title: [Effects of intermittent negative pressure ventilation on impaired microcirculation in diabetes--a case report].
abstract: BACKGROUND
  Generally impaired microcirculation, with microvascular and neuropathic complications, is one of the most severe consequences of diabetes mellitus. Considering the fact that drug therapy ad physical training may have adverse effects, we decided to utilize the beneficial effects of hypobaric sac treatment on skin microcirculation (using Greensac-Iskra Medical, Slovenia).
  
  
  METHODS
  A female patient, 64 years of age, with a past medical history of diabetes mellitus type IIb (last 18 years) complained of intermittent claudication (the pain score after a 150 m walk was 7, on a scale from 1 to 10). The temperature at her left popliteal pit was 34.8 degrees C, and at the right pit 34.9 degrees C. The temperature at the left dorsal pedis artery was 34.4 degrees C and at the right 34.1 degrees C. We applied intermittent negative pressure ventilation on the lower limbs in order to improve the microcirculation (using Greensack by Iskra-Medical, Slovenia). A total of ten 20-minute treatments were delivered in a month time, three treatments a week. After treatment, the temperature at the left popliteal pit was 35.2 degrees C, and at the right pit 35.4 degrees C. The temperature at the left dorsal pedis artery was 34.7 degrees C and at the right 34.6 degrees C. The pain score after a 150 m walk lovered to 4.
  
  
  CONCLUSIONS
  We concluded that the one-month treatment with Greensack (10 treatments in total) had beneficial effects on patient's microcirculation. These initial results are considered encouraging, but the number of examined parameters and the length of treatment should also be increased.
authors.affiliation: Klinicki centar "Novi Sad", Novi Sad, Klinika za medicinsku rehabilitaciju.
authors.forename: Gordana
authors.initials: G
authors.lastname: Devecerski
authors.forename: Mirko
authors.initials: M
authors.lastname: Teofilovski
authors.forename: Branko
authors.initials: B
authors.lastname: Milicević
authors.forename: Brankica
authors.initials: B
authors.lastname: Novaković
authors.forename: Vladan
authors.initials: V
authors.lastname: Popović
authors.forename: Nikola
authors.initials: N
authors.lastname: Radaković
mesh_terms: D003924:Diabetes Mellitus, Type 2; D003925:Diabetic Angiopathies / Q000503:physiopathology / Q000628:therapy*; D005260:Female; D006801:Humans; D007383:Intermittent Claudication / Q000503:physiopathology / Q000628:therapy*; D008833:Microcirculation; D008875:Middle Aged; D026741:Physical Therapy Modalities / Q000295:instrumentation; D012867:Skin / Q000098:blood supply; D014618:Vacuum