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

Maja Rubinowicz-Zasada, Ewa Kucio, Anna Polak, Petr Stastny, Krzysztof Wierzbicki, Piotr Król and Cezary Kucio
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Maja Rubinowicz-Zasada: Doctoral School, The Jerzy Kukuczka Academy of Physical Education, 72A Mikolowska Str., 40-065 Katowice, 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

IJERPH, 2021, vol. 18, issue 7, 1-13

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.

Keywords: neuromuscular electrical stimulation (NMES); type 2 diabetes mellitus (T2DM); hemiplegia; ischemic stroke; physical therapy (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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