Application of walking combined with Buerger exercise in patients with grade 0 diabetic foot / 中国基层医药

Objective To study the application of walking combined with Buerger exercise in the treatment of grade 0 diabetic foot.Methods Eighty patients with grade 0 diabetic foot were randomly divided into observation group and control group.The control group was trained by walking exercise .The observation group was trained by walking combined with Buerger exercise through 12 months of training.The changes of self-sensory symptoms,ABI and DAWV were observed.Results The self-sensory symptoms of the two groups were significantly decreased (observation group: markedly effective 15 cases,effective 19 cases;control group: markedly effective 5 cases,effective 23 cases).The effective rate of the observation group was higher than that of the control group (85% vs.70%,χ2 =7.831,P <0.05).The ABI ratio of the two groups were higher than those before treatment ,and the ABI ratio of the observation group was higher than that of the control group [(0.889 ±0.113) vs.(0.842 ±0.124),t =1.772 P <0.05].The ratio of DAWV in the observation group was higher than that in the control group [(6.772 ±0.435)cm/s vs.(6.543 ±0.552)cm/s,t =2.061,P <0.05].Conclusion Walking combined with Buerger exercise can improve the blood flow velocity and blood flow of the collateral circulation of the lower limbs of patients with grade 0 diabetic foot,and improve the self-sensory symptoms of peripheral neuropathy .

Efficacy of Compressive Stockings versus Electrical Stimulations in Improving Maximal Walking Distance in Peripheral Vascular Disease Patients– A comparative study

Compressive stockings with Buerger's exercise provide the required pressure and thereby improve the circulation peripherally. This aids in the reduction of ischaemic pain of the calf muscle in peripheral vascular disease patients. Electrical stimulations with Buerger's exercise are also believed to reduce pain in the peripheral vascular disease patients by improving the collateral circulation and thereby improving the blood supply. A study was carried out between both the modalities to know the efficacy of one over the other. A sample of 40 individuals randomly divided into two groups, Group A and Group B, consisting 20 patients each (n=20), was involved in the study. At the end of study, statistical significance was achieved for compressive stockings over electrical stimulations in improving the maximal walking distance (MWD) in peripheral vascular disease patients. Inclusion and exclusion criteria along with the accepted clinical procedures were followed for methodology and tests for conducting the study. The MWD and the level of pain on Visual Analog Scale (VAS) were used as the objective and subjective outcome measures, respectively. The statistical significance using the t-test was achieved to be P<0.05 (value of t at 5% significance and 38 degrees of freedom for the mean was 2.021) for both the outcome measures after calculating their means and standard deviations.