The Combined Effect of Neuromuscular Electrical Stimulation and Insulin Therapy on Glycated Hemoglobin Concentrations, Lipid Profiles and Hemodynamic Parameters in Patients with Type-2-Diabetes and Hemiplegia Related to Ischemic Stroke: A Pilot Study
Autor: | Anna Polak, Piotr Król, Maja Rubinowicz-Zasada, Cezary Kucio, Krzysztof Wierzbicki, Petr Stastny, Ewa Kucio |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
endocrine system diseases
Health Toxicology and Mutagenesis medicine.medical_treatment hemiplegia Hemodynamics lcsh:Medicine 030209 endocrinology & metabolism Stimulation Electric Stimulation Therapy Pilot Projects Type 2 diabetes neuromuscular electrical stimulation (NMES) 030204 cardiovascular system & hematology Article law.invention Brain Ischemia 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Randomized controlled trial law medicine ischemic stroke Humans Insulin physical therapy Glycated Hemoglobin Cholesterol business.industry lcsh:R Public Health Environmental and Occupational Health nutritional and metabolic diseases type 2 diabetes mellitus (T2DM) medicine.disease Lipids Electric Stimulation Stroke Blood pressure chemistry Diabetes Mellitus Type 2 Anesthesia Glycated hemoglobin business |
Zdroj: | International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health, Vol 18, Iss 3433, p 3433 (2021) Volume 18 Issue 7 |
ISSN: | 1660-4601 1661-7827 |
Popis: | Type-2-diabetes mellitus (T2DM) is a global problem of medical, social and economic consequences. Physical activity is a vital therapy in patients with T2DM, but some of them cannot exercise for various reasons. The purpose of our pilot study was to determine whether a combination of neuromuscular electrostimulation (NMES) and insulin therapy could improve the management of T2DM patients with hemiplegia caused by an ischemic stroke. Fifteen immobile patients with T2DM on insulin therapy were enrolled in the study. NMES was applied to their lower limbs for 60 min, 5 days a week, over a period of 12 weeks. The intervention caused statistically significant reductions in the blood concentrations of glycated hemoglobin, total cholesterol and low-density cholesterol in the participants. Furthermore, systolic and diastolic blood pressure levels were significantly lower. More randomized clinical trials are needed to accurately measure the effect of NMES on T2DM treatment and to determine whether it can be an alternative for physical activity for immobile patients with T2DM. |
Databáze: | OpenAIRE |
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