Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/108
Title: The benefit of electrical stimulation to enhance perfusion in persons with diabetes mellitus.
Authors: Peters, E. J.
Armstrong, D. G.
Wunderlich, R. P.
Bosma, J.
Stacpoole-Shea, S.
Lavery, L.
Issue Date: 1998
Publisher: W.B. Saunders.
Place of publication: Philadelphia.
Journal title: The Journal of Foot and Ankle Surgery
Volume: 37
Issue: 5
Start Page: 396
End Page: 400
Abstract: The purpose of this study was to evaluate the effect of galvanic electrical stimulation on vascular perfusion in diabetic patients. Nineteen subjects with diabetes were enrolled. Eleven subjects (57.9%) were diagnosed with impaired peripheral perfusion based upon their initial transcutaneous oximetry values (< 40 mm Hg). The subjects were studied over a 2-day period. On the 1st day, one foot was electrically stimulated for four 60-minute periods by an external electrical stimulation device. Vascular perfusion of both feet was assessed before and after the sessions of electrical stimulation. On the 2nd day, no electrical stimulation was applied and noninvasive vascular measurements were repeated. For the 1st hour, transcutaneous oxygen pressure was measured continuously during stimulation at the lateral aspect of the leg. Subsequently, perfusion between the periods of stimulation was measured on the dorsum of the foot with both transcutaneous oximetry and laser Doppler flowmetry after each stimulation period. In the group with impaired peripheral perfusion, a significant rise in tissue oxygenation as compared to the control measurements was measured during the first 5 minutes of stimulation (p < .040). For those without vascular disease (TcpO2 > 40 mm Hg) however, there was not a significant increase compared to baseline (p = .280). After the periods of stimulation, the stimulated feet did not show any higher perfusion levels than the control feet. Patterns in perfusion during the day, as measured by laser Doppler flowmetry, were similar in the tested feet and in the controls. These data suggest that external subsensory electrical stimulation induces a transient rise in skin perfusion in persons with diabetes and impaired peripheral perfusion.
URI: http://hdl.handle.net/11054/108
ISSN: 1067-2516
Internal ID Number: 00094
Health Subject: COMPARATIVE STUDY
ADULT
AGED
BLOOD CIRCULATION
BLOOD GAS MONITORING - TRANSCUTANEOUS
DIABETIC FOOT - BLOOD
DIABETIC FOOT - PHYSIOPATHOLOGY
DIABETIC FOOT - THERAPY
ELECTRIC STIMULATION THERAPY
FEMALE
FOOT - BLOOD SUPPLY
HUMANS
MALE
MIDDLE AGED
Type: Journal Article
Article
Appears in Collections:Research Output

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