower limb angiopathies at the inpatient and outpatient stages.
Full Text
About the authors
Denis V. Frolov
Main Military Clinical Hospital Named After Academician N.N. Burdenko; Russian Medical Academy of Continuous Professional Education
Author for correspondence.
Email: frolomed@mail.ru
ORCID iD: 0000-0002-9405-3589
SPIN-code: 1289-2667
Russian Federation, Moscow
Evgeniy V. Kryukov
Main Military Clinical Hospital Named After Academician N.N. Burdenko
Email: evgeniy.md@mail.ru
ORCID iD: 0000-0002-8531-0205
SPIN-code: 3900-3441
MD, PhD, Professor
Russian Federation, MoscowMarina Yu. Gerasimenko
Russian Medical Academy of Continuous Professional Education
Email: mgerasimenko@list.ru
ORCID iD: 0000-0002-1741-7246
SPIN-code: 7625-6452
MD, PhD, Professor
Russian Federation, MoscowAlexander G. Kulikov
Russian Medical Academy of Continuous Professional Education
Email: kulikov@mail.ru
ORCID iD: 0000-0002-1408-3308
SPIN-code: 3555-8782
MD, PhD, Professor
Russian Federation, MoscowReferences
- Kisljak OA, Myshljaeva TO, Mylysheva NV. Saharnyj diabet 2 tipa, arterial'naja gipertenzija i risk serdechno-sosudistyh oslozhnenij. Diabetes mellitus. 2008;(1):45–49. (In Russ).
- Azizov GA, Duvansky VA, Gagarin EN, Bazhenova GE. Laser Doppler fl owmetry for evaluation of microcirculation in patients with obliterating vascular atherosclerosis in lower extremities. Laser medicine. 2011;15(2):115. (In Russ).
- Ametov AS, Solov'eva OL. Serdechno-sosudistye oslozhnenija pri saharnom diabete: patogenez i puti korrekcii. Russkii medit︠s︡inskii zhurnal. 2011;19(27):1694–1699. (In Russ).
- Pullatt RC, Silverman DI, Heller GV. Are long-term outcomes of medium – to high-risk patients undergoing vascular surgery affected bythe ischemia evaluation strategy? J Am Coll Cardiol. 2010;55(13):1397–1398. doi: 10.1016/j.jacc.2009.11.058.
- Vasiliev AP, Streltsova NN, Salamova LA. Functionality of skin microhemocirculation in patients with obliterating atherosclerosis of lower extremity arteries as per laser Doppler flowmetry. Regionarnoe krovoobrashhenie i mikrocirkuljaciia. 2017;16(4):35–41. (In Russ). doi: 10.24884/1682-6655-2017-16-4-35-41.
- Jude EB, Eleftheriadou I, Tentolouris N. Peripheral arterial disease in diabetes – a review. Diabet Med. 2010;27(1):4–14. doi: 10.1111/j.1464-5491.2009.02866.x.
- Anderson JL, Halperin JL, Albert NM, et al. Management of patients with peripheral artery disease (compilation of 2005 and 2011 ACCF/AHA guideline recommendations): a report of the American College of Cardiology Foundation. American Heart Association Task Force on Practice Guidelines. Circulation. 2013;127(13):1425–1443. doi: 10.1161/CIR.0b013e31828b82aa.
- Lyu X, Li S, Peng S, et al. Intensive walking exercise for lower extremity peripheral arterial disease: A systematic review and meta-analysis. J Diabetes. 2016;8(3):363–377. doi: 10.1111/1753-0407.12304.
- Marchenkova LA, Badalov NG, Gerasimenko MYu, Martynova EYu. The modern possibilities and prospects of physiotherapeutic and balneotherapeutic methods for the treatment and rehabilitation of the patients with diabetic neuropathy. Russian Journal of the Physial Therapy, Balneotherapy and Rehabilitation. 2016;15(6):322–327. (In Russ). doi: 10.18821/1681-3456-2016-15-6-322-327.
- Smirnova SN, Lazarenko NN, Trunova OV, et al. Angioprotective effect of pulsed currentsin patients with diabetes, stroke. Consilium Medicum. 2016;18(9):59–61. (In Russ).
- Lazarenko NN, Smirnova SN, Trunova OV, et al. The effectiveness of transdermal electrical stimulation used to treat neuropathic and metabolic disorders in the patients with diabetes mellitus. Russian Journal of the Physial Therapy, Balneotherapy and Rehabilitation. 2016;15(6):293–297. (In Russ). doi: 10.18821/1681-3456-2016-15-6-293-297.
- ESC guidelines on the diagnosis and treatment of peripheral arterial diseases, in collaboration with the European Society for Vascular Surgery (ESVS). Russ J Cardiol. 2018;23(8):164–221. (In Russ). doi: 10.15829/1560-4071-2018-8-164-221.
- Krupatkin AI, Sidorov VV. Funktsional’naya diagnostika sostoyaniya mikrotsirkulyatorno-tkanevykh sistem: kolebaniya, informatsiya, nelineynost’: rukovodstvo dlya vrachey. Moscow: Librokom; 2013. 496 р. (In Russ).
- Kul’chitskaya DB, Konchugova TV, Korchazhkina NB, et al. Primeneniye lazernoy dopplerovskoy floumetrii v klinicheskoy praktike: uchebnoye posobiye. Moscow: RIO TSGMA; 2016. 44 р. (In Russ).
- Kulikov AG. Ozonotherapy: microhemodynamical aspects. Russian Journal of the Physial Therapy, Balneotherapy and Rehabilitation. 2012;(3):3–8. (In Russ).
Supplementary files
