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
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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