Tag: choroba tętnic obwodowych

Effect of Pulsed Electromagnetic Field on Walking Capacity in Patients with Peripheral Arterial Disease

Reham R. Mahmoud, Awny F. Rahmy, Mohamed G. Ibrahim, Abeer A. Farghaly

Reham R. Mahmoud, Awny F. Rahmy, Mohamed G. Ibrahim, Abeer A. Farghaly – Effect of Pulsed Electromagnetic Field on Walking Capacity in Patients with Peripheral Arterial Disease. Fizjoterapia Polska 2021; 21(3); 226-232

Abstract
Background. Peripheral arterial disease (PAD) is a common vascular disorder characterized by intermittent claudication with costly complications and marked reduction in functional capacity. The pulsed electromagnetic field (PEMF) has been used widely for different patient populations owing to its analgesic, anti-inflammatory, and angiogenetic effects, however, its use in the management of PAD has been recently introduced. Aim. this study aimed to assess the effect of PEMF on functional walking parameters in patients with PAD. Material and Methods. Sixty patients with PAD (Fontaine stage II), aged from 45-65 were divided into two groups A & B. Group (A) received pulsed electromagnetic field for 60 minutes/session, 3 sessions/week, and for 8 weeks plus drug treatment, whereas, group (B) only received the traditional drug treatment for 8 weeks. The endpoints of the study were claudication pain distance (CPD), maximal walking distance (MWD), claudication pain time (CPT), maximal walking time (MWT), and ankle-brachial index (ABI). Results. There were significant changes in all measured variables compared to the baseline in the two groups. There were significant differences between the two groups in CPD, MWD, CPT, MWT, and ABI in favor of the PEMF group (P < 0.05). Conclusion. PEMF could be an effective therapeutic modality that can help improve the functional walking capacity in patients with PAD (Fontaine stage II).
Key words:
Pulsed electromagnetic field, peripheral arterial disease, walking capacity, Intermittent claudication
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Could it be a New Complementary Intervention in Management of Peripheral Arterial Disease?

Abeer Ahmad Farghaly, Hesham Mostafa, Hasnaa Ahmed Abdel-Aziz, Hamada A. Hamada

Abeer Ahmad Farghaly, Hesham Mostafa, Hasnaa Ahmed Abdel-Aziz, Hamada A. Hamada – Laser Acupuncture: Could it be a New Complementary Intervention in Management of Peripheral Arterial Disease? Fizjoterapia Polska 2020; 20(3); 184-190

Abstract
Laser acupuncture has produced promising results in the management of many medical conditions; it has been used as a non-invasive therapy with no puncture pain which represents a major advantage over traditional acupuncture or electroacupuncture. The research question of this study is: Does the Aluminum Gallium Arsenide (AlGaAs) LASER acupuncture affect the lower limb blood supply and functional walking ability in patients with peripheral arterial disease (PAD)? Thirty male patients’ diagnosis with PAD were recruited from Kasr El-ainy Hospital, and were randomly divided into two equal groups: study group and control group. Both groups received the routine medical treatment whereas study group received laser acupuncture therapy twice weekly for five weeks. Ankle brachial pressure index (ABPI), six-minute walk test (6MWT), and rating of perceived exertion using modified Borg scale were measured. The 2×2 mixed design MANOVA showed that laser acupuncture has induced highly statistically significant improvements in all the measured outcomes (p < 0.05). However, results revealed no significant difference between the two groups except for modified Borg scale. It was concluded that, AlGaAs Laser acupuncture could be an effective non-pharmacological intervention for improving circulation and functional walking performance in PAD patients and may be recommended as a complementary therapy in the management protocols of PAD.
Key words:
Laser acupuncture, peripheral arterial disease, Ankle brachial pressure index, six-minute walk test
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