The Effectiveness of Calf Muscle Electrostimulation on Vascular Perfusion and Walking Capacity in Patients Living with Type 2 Diabetes Mellitus and Peripheral Artery Disease

Christian Ellul, Cynthia Formosa, Alfred Gatt, Auon Abbas Hamadani, David G Armstrong

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

The aim of the study was to explore calf muscle electrostimulation on arterial inflow and walking capacity in claudicants with peripheral artery disease and diabetes mellitus. A prospective, 1-group, pretest-posttest study design was used on 40 high-risk participants (n = 40) who exhibited bilateral limb ischemia (ankle brachial pressure index [ABPI] <0.90), diabetes mellitus, and calf muscle claudication. A program of calf muscle electrical stimulation with varying frequency (1-250 Hz) was prescribed for 1 hour per day for 12 weeks. Spectral waveforms analysis, ABPI, absolute claudication distance (ACD), and thermographic temperature patterns across 4 specified regions of interest (hallux, medial forefoot, lateral forefoot, heel) at rest and after exercise, were recorded at baseline and following intervention to evaluate for therapeutic outcomes. A significant improvement in ACD and ABPI was registered following the intervention (P =.000 and P =.001, respectively). Resting foot temperatures increased significantly (P =.000) while the postexercise temperature drops were halved across all regions at follow-up, with hallux (P =.005) and lateral forefoot (P =.038) reaching statistical significance. Spectral Doppler waveforms were comparable (P =.304) between both serial assessments. Electrical stimulation of varying frequency for 1 hour per day for 12 consecutive weeks registered statistically significant improvement in outcome measures that assess arterial inflow and walking capacity in claudicants with diabetes mellitus. These results favor the use of electrostimulation as a therapeutic measure in this high-risk population.

Original languageEnglish (US)
Pages (from-to)122-128
Number of pages7
JournalInternational Journal of Lower Extremity Wounds
Volume16
Issue number2
DOIs
StatePublished - Jun 1 2017

Fingerprint

Ankle Brachial Index
Peripheral Arterial Disease
Hallux
Type 2 Diabetes Mellitus
Walking
Blood Vessels
Diabetes Mellitus
Perfusion
Pressure
Muscles
Electric Stimulation
Temperature
Heel
Foot
Ischemia
Extremities
Outcome Assessment (Health Care)
Exercise
Therapeutics
Population

Keywords

  • diabetes mellitus
  • electrical stimulation
  • intermittent claudication
  • peripheral artery disease

ASJC Scopus subject areas

  • Surgery

Cite this

The Effectiveness of Calf Muscle Electrostimulation on Vascular Perfusion and Walking Capacity in Patients Living with Type 2 Diabetes Mellitus and Peripheral Artery Disease. / Ellul, Christian; Formosa, Cynthia; Gatt, Alfred; Hamadani, Auon Abbas; Armstrong, David G.

In: International Journal of Lower Extremity Wounds, Vol. 16, No. 2, 01.06.2017, p. 122-128.

Research output: Contribution to journalArticle

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