[Effects of intermittent negative pressure ventilation on impaired microcirculation in diabetes--a case report].
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.
Devecerski
Gordana
G
Klinicki centar "Novi Sad", Novi Sad, Klinika za medicinsku rehabilitaciju.
Teofilovski
Mirko
M
Milicević
Branko
B
Novaković
Brankica
B
Popović
Vladan
V
Radaković
Nikola
N
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