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Objectivization of vacuum-compression therapy effects on micro- and macrovascular perfusion in type 2 diabetic patients

  • Jaroslav Prucha , Vladimir Socha EMAIL logo , Lenka Hanakova , Andrej Lalis and Karel Hana
Published/Copyright: December 13, 2019

Abstract

The present study aimed to evaluate the characteristic influence of physical therapeutic procedures of vacuum-compression therapy (VCT) on microvascular perfusion (MiP) and macrovascular perfusion (MaP) of the lower limb in diabetic patients. A sample of nine patients with a medical history of type 2 diabetes was used for the purpose of this study. Most of the subjects’ medical conditions included venous and neurological complications of the lower limb, whereas the rest of the subjects entered the treatment due to injury recovery or their phlebological disease. The PeriFlux System 5000 (Perimed, Sweden) diagnostic device was used to measure MiP. The MaP was evaluated based on the perfusion index (PI) using the Extremiter monitoring device (Embitron, Czech Republic) designed to perform VCT procedures. The study found that MiP and MaP increase as an effect of VCT procedures and at the same time PI clearly reflects the effect of the applied vacuum and compression phases, verifying the method’s vital influence on peripheral perfusion disorders.

Acknowledgment

The authors would like to thank Andrej Madoran, BA, for help with the translation of this paper.

  1. Author Statement

  2. Research funding: This study was funded by the Ministry of Industry and Trade of the Czech Republic within execution of the project No. FV10329 “Transportable personalized medical device for vacuum-compression therapy”.

  3. Conflict of interest: Authors state no conflict of interest.

  4. Informed consent: The study was conducted in compliance with the World Medical Association Declaration of Helsinki – Ethical Principles for Medical Research Involving Human Subjects based on their informed consent.

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Received: 2019-03-15
Accepted: 2019-11-04
Published Online: 2019-12-13
Published in Print: 2020-08-27

©2019 Walter de Gruyter GmbH, Berlin/Boston

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