The Role of Physiotherapy in Peripheral Artery Disease in Patients With Diabetes Mellitus: A Narrative Review
Diabetes mellitus (DM) comprises a spectrum of metabolic disorders distinguished by the persistent elevation of glucose levels in the bloodstream. It stands as a primary risk factor for peripheral arterial disease (PAD), denoted by atherosclerosis affecting the lower extremities. One clinical manife...
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creator | Herrera, Domenica Rueda Capistrani, Diego E Obando Vera, Sebastian Sanchez Cruz, Camila Linarez Nuñez, Karal A Banegas, Douglas Argueta, Ariane Murillo Md, Maria Isabel Clervil, Kenol Perez Moreno, Elda J Calderon Martinez, Ernesto |
description | Diabetes mellitus (DM) comprises a spectrum of metabolic disorders distinguished by the persistent elevation of glucose levels in the bloodstream. It stands as a primary risk factor for peripheral arterial disease (PAD), denoted by atherosclerosis affecting the lower extremities. One clinical manifestation of symptomatic PAD is intermittent claudication alleviated by rest but also capable of presenting as atypical leg pain. Confirmatory diagnostic measures, including the ankle-brachial index (ABI), toe-brachial index (TBI), or Doppler waveform analysis, are imperative in the verification of PAD. For management, the recommendation is to incorporate physiotherapy alongside concurrent medical interventions, such as anticoagulants, antiplatelet agents, statins, or, in certain cases, surgical procedures. This narrative review seeks to elucidate the advantages of physiotherapy in diabetic patients with PAD, contributing to the deceleration of disease progression and improving symptoms. Although supervised exercise therapy is strongly supported by empirical evidence as more beneficial, the absence of supervised environments is a common issue. Consequently, the preference lies in the combination of supervised exercise with home-based regimens. The objective is that each patient exercises for more than three days per week, progressively extending their duration weekly. This approach has demonstrated a noteworthy enhancement in walking functionality, exercise tolerance, pain alleviation, and an overall improvement in the quality of life for patients. |
doi_str_mv | 10.7759/cureus.52019 |
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It stands as a primary risk factor for peripheral arterial disease (PAD), denoted by atherosclerosis affecting the lower extremities. One clinical manifestation of symptomatic PAD is intermittent claudication alleviated by rest but also capable of presenting as atypical leg pain. Confirmatory diagnostic measures, including the ankle-brachial index (ABI), toe-brachial index (TBI), or Doppler waveform analysis, are imperative in the verification of PAD. For management, the recommendation is to incorporate physiotherapy alongside concurrent medical interventions, such as anticoagulants, antiplatelet agents, statins, or, in certain cases, surgical procedures. This narrative review seeks to elucidate the advantages of physiotherapy in diabetic patients with PAD, contributing to the deceleration of disease progression and improving symptoms. Although supervised exercise therapy is strongly supported by empirical evidence as more beneficial, the absence of supervised environments is a common issue. Consequently, the preference lies in the combination of supervised exercise with home-based regimens. The objective is that each patient exercises for more than three days per week, progressively extending their duration weekly. This approach has demonstrated a noteworthy enhancement in walking functionality, exercise tolerance, pain alleviation, and an overall improvement in the quality of life for patients.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.52019</identifier><identifier>PMID: 38344599</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Amputation ; Asymptomatic ; Atherosclerosis ; Calcification ; Cytokines ; Diabetes ; Diabetic neuropathy ; Exercise ; Females ; Fitness training programs ; Gangrene ; Hyperglycemia ; Inflammation ; Insulin ; Intermittent claudication ; Ischemia ; Metabolism ; Mortality ; Oxidative stress ; Pain ; Physical therapy ; Vein & artery diseases ; Walking</subject><ispartof>Curēus (Palo Alto, CA), 2024-01, Vol.16 (1), p.e52019-e52019</ispartof><rights>Copyright © 2024, Herrera et al.</rights><rights>Copyright © 2024, Herrera et al. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c244t-5e3de0ccbafdb888714be7178905567381010cc1e0b5caf874c7673c9eaab62c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38344599$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Herrera, Domenica</creatorcontrib><creatorcontrib>Rueda Capistrani, Diego E</creatorcontrib><creatorcontrib>Obando Vera, Sebastian</creatorcontrib><creatorcontrib>Sanchez Cruz, Camila</creatorcontrib><creatorcontrib>Linarez Nuñez, Karal A</creatorcontrib><creatorcontrib>Banegas, Douglas</creatorcontrib><creatorcontrib>Argueta, Ariane</creatorcontrib><creatorcontrib>Murillo Md, Maria Isabel</creatorcontrib><creatorcontrib>Clervil, Kenol</creatorcontrib><creatorcontrib>Perez Moreno, Elda J</creatorcontrib><creatorcontrib>Calderon Martinez, Ernesto</creatorcontrib><title>The Role of Physiotherapy in Peripheral Artery Disease in Patients With Diabetes Mellitus: A Narrative Review</title><title>Curēus (Palo Alto, CA)</title><addtitle>Cureus</addtitle><description>Diabetes mellitus (DM) comprises a spectrum of metabolic disorders distinguished by the persistent elevation of glucose levels in the bloodstream. It stands as a primary risk factor for peripheral arterial disease (PAD), denoted by atherosclerosis affecting the lower extremities. One clinical manifestation of symptomatic PAD is intermittent claudication alleviated by rest but also capable of presenting as atypical leg pain. Confirmatory diagnostic measures, including the ankle-brachial index (ABI), toe-brachial index (TBI), or Doppler waveform analysis, are imperative in the verification of PAD. For management, the recommendation is to incorporate physiotherapy alongside concurrent medical interventions, such as anticoagulants, antiplatelet agents, statins, or, in certain cases, surgical procedures. This narrative review seeks to elucidate the advantages of physiotherapy in diabetic patients with PAD, contributing to the deceleration of disease progression and improving symptoms. Although supervised exercise therapy is strongly supported by empirical evidence as more beneficial, the absence of supervised environments is a common issue. Consequently, the preference lies in the combination of supervised exercise with home-based regimens. The objective is that each patient exercises for more than three days per week, progressively extending their duration weekly. This approach has demonstrated a noteworthy enhancement in walking functionality, exercise tolerance, pain alleviation, and an overall improvement in the quality of life for patients.</description><subject>Amputation</subject><subject>Asymptomatic</subject><subject>Atherosclerosis</subject><subject>Calcification</subject><subject>Cytokines</subject><subject>Diabetes</subject><subject>Diabetic neuropathy</subject><subject>Exercise</subject><subject>Females</subject><subject>Fitness training programs</subject><subject>Gangrene</subject><subject>Hyperglycemia</subject><subject>Inflammation</subject><subject>Insulin</subject><subject>Intermittent claudication</subject><subject>Ischemia</subject><subject>Metabolism</subject><subject>Mortality</subject><subject>Oxidative stress</subject><subject>Pain</subject><subject>Physical therapy</subject><subject>Vein & artery diseases</subject><subject>Walking</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkUlLAzEUx4MoVmpvniXgxYNTk9mSeCt1hapFKh6HTPqGSZl2xiRTmW9vuiji6W0_3vZH6IySIWOJuFatgdYOk5BQcYBOQprygFMeH_7xe2hg7YIQQgkLCSPHqBfxKI4TIU7QclYCfqsrwHWBp2Vnde1KMLLpsF7hKRjdbMIKj4wD0-FbbUFa2Bal07ByFn9oV_qCzMGBxc9QVdq19gaP8Is0xlNrPwLWGr5O0VEhKwuDve2j9_u72fgxmLw-PI1Hk0CFceyCBKI5EKVyWcxzzjmjcQ6MMi5IkqQs4tTfohQFkidKFpzFivm0EiBlnoYq6qPLXd_G1J8tWJcttVV-MbmCurVZKMKUsCQNiUcv_qGLujUrv52noiimggnmqasdpUxtrYEia4xeStNllGQbJbKdEtlWCY-f75u2-RLmv_DP36Nv4SKE9g</recordid><startdate>202401</startdate><enddate>202401</enddate><creator>Herrera, Domenica</creator><creator>Rueda Capistrani, Diego E</creator><creator>Obando Vera, Sebastian</creator><creator>Sanchez Cruz, Camila</creator><creator>Linarez Nuñez, Karal A</creator><creator>Banegas, Douglas</creator><creator>Argueta, Ariane</creator><creator>Murillo Md, Maria Isabel</creator><creator>Clervil, Kenol</creator><creator>Perez Moreno, Elda J</creator><creator>Calderon Martinez, Ernesto</creator><general>Cureus Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>202401</creationdate><title>The Role of Physiotherapy in Peripheral Artery Disease in Patients With Diabetes Mellitus: A Narrative Review</title><author>Herrera, Domenica ; Rueda Capistrani, Diego E ; Obando Vera, Sebastian ; Sanchez Cruz, Camila ; Linarez Nuñez, Karal A ; Banegas, Douglas ; Argueta, Ariane ; Murillo Md, Maria Isabel ; Clervil, Kenol ; Perez Moreno, Elda J ; Calderon Martinez, Ernesto</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c244t-5e3de0ccbafdb888714be7178905567381010cc1e0b5caf874c7673c9eaab62c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Amputation</topic><topic>Asymptomatic</topic><topic>Atherosclerosis</topic><topic>Calcification</topic><topic>Cytokines</topic><topic>Diabetes</topic><topic>Diabetic neuropathy</topic><topic>Exercise</topic><topic>Females</topic><topic>Fitness training programs</topic><topic>Gangrene</topic><topic>Hyperglycemia</topic><topic>Inflammation</topic><topic>Insulin</topic><topic>Intermittent claudication</topic><topic>Ischemia</topic><topic>Metabolism</topic><topic>Mortality</topic><topic>Oxidative stress</topic><topic>Pain</topic><topic>Physical therapy</topic><topic>Vein & artery diseases</topic><topic>Walking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Herrera, Domenica</creatorcontrib><creatorcontrib>Rueda Capistrani, Diego E</creatorcontrib><creatorcontrib>Obando Vera, Sebastian</creatorcontrib><creatorcontrib>Sanchez Cruz, Camila</creatorcontrib><creatorcontrib>Linarez Nuñez, Karal A</creatorcontrib><creatorcontrib>Banegas, Douglas</creatorcontrib><creatorcontrib>Argueta, Ariane</creatorcontrib><creatorcontrib>Murillo Md, Maria Isabel</creatorcontrib><creatorcontrib>Clervil, Kenol</creatorcontrib><creatorcontrib>Perez Moreno, Elda J</creatorcontrib><creatorcontrib>Calderon Martinez, Ernesto</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Curēus (Palo Alto, CA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Herrera, Domenica</au><au>Rueda Capistrani, Diego E</au><au>Obando Vera, Sebastian</au><au>Sanchez Cruz, Camila</au><au>Linarez Nuñez, Karal A</au><au>Banegas, Douglas</au><au>Argueta, Ariane</au><au>Murillo Md, Maria Isabel</au><au>Clervil, Kenol</au><au>Perez Moreno, Elda J</au><au>Calderon Martinez, Ernesto</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Role of Physiotherapy in Peripheral Artery Disease in Patients With Diabetes Mellitus: A Narrative Review</atitle><jtitle>Curēus (Palo Alto, CA)</jtitle><addtitle>Cureus</addtitle><date>2024-01</date><risdate>2024</risdate><volume>16</volume><issue>1</issue><spage>e52019</spage><epage>e52019</epage><pages>e52019-e52019</pages><issn>2168-8184</issn><eissn>2168-8184</eissn><abstract>Diabetes mellitus (DM) comprises a spectrum of metabolic disorders distinguished by the persistent elevation of glucose levels in the bloodstream. It stands as a primary risk factor for peripheral arterial disease (PAD), denoted by atherosclerosis affecting the lower extremities. One clinical manifestation of symptomatic PAD is intermittent claudication alleviated by rest but also capable of presenting as atypical leg pain. Confirmatory diagnostic measures, including the ankle-brachial index (ABI), toe-brachial index (TBI), or Doppler waveform analysis, are imperative in the verification of PAD. For management, the recommendation is to incorporate physiotherapy alongside concurrent medical interventions, such as anticoagulants, antiplatelet agents, statins, or, in certain cases, surgical procedures. This narrative review seeks to elucidate the advantages of physiotherapy in diabetic patients with PAD, contributing to the deceleration of disease progression and improving symptoms. Although supervised exercise therapy is strongly supported by empirical evidence as more beneficial, the absence of supervised environments is a common issue. Consequently, the preference lies in the combination of supervised exercise with home-based regimens. The objective is that each patient exercises for more than three days per week, progressively extending their duration weekly. This approach has demonstrated a noteworthy enhancement in walking functionality, exercise tolerance, pain alleviation, and an overall improvement in the quality of life for patients.</abstract><cop>United States</cop><pub>Cureus Inc</pub><pmid>38344599</pmid><doi>10.7759/cureus.52019</doi><oa>free_for_read</oa></addata></record> |
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subjects | Amputation Asymptomatic Atherosclerosis Calcification Cytokines Diabetes Diabetic neuropathy Exercise Females Fitness training programs Gangrene Hyperglycemia Inflammation Insulin Intermittent claudication Ischemia Metabolism Mortality Oxidative stress Pain Physical therapy Vein & artery diseases Walking |
title | The Role of Physiotherapy in Peripheral Artery Disease in Patients With Diabetes Mellitus: A Narrative Review |
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