Use the Back button in your browser to see the other results of your search or to select another record.

Detailed Search Results

Effect of pulsed electromagnetic field on lower extremity peripheral arterial disorder in type 2 diabetic patient: a randomized study
Almansi MY, Elsayed WH, Allah SSR, Elliwa HS, Farghaly AA
Journal of Cardiovascular Disease Research 2021;12(5):439-447
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: Pulsed electromagnetic field (PEMF) has been shown to be effective treatment for many conditions as wound healing and pain relief. It is safe and non-invasive therapy and could be employed as a complementary therapy in the treatment of peripheral arterial disorder (PAD). PURPOSE: To investigate the effect of PEMF on endothelial function of the lower extremity PAD in patient with type 2 diabetes mellitus (T2DM). METHODS: Randomized controlled trial. 30 male patients of T2DM with age ranged from 50 to 60 years old, with lower extremity PAD and intermittent claudication were recruited randomly according to power analysis test and divided into two equal groups; group A received PEMF therapy at a frequency of 10 Hz, the treatment was administered for 20 min per session, 3 times per week for a period of 2 months with convential physical therapy group B received high intensity interval training (HIIT) in the form of bicycle ergometer exercise for lower limb 3 times per week for 2 months with convential physical therapy. Pre- and post-treatment assessment using numerical pain rating scale (NPRS), ankle brachial index (ABI) and flow mediated dilatation percentage (FMD %) were done for all patients. RESULTS: Within groups the analysis using 2x2 mixed design MANOVA showed a statistically significant improvement for all measured variables (NPRS, ABI and FMD%) in both group (p < 0.0001). Between groups, the analysis revealed there was no significant difference of the mean values ofthe NPRS "posttest" between both groups with (p = 0.857), there was significant difference of the mean values of ABI "posttest" between both groups with (p = 0.038) and this significant increase in favor to group A, and there was clinical difference and high percent of improvement in FMD% in favor to group B. CONCLUSION: PEMF therapy has a significant effect on reducing pain and improving endothelial function in diabetic patients with PAD.

Full text (sometimes free) may be available at these link(s):      help