title: [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].
abstract: 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.
authors.affiliation: Departamento de Enfermería y Fisioterapia, E.U. Ciencias de la Salud, Universidad de Almería, Almería, España. adelaid@ual.es
authors.forename: Adelaida María
authors.initials: AM
authors.lastname: Castro-Sánchez
authors.forename: Carmen
authors.initials: C
authors.lastname: Moreno-Lorenzo
authors.forename: Guillermo A
authors.initials: GA
authors.lastname: Matarán-Peñarrocha
authors.forename: Belén
authors.initials: B
authors.lastname: Feriche-Fernández-Castanys
authors.forename: Nuria
authors.initials: N
authors.lastname: Sánchez Labraca
authors.forename: María del Mar
authors.initials: Mdel M
authors.lastname: Sánchez Joya
mesh_terms: 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*