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Critical Reviews™ in Physical and Rehabilitation Medicine
SJR: 0.121 SNIP: 0.228 CiteScore™: 0.5

ISSN Imprimer: 0896-2960
ISSN En ligne: 2162-6553

Critical Reviews™ in Physical and Rehabilitation Medicine

DOI: 10.1615/CritRevPhysRehabilMed.2020031158
pages 345-352

Effects of Electrocompression Therapy on Walking Distance and Pain Reduction in Patients with Diabetic Neuropathy

Arun G. Maiya
Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India-576104
Sampath Kumar Amaravadi
Department of Physiotherapy, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Karnataka, India 575001
Esha Arora
Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India -576104
Shubha Gundmi
Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India -576104
L. Ramachandra
Department of Surgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India -576104
Manjunath Hande
Department of General Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India -576104


Complications associated with diabetes may be categorized as macrovascular and microvascular. Among them, diabetic peripheral neuropathy (DPN) is one of the major complications of the foot. Conservative methods available to treat diabetic neuropathic foot include electrical stimulation and laser therapy. The aim of this study was to determine the effects of a commercial electrocompression device on pain and walking distance in diabetic neuropathic foot. A total of 200 individuals were screened for the study and, on the basis of inclusion and exclusion criteria, 20 were selected to participate in the study. The participants' basic demographic details were collected along with their diabetic status, and they were screened for diabetic neuropathy. Individuals with respiratory complications, cardiac complications, and neuromuscular disorder which would restrict a six-minute walking test, cancer patients, and foot ulcer patients were excluded. All participants were treated with FlowAid FA-100, a sequential contraction compression therapy device (SCCD). The primary outcome measures pre- and postintervention were 6-min walk distance and visual analog scale (VAS) pain score. The mean age of the participants was 63.05 ± 10; the mean duration of type 2 diabetes mellitus (T2DM) was 9.7 ± 4.32 years. The ankle brachial index (ABI) was 0.95 ± 0.17; the toe brachial index (TBI) was 0.58 ± 0.13. We found a statistically significant increase in 6-min walk distance (pre: 161.7 ± 48.2 m; post: 260.09 ± 37.4 m, P-value < 0.001) and a decrease in VAS pain score (pre: 7.5 ± 1.05 m; post: 3.2 ± 0.76 m, P-value < 0.001). Sequential contraction compression therapy administered by a commercially available device was shown to reduce pain, leading to improvement in walking distance.


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