[Efficacy of a massage and exercise programme on the ankle-brachial index and blood pressure in patients with diabetes mellitus type 2 and peripheral arterial disease: a randomized clinical trial].
OBJECTIVE
Type 2 diabetes mellitus is a highly prevalent disease that can favour the development of peripheral arterial disease. The objective of this study was to analyse the efficacy of a massage and exercise programme on the ankle-brachial index and arterial pressure of patients with diabetes mellitus type 2 and peripheral arterial disease.


METHODS
An experimental study with placebo control group was performed. Sixty-six type 2 diabetes patients with Leriche-Fontaine stage II peripheral arterial disease were randomly assigned to an intervention (exercise and massage) or placebo control (simulated magnetotherapy) group. Study variables were arterial pressure and ankle-brachial index.


RESULTS
After 10 weeks of treatment, significant (P<0.05) differences between the intervention and placebo groups were found in right and left ankle-brachial index values and in systolic and diastolic pressures in right and left lower extremities.


CONCLUSIONS
A combined programme of exercise and massage improves arterial blood pressure and ankle brachial index values in type 2 diabetics with peripheral arterial disease.
Castro-Sánchez
Adelaida María
AM
Departamento de Enfermería y Fisioterapia, E.U. Ciencias de la Salud, Universidad de Almería, Almería, España. adelaid@ual.es
Moreno-Lorenzo
Carmen
C
Matarán-Peñarrocha
Guillermo A
GA
Feriche-Fernández-Castanys
Belén
B
Sánchez Labraca
Nuria
N
Sánchez Joya
María del Mar
Mdel M
D000328:Adult; D000368:Aged; D055109:Ankle Brachial Index; D001794:Blood Pressure; D003924:Diabetes Mellitus, Type 2 / Q000503:physiopathology* / Q000628:therapy*; D003925:Diabetic Angiopathies / Q000503:physiopathology* / Q000628:therapy*; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D008297:Male; D008405:Massage; D008875:Middle Aged; D016491:Peripheral Vascular Diseases / Q000503:physiopathology* / Q000628:therapy*