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93890

Interferential Electrical Stimulation Versus Pulsed Electro-Magnetic Field in Management of Intermittent Claudication

Article

Last updated: 30 Jan 2023

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Abstract

Background: Intermittent claudication is the occurrence of leg pain, aching, cramping, or fatigue triggered by walking and relieved by rest. It's a chronic disabling condition and the first symptom of peripheral arterial disease (PAD). Objective: This study was designed to compare between the therapeutic efficacy of Interferential electrical stimulation and pulsed electromagnetic field (PEMF) in management of intermittent claudication (IC). Subjects and methods: Forty five patients suffering from intermittent claudication due to atherosclerosis (Fontain stage II PAD) and randomly were assigned into three equal groups. Group “A" included 15 patients received 30 min of pulsed electromagnetic field in addition to heel raise exercise and calf stretch exercise and their medical treatment, group “B" included 15 patients received 20 min of interferential electrical stimulation in addition to heel raise exercise and calf stretch exercise and group “C" (control group) that included 15 patients received their medical treatment only. Ankle brachial pressure index, graded treadmill exercise testing to determine absolute claudication distance (ACD), Peak walking time (PWT) and walking impairment questionnaire (distance score, speed score, symptoms impairment score) were recorded pre and post the two months period for all groups. Results: All measured parameters were significantly improved in all groups with the greatest improvement was in group (A) and the least improvement was in group (C) except for ankle brachial index that was changed significantly in group (A) only. Conclusion: PEMF could be an effective vascular rehabilitation modality for improving walking efficiency and functional capacity in patients with intermittent claudication. It significantly increases the blood flow in peripheral arteries and so on can delay the complications of intermittent claudication. 

DOI

10.21608/ejhm.2020.93890

Keywords

Pulsed electromagnetic field, Interferential electrical stimulation, Intermittent claudication, Peripheral artery disease

Authors

First Name

Mona Mahmoud

Last Name

Mohamed

MiddleName

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Affiliation

Physical Therapy Department for Cardiovascular/Respiratory Disorder and Geriatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt

Email

dmonamahmoud925@gmail.com

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Orcid

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First Name

Nesreen Gharib

Last Name

El-Nahas

MiddleName

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Affiliation

Physical Therapy Department for Cardiovascular/Respiratory Disorder and Geriatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt

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Orcid

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First Name

Mohamed Hamza

Last Name

Hamed

MiddleName

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Affiliation

Department of Vascular Surgery, Faculty of Medicine, Al Azhar University, Egypt.

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Orcid

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First Name

Nagy Nassif

Last Name

Louis

MiddleName

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Affiliation

Physical Therapy Department for Cardiovascular/Respiratory Disorder and Geriatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.

Email

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City

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Orcid

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Volume

80

Article Issue

1

Related Issue

13031

Issue Date

2020-07-01

Receive Date

2020-06-05

Publish Date

2020-07-01

Page Start

654

Page End

661

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_93890.html

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https://ejhm.journals.ekb.eg/service?article_code=93890

Order

16

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

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Article

Created At

22 Jan 2023