Avtor/Urednik		Prešern-Štrukelj, Metka; Poredoš, Pavel
Naslov		The influence of electrostimulation on the circulation of the remaining leg in patients with one-sided amputation
Tip		članek
Vir		Angiology
Vol. in št.		Letnik 53, št. 3
Leto izdaje		2002
Obseg		str. 329-35
Jezik		eng
Abstrakt		The aim of the authors' study was to investigate, in patients with one leg amputated, the influence of electrostimulation on the arterial circulation of the other lower limb and on the ability of a leg with deteriorated blood flow to perform work. The study encompassed 50 patients who were admitted to the rehabilitation center to obtain a leg prosthesis and learn to walk after amputation of 1 lower limb because of severe circulatory disturbance. The patients were randomly divided into 2 groups. The first group contained 25 patients treated with a standard exercise program for patients with limb amputation (control group, C). !n this control group, according to the Fontaine's classification of peripheral arterial occlusive disease (PAOD), 15 patients were in stage I and 10 patients were in stage II. In the second group, the electro stimulated (ES) group, there were also 25 patients that had the same rehabilitation prožržm, to which electrostimulation of the gastrocnemius muscle of the remaining leg was added. In this group, 14 patients were in stage I, 10 patients were in stage 11, and 1 patient was in stage III of PAOD. For electrostimulation, biphasic charge-balanced asymmetrical current stimuli with a pulse duration of 0.25 ms were used. The electrostimulation program consisted of 2 hours of electrostimulation per day for 8 weeks. Each patient was examined at the start of the rehabilitation program (examination I), at the end of the 8-week program (examination 11) and at the end of a 1-year follow-up period (examination IH). The effects of the treatment were followed using clinical examination, determination of the ankle-brachial index (ABI), and by measuring the partial oxygen pressure (TcPo2) on the skin surface of the diseased leg at rest and during exercise. After 8 weeks of treatment, in 3 patients of the ES group, claudication disappeared, and they thus moved from clinical stage II to stage I. (Abstract truncated at 2000 characters)
Deskriptorji		AMPUTATION ARTERIAL OCCLUSIVE DISEASES ELECTRIC STIMULATION THERAPY LEG AGED ANALYSIS OF VARIANCE DISEASE PROGRESSION EXERCISE THERAPY TREATMENT OUTCOME