Document Detail


Frequency-modulated electromagnetic neural stimulation enhances cutaneous microvascular flow in patients with diabetic neuropathy.
MedLine Citation:
PMID:  18403219     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: The aim of this study was to investigate the effects of frequency modulated electromagnetic neural stimulation (FREMS), a recently developed safe and effective treatment of painful diabetic neuropathy, on cutaneous microvascular function. METHODS: Thirty-one patients with painful neuropathy were enrolled in a randomised, double-blind, crossover FREMS vs. placebo study; each received two series of 10 treatments of either FREMS or placebo in random sequence within no more than 3 weeks. Patients were studied at baseline, end of FREMS and placebo series, and after 4 months of follow-up. Cutaneous blood flow was measured by laser doppler flowmetry and partial tissue tension of oxygen (TcPO2) and carbonic anhydride (TcPCO2) by oxymetry at the lower extremities in basal resting conditions and as incremental response after thermal stimulation. RESULTS: Crossover analysis showed no consistent differences between FREMS and placebo. After 4-month follow-up, a 52% increase of cutaneous blood flow was observed in resting conditions (P=.0086 vs. baseline), while no differences were observed as incremental flow after warming; compared with baseline, no significant differences were observed for TcPO2 and TcPCO2, both in resting conditions and as incremental response to warm. CONCLUSION: These results indicate that 10 treatments with FREMS may induce an enhancement of microvascular blood flow measurable at 4 months of follow-up. The findings of this study will need to be confirmed in a larger, adequately powered study (ClinicalTrial.gov Id: NCT00337324).
Authors:
Morena Conti; Elena Peretti; Giuliana Cazzetta; Gabriella Galimberti; Cristiana Vermigli; Roberto Pola; Luciano Scionti; Emanuele Bosi
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Publication Detail:
Type:  Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2008-04-10
Journal Detail:
Title:  Journal of diabetes and its complications     Volume:  23     ISSN:  1873-460X     ISO Abbreviation:  J. Diabetes Complicat.     Publication Date:    2009 Jan-Feb
Date Detail:
Created Date:  2008-12-01     Completed Date:  2009-02-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204583     Medline TA:  J Diabetes Complications     Country:  United States    
Other Details:
Languages:  eng     Pagination:  46-8     Citation Subset:  IM    
Affiliation:
Department of Medicine, Diabetes and Endocrinology Unit, San Raffaele Scientific Institute and Vita-Salute San Raffaele University, Via Olgettina, 60, 20132 Milan, Italy.
Data Bank Information
Bank Name/Acc. No.:
ClinicalTrials.gov/NCT00337324
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MeSH Terms
Descriptor/Qualifier:
Diabetic Neuropathies / therapy*
Electromagnetic Fields*
Female
Humans
Magnetic Field Therapy*
Male
Microcirculation / radiation effects*
Middle Aged
Nervous System / radiation effects*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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