Effect of mechanical vibration on transcutaneous oxygen levels in the feet of type 2 diabetes mellitus patients

Autor: Alberto Isaac Pérez Sanpablo, Gerardo Rodríguez Reyes, Lidia Núñez Carrera, Aldo Alessi Montero, Ivett Quiñones Uriostegui, Adriana Solís Vivanco
Rok vydání: 2017
Předmět:
Zdroj: Medicina Clínica (English Edition). 148:16-19
ISSN: 2387-0206
DOI: 10.1016/j.medcle.2017.01.014
Popis: Background and objective Foot conditions in patients with diabetes mellitus (DM) are major causes of morbidity and disability. Whole body vibration may promote blood circulation in the lower limbs, hence facilitating perfusion and promoting the supply of nutrients and oxygen to comprised tissues. Transcutaneous oxygen levels (TcPO 2 ) > 40 mmHg in cases of diabetic foot syndrome are associated with a good prognosis in the resolution of ulcers. The objective of this study was to determine whether whole body vibration favors some parameters of interest related to complications associated with the diabetic foot syndrome. Patients and methods Fifty-four patients with DM were included in a 12-week exercise program based on whole body vibration. Glycemic control was determined on the basis of the patients’ levels of glycated hemoglobin (HbA 1c ); sensitivity and TcPO 2 levels of each foot were also recorded. Assessments were performed prior to initiating the whole body vibration program and at the end of it. Results No significant changes were observed in the patients’ HbA 1c ( P = .442) levels or sensitivity ( P = .07). A significant 7 mmHg increase ( P d = 0.53) was observed in the concentration of TcPO 2 . Conclusions Whole body vibration may increase TcPO 2 levels with useful implications for the prevention or management of complications associated with restricted blood perfusion in the diabetic foot syndrome.
Databáze: OpenAIRE
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