Effect of Passive Vibration on Skin Blood Flow in Good Glycemic Control and Poor Glycemic Control Type 2 Diabetics

Microcirculation regulated by the sympathetic system and vascular endothelium plays a significant role in the homeostasis of temperature and wound healing. Damage to the autonomic nervous system and endothelial system resulting from aging and diabetes decreases the potential of wound healing. Insulin resistance and impaired wound healing associated with type 2 diabetes can lead to diabetic foot ulceration (DFU). Factors such as the increased insulin resistance, impaired wound healing and DFU can increase the risk of amputation in type 2 diabetics (T2D). In research, passive vibration (PV) was effective in increasing skin blood flow (SBF) in healthy individuals as well as in good to fair glycemic control T2D. There has been no study performed to examine the effect of PV on (SBF), skin temperature (ST) and blood pressure (BP) in good glycemic control (GG) control and poor glycemic (PG) control T2D. The purpose of this study was to examine the effect of PV on SBF without adversely affecting the ST and BP in GG control and PG control T2D. This was done by assessing SBF using a MOOR full-field laser perfusion imager (MOOR FLPI) after the application of PV. Seventeen good glycemic control and fifteen poor glycemic control T2D participated in this study. The SBF, ST and BP were measured at the baseline. Then, the subjects received PV to their calf area and foot area on another side for about ten minutes. The second reading was measured immediately after the PV. The third measurement was taken after a ten minutes rest post the vibration application. Results from this study showed that PV significantly increased SBF in the calf area from baseline to immediately after vibration and baseline to 10 minutes post rest without adversely affecting the ST and BP in both GG control and PG control T2D. Also, the percent change of SBF in the foot area was higher in the GG control (91.3%) than in PG control T2D (32.6%). Results from this study suggest that PV can be a safe and alternative method in increasing SBF without increasing the risk of burns in GG control and PG control T2D.

Name thesis:degree_name

Doctor of Science (DSc)

Level thesis:degree_level

Dissertation

Discipline thesis:degree_discipline

Physical Therapy

Year

2013

Author dc:creator

• Sackiriyas, Kanikkai Steni Balan

Contributors dc:contributor

• Lohman, Everett B.
• Berk, Lee S.
• Canizales, Rafael
• Daher, Noha S.
• Schwab, Ernie

• Physical Therapy
• Diabetes Milletus, Type 2; Regional blood flow; Microcirculation - physiology;
• Type 2 Diabetes
• Skin blood flow
• Passive vibration
• Microcirculation

Statement dc:rights

• This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.

Language dc:language

English

Repository record dc:identifier

https://scholarsrepository.llu.edu/etd/150

OAI identifier oai:identifier

oai:scholarsrepository.llu.edu:etd-1149