Abstract
Abstract Introduction : Diabetes Mellitus (DM) is conceptualized as a public health problem with varying degrees of morbidity. The physical and functional alternatives for the treatment of circulatory complications of diabetes, such as intermittent claudication, are poorly explored. This indicates the need to search for ancillary techniques that can be used in the physical therapy treatment of diabetic patients. Objective : To investigate the effects of functional hyperemia on peripheral arterial disease in patients with diabetes. Materials and methods: This study was conducted with a group of five volunteers from the Diabetics Association of Parana (Associação Paranaense do Diabético , APAD ), who suffered from peripheral vascular disorders in the lower limbs. All subjects attended 10 sessions (twice weekly). Functional hyperemia was induced by programmed exercise therapy that consisted of walking on a treadmill. Results : There was a significant increase in mean activity time (F9,36 = 13.710; p < 0.001 ), mean walking distance (F9,36 = 27.689 ; p < 001), and mean speed (F9,36 = 15.638 ; p < .001). No statistically significant differences in the ankle-brachial index were noted. Conclusion : There was a significant increase in walking distance, time, and speed for diabetic subjects. Our findings indicate the importance of physical therapists in the supervised treatment of peripheral vascular disorders in diabetic patients.
Highlights
Diabetes Mellitus (DM) is conceptualized as a public health problem with varying degrees of morbidity
Diabetes Mellitus (DM) is a complex, chronic metabolic disorder characterized by elevated levels of glucose in the blood, causing hyperglycemia (1)
Besides being characterized by impaired glucose metabolism, diabetes is characterized by impairment of other energy producing substances and is associated with a variety of complications in organs that are essential to survival (3)
Summary
Diabetes Mellitus (DM) is conceptualized as a public health problem with varying degrees of morbidity. The physical and functional alternatives for the treatment of circulatory complications of diabetes, such as intermittent claudication, are poorly explored. This indicates the need to search for ancillary techniques that can be used in the physical therapy treatment of diabetic patients. Diabetes Mellitus (DM) is a complex, chronic metabolic disorder characterized by elevated levels of glucose in the blood, causing hyperglycemia (1). This increase occurs because the insulin, the hormone responsible for the absorption of glucose into cells, is either not produced by the pancreas, produced in insufficient quantities or does not work properly (2). Vascular diseases are among the most important chronic complications of diabetes (5)
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