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The Combined Effect of Neuromuscular Electrical Stimulation and Insulin Therapy on Glycated Hemoglobin Concentrations, Lipid Profiles and Hemodynamic Parameters in Patients with Type-2-Diabetes and Hemiplegia Related to Ischemic Stroke: A Pilot Study

Author

Listed:
  • Maja Rubinowicz-Zasada

    (Doctoral School, The Jerzy Kukuczka Academy of Physical Education, 72A Mikolowska Str., 40-065 Katowice, Poland
    Department of Neurology, Silesian Hospital, 4 Bielska Str, 43-400 Cieszyn, Poland)

  • Ewa Kucio

    (Institute of Physiotherapy and Health Sciences, The Jerzy Kukuczka Academy of Physical Education, 72A Mikolowska Str., 40-065 Katowice, Poland)

  • Anna Polak

    (Institute of Physiotherapy and Health Sciences, The Jerzy Kukuczka Academy of Physical Education, 72A Mikolowska Str., 40-065 Katowice, Poland)

  • Petr Stastny

    (Laboratory Physical Training Adaptation, Faculty of Physical Education and Sport, Charles University, Ovocny trh 5, 11636 Prague, Czech Republic)

  • Krzysztof Wierzbicki

    (Department of Medicine and Dentistry in Zabrze, The Silesian Medical University, 2 Traugutta Str., 40-055 Katowice, Poland)

  • Piotr Król

    (Institute of Physiotherapy and Health Sciences, The Jerzy Kukuczka Academy of Physical Education, 72A Mikolowska Str., 40-065 Katowice, Poland)

  • Cezary Kucio

    (Institute of Physiotherapy and Health Sciences, The Jerzy Kukuczka Academy of Physical Education, 72A Mikolowska Str., 40-065 Katowice, Poland)

Abstract

Type-2-diabetes mellitus (T2DM) is a global problem of medical, social and economic consequences. Physical activity is a vital therapy in patients with T2DM, but some of them cannot exercise for various reasons. The purpose of our pilot study was to determine whether a combination of neuromuscular electrostimulation (NMES) and insulin therapy could improve the management of T2DM patients with hemiplegia caused by an ischemic stroke. Fifteen immobile patients with T2DM on insulin therapy were enrolled in the study. NMES was applied to their lower limbs for 60 min, 5 days a week, over a period of 12 weeks. The intervention caused statistically significant reductions in the blood concentrations of glycated hemoglobin, total cholesterol and low-density cholesterol in the participants. Furthermore, systolic and diastolic blood pressure levels were significantly lower. More randomized clinical trials are needed to accurately measure the effect of NMES on T2DM treatment and to determine whether it can be an alternative for physical activity for immobile patients with T2DM.

Suggested Citation

  • Maja Rubinowicz-Zasada & Ewa Kucio & Anna Polak & Petr Stastny & Krzysztof Wierzbicki & Piotr Król & Cezary Kucio, 2021. "The Combined Effect of Neuromuscular Electrical Stimulation and Insulin Therapy on Glycated Hemoglobin Concentrations, Lipid Profiles and Hemodynamic Parameters in Patients with Type-2-Diabetes and He," IJERPH, MDPI, vol. 18(7), pages 1-13, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:7:p:3433-:d:524422
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    References listed on IDEAS

    as
    1. Cheng-Jei Lin & Sarah Chua & Sheng-Ying Chung & Chi-Ling Hang & Tzu-Hsien Tsai, 2019. "Diabetes Mellitus: An Independent Risk Factor of In-Hospital Mortality in Patients with Infective Endocarditis in a New Era of Clinical Practice," IJERPH, MDPI, vol. 16(12), pages 1-11, June.
    2. Antonio Sarría-Santamera & Binur Orazumbekova & Tilektes Maulenkul & Abduzhappar Gaipov & Kuralay Atageldiyeva, 2020. "The Identification of Diabetes Mellitus Subtypes Applying Cluster Analysis Techniques: A Systematic Review," IJERPH, MDPI, vol. 17(24), pages 1-18, December.
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