Effect of mechanical vibration on transcutaneous oxygen levels in the feet of type 2 diabetes mellitus patients (original) (raw)
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Effect of Mechanical Vibration Therapy on Healing of Foot Ulcer in Diabetic Polyneuropathy Patients
Diabetic foot complications are the most common cause of non-traumatic lower extremity amputations in the industrialized world. The risk of lower extremity amputation is higher in diabetics than in persons who do not have diabetes mellitus. Furthermore, foot complications are the most frequent reason for hospitalization in patients with diabetes. Diabetic neuropathy is the impact of diabetes on the nervous system, most commonly causing numbness, tingling and pain in the feet and also increasing the risk of skin damage due to altered sensation. Together with vascular disease in the legs, neuropathy contributes to the risk of diabetes-related foot problems (such as diabetic foot ulcers) that can be difficult to treat and occasionally require amputation. Early detection and appropriate treatment of these ulcers may prevent up to 85 percent of amputations. Purpose: To detect the effect of low mechanical vibration on healing of diabetic foot ulcer. Methods: Twenty nine diabetic patients with type 2 diabetes (21 males and 8 females) suffer from diabetic ischemic foot ulcer (grade A1) will be divided into 2 groups; 1st study group received low mechanical vibration for 15 minutes for session, 3session/day, 5day/week for 4 weeks and control group received no treatment. Assessment of wound size (length, width and area) by Visitrak device for both groups was done 3 times as follow; 1st assessment done before assessment, the 2nd assessment was done 2 weeks after the beginning of treatment and the 3rd assessment was done 4 weeks after beginning of treatment.
2020
Exercise is one way to achieve good glycemic control and complication prevention. These study analysed effect of foot vibration to pain, foot sensitivity and ankle brachial index (ABI) improvement on type 2 diabetes mellitus (DM) patients. These study used pre-experiment one group pre and post test design with 20 samples, collected by using consecutive sampling. Intervention was provide foot vibration for 8 weeks at public health center of Abiansemal II Badung, Bali. The result showed mean of foot pain (right: 4.35. left: 3.85), foot sensitivity (right: 2.85, left: 3.05) and ABI (right: 0.82, left: 0.85) before intervention. Neuropathy and ABI improved after intervention with mean of foot pain (right: 3.35. left: 2.70, p=0.001), foot sensitivity (right: 1.50, left: 1.35, p=0.001) and ABI (right: 0.82, left: 0.85, p=0.001). For the result concluded that foot vibration was effective to improve neuropathy n ABI on type 2 DM patients.
National Journal of Physiology, Pharmacy and Pharmacology, 2021
Background: Diabetic foot ulcer poses a serious threat to patients with Diabetes as the presence of an ulcer further significantly increases the risk of an amputation. Aim and Objectives: The present study was undertaken to assess: Correlation of transcutaneous oxygen tension (TcpO2) and Ankle Brachial Pressure Index (ABPI) in outcome of diabetic foot and severity of neuropathy by grades. Materials and Methods: 30 patients of Type 2 Diabetes Mellitus with foot lesions and 30 healthy controls were selected after obtaining informed consent and ethical committee clearance. Subjects were recruited taking into consideration various inclusion and exclusion criteria. The subjects were assessed for the following parameters: Vibration perception, hot, and cold perception along with TcpO2 and ankle brachial pressure index (ABPI). The test results were compared within the two groups of cases, that is, Group I: Healed ulcer and Group II-Non-healed ulcer. The results of the two groups were compared with 30 healthy controls also. Results: Males were predominant (66.67%) compared to females (33.33%) in the diabetic foot patients. Severe derangements in the sensory modalities were found as observed by the bilaterally reduced values of vibration perception, hot perception and cold perception tests when diabetic foot patients were compared to controls. The values, however, were not significantly different between the two groups of patients of diabetic foot. The values of TcPO2 and ABPI were bilaterally reduced in the cases as compared to controls and amongst the Group I and Group II comparison these values showed a significant difference. A highly significant positive correlation was observed between the TcPO2 and ABPI test results in the diabetic foot patients that indicates both are complimentary tests for diabetic foot outcome prediction. Conclusion: Increased duration of diabetes, high value of Hba1c and presence of neuropathy were found to be important risk predictors for diabetic foot. Early and severe derangement of vibration perception indicated early involvement of large nerve fibers. Heat and cold perception is affected late and less severely, indicating late involvement of small nerve fibers in diabetic polyneuropathy. The positive correlation between TcPO2 and ABPI indicates both are complementary tests for predicting the outcome of diabetic foot. However, TcPO2 being a better predictor maybe incorporated as a routine screening test for diabetic foot risk and outcome predictor in the diabetic foot clinic.
Effects of aerobic exercise and whole body vibration on glycaemia control in type 2 diabetic males
Asian journal of sports medicine, 2011
Aerobic exercise has been identified as the main treatment for type 2 diabetic patients. Such an exercise, however, is usually repined by some of patients who suffer from lack of stamina. Therefore, whole body vibration has recently been introduced as a passive intervention. The present study aimed at comparing how aerobic exercise and whole body vibration affect glycaemia control in type 2 diabetic males. Thirty diabetic males were divided into three groups, namely aerobic exercise (AE), whole body vibration (WBV), and control. Aerobic exercise schedule consisted of three walking sessions a week, each for 30-60 minutes and in 60-70% of maximum stock heartbeat. Vibration exercise was composed of 8-12-min stand-up and semi-squat positioning in frequency of 30 Hz and amplitude of 2 mm. Concentrations of fasting glycosylated hemoglobin, fasting glucose, and insulin were measured in the beginning of the trial, after the fourth week, and after the eighth week. After 8 weeks of exercise, ...
Applied Sciences
The purpose of this study was to evaluate the response of a single whole-body vibration (WBV) training session to peripheral skin temperature and peripheral blood flow of older adults with type 2 diabetes. A double-blind, controlled clinical trial was conducted following the Consolidated Standards of Reporting Trials (CONSORT) guidelines. A single session of WBV (24 Hz; amplitude 4 mm; vibration time 45 s, with a series of eight repetitions with recovery between repetitions of 30 s; total time of 10 min) or sham vibration on the Kikos P204 Vibrating Platform was employed. To assess skin temperature, the FLIR E40bxs thermographic camera and the ultrasonic vascular Doppler for flow velocity were used. Evaluation occurred before and after a WBV or sham intervention. The sample consisted of three men and 17 women. In the WBV group, there was a decrease in the temperature from 29.7 °C (±1.83) to 26.6 °C (±2.27), with p = 0.01. Temperature following sham decreased from 28.6 °C (±1.84) to ...
Whole-body vibration training is effective in increasing mobility, balance and exercise capacity in patients with type 2 diabetes. Whole-body vibration is a suitable strategy for the management of patients with type 2 diabetes. a b s t r a c t Objectives: The aim of this systematic review and meta-analysis was to determine the effects of wholebody vibration training on metabolic abnormalities, mobility, balance and aerobic capacity in older adult patients with type 2 diabetes mellitus. Methods: We searched PubMed, Cochrane Library, PEDro, LILACS and SciELO (from the earliest date available to March 2018) for controlled trials that evaluated the effects of whole-body vibration on the health-related outcomes of patients with type 2 diabetes. Two reviewers independently selected the studies and performed statistical analyses of the studies. Weighted mean differences, standard mean differences and 95% confidence intervals (CIs) were calculated. Results: In total, 7 studies, involving 279 patients who had type 2 diabetes, that compared whole-body vibration with other exercises and/or controls were included. Individual studies suggested that wholebody vibration was associated with improvements in pain levels, blood flow in the legs, glycated hemoglobin levels and fasting blood glucose levels. Whole-body vibration improved mobility weighted mean differences (e.24 seg; 95% CI e2.0, e0.5; n¼96); balance standard mean differences (2.34; 95% CI 1.16, 3.5; n¼57); and aerobic capacity standard mean differences (0.7; 95% CI 0.2, 1.3; n¼59). Conclusions: Whole-body vibration could be a useful strategy in the management of the symptoms and disabilities associated with type 2 diabetes; however, it is necessary to perform further studies to reinforce the reported findings.
Healthcare
Diabetic foot ulcers are a common complication that occurs in approximately 15 percent of patients with diabetes mellitus. Over 60% of diabetic foot ulcers are caused by underlying neuropathy. Former studies on diabetic animals with foot wounds found that vibration platforms significantly accelerate wound healing by catalyzing epithelization, promoting angiogenesis, and enhancing muscle bulk. This result suggests that there is evidence that vibrations may accelerate diabetic neuropathic ulcer healing in human patients. However, to the best of our knowledge, the effect of vibration on the enhancements of diabetic foot ulcer healing in human patients is rarely investigated. Hence, in this work, we conducted an experimental study with human subjects to investigate whether vibration therapy, as a complement to the standard wound treatment, can accelerate the wound healing rate of diabetic neuropathic foot ulcers. In this prospective experimental study, 80 participants diagnosed with Wag...
Diagnostics
Vascular endothelium insults caused by high serum glucose levels affect the oxygen supply to tissues, via the microvascular endothelium, resulting in an increased perfusion heterogeneity. These insults may lead to the underuse of blood capillaries, while other vessels are overused and effectively overload their oxygen supply capacity, which eventually causes damages to distal parts of the peripheral nervous system. Therefore, the proprioceptive and exteroceptive feedback information will be gradually lost and contribute to a mobility reduction. This study aims to assess the efficacy of whole-body vibration (WBV) associated with strength training (ST) on lower-limb blood flow and mobility in older adults with type 2 diabetes (DM2). Methods and analyses: This is a protocol (1st version) for Pa single-blind, randomized, controlled clinical trial guided by the SPIRIT guidelines. Our sample will consist of 51 older adults with DM2 randomly allocated to three groups: low frequency WBV (16...