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DC Field | Value | Language |
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dc.contributor.author | Ellul, Christian | - |
dc.contributor.author | Formosa, Cynthia | - |
dc.contributor.author | Gatt, Alfred | - |
dc.date.accessioned | 2022-08-22T07:27:41Z | - |
dc.date.available | 2022-08-22T07:27:41Z | - |
dc.date.issued | 2020 | - |
dc.identifier.citation | Ellul, C., Formosa, C., & Gatt, A. (2020). Effects of intermittent calf muscle electrical stimulation on walking capacity in claudicants living with type 2 diabetes. Journal of the American Podiatric Medical Association, 110(1). | en_GB |
dc.identifier.uri | https://www.um.edu.mt/library/oar/handle/123456789/100785 | - |
dc.description.abstract | Background: First-line therapy for diabetic patients presenting with intermittent claudication includes supervised exercise programs to improve walking distance. However, exercise comes with a variety of barriers and may be contraindicated in certain conditions. The aim of this study was to evaluate whether calf muscle electrostimulation improves claudication distance. Methods: A prospective, one-group, pretest-posttest study design was used on 40 participants living with type 2 diabetes mellitus, peripheral artery disease (ankle brachial pressure index, ,0.90), and calf muscle claudication. Calf muscle electrostimulation of varying frequencies (1–250 Hz) was prescribed on both limbs for 1-hour daily sessions for 12 consecutive weeks. The absolute claudication distance (ACD) was measured at baseline and after the intervention. Results: The recruited cohort (30 men and ten women; mean age, 71 years; mean ankle brachial pressure index, 0.70) registered a mean 6 SD baseline ACD of 333.71 6 208 m. After a mean 6 SD of 91.68 6 6.23 days of electrical stimulation, a significant mean 6 SD increase of 137 6 136 m in the ACD (P¼.001, Wilcoxon signed rank test) was registered. Improvement was found to be sex independent, but age was negatively correlated with proportion of improvement (r ¼ –0.361; P ¼ .011, Pearson correlation test). Conclusions: Electrical stimulation of varying frequencies on ischemic calf muscles significantly increased the maximal walking capacity in claudicants with type 2 diabetes. This therapeutic approach should be considered in patients with impaired exercise tolerance or as an adjunct treatment modality. (J Am Podiatr Med Assoc 110(1): 1-7, 2020) | en_GB |
dc.language.iso | en | en_GB |
dc.publisher | American Podiatric Medical Association | en_GB |
dc.rights | info:eu-repo/semantics/restrictedAccess | en_GB |
dc.subject | Electric stimulation -- Therapeutic use | en_GB |
dc.subject | Type 2 diabetes -- Exercise therapy | en_GB |
dc.subject | Peripheral vascular diseases -- Treatment | en_GB |
dc.subject | Leg -- Blood-vessels -- Diseases -- Treatment | en_GB |
dc.subject | Intermittent claudication | en_GB |
dc.title | Effects of intermittent calf muscle electrical stimulation on walking capacity in claudicants living with type 2 diabetes | en_GB |
dc.type | article | en_GB |
dc.rights.holder | The copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder. | en_GB |
dc.description.reviewed | peer-reviewed | en_GB |
dc.identifier.doi | 10.7547/17-046 | - |
dc.publication.title | Journal of the American Podiatric Medical Association | en_GB |
Appears in Collections: | Scholarly Works - FacHScPod |
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Effects of intermittent calf muscle electrical stimulation on walking capacity in claudicants living with type 2 diabetes 2020.pdf Restricted Access | 83.47 kB | Adobe PDF | View/Open Request a copy |
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