Accupressure for peripheral vascuar disease

NewsBot · Jan 24, 2007

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Effects of acupressure on lower limb blood flow for the treatment of peripheral arterial occlusive diseases.
Surg Today. 2007;37(2):103-8
Li X, Hirokawa M, Inoue Y, Sugano N, Qian S, Iwai T

PURPOSE: To investigate the effects of acupressure on lower limb blood flow for the treatment of peripheral arterial occlusive diseases (PAOD).

METHODS: From February 2004 to February 2005, 30 patients with stage II PAOD underwent measurements of the lower limb blood flow. Six patients (group A) were assigned as controls without any acupoint stimulation, while 24 (group B) underwent stimulation at acupoints by acupressure. The acupoints Yanglingquan (GB34), Zusanli (ST36), Yinlingquan (SP9), and Sanyinjiao (SP6) of the symptomatic lower limbs were stimulated for 3 min. Transcutaneous oximetry (tcPO(2)) was used to determine the blood flow of the chest wall, bilateral distal crura, and bilateral dorsa of the foot before and during the stimulations at the acupoints.

RESULTS: Group A showed no significant change in the lower limb blood flow. In group B, the tcPO(2) values of chest wall, bilateral distal crura, and the dorsum of foot of the stimulated lower limb increased significantly during acupressure (P < 0.01), whereas no significant change was shown in the dorsum of the foot of the non-stimulated lower limb. Moreover, the blood flow of the lower limbs that had undergone an ipsilateral sympathectomy increased significantly (P < 0.01).

CONCLUSIONS: Acupressure was found to cause significant increases in the lower limb blood flow of stage II PAOD patients. This treatment modality may therefore be effective for improving the symptoms of such patients.
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Admin2 · Jan 24, 2007

Peripheral vascular disease threads:
PVD in diabetes
Eficacy of screening for PVD in diabetes
Improving accuracy of ankle-arm index
Toe Brachial Index
Laser therapy for PVD in diabetes
Ankle & Toe Brachial Indices vs Laboratory Standard
Reliability of the ABI
Improving accuracy of ankle-arm index
Toe Brachial Index
Capillary refill time test

Accupressure related threads:
Acupuncture, legitimate or not
Acupuncture versus Physiotherapy

NewsBot · Feb 14, 2023

Determination of light pressing pressure for improving foot skin blood flow in type 2 diabetic patients
Uraiwan Chatchawan et al
J Bodyw Mov Ther. 2023 Jan;33:14-19

Objective: Traditional Thai massage is one of the alternative treatments for diabetic feet. However, the specific amount of pressing pressure applied to the foot during Thai foot massage is unknown. This study aimed to evaluate the effect of light pressing pressure on foot skin blood flow in type 2 diabetic patients.

Methodes: A single-arm repeated measures was conducted. Forty-three participants were recruited via the subjective examination and screening using the Michigan Neuropathy Screening Instrument. To obtain foot skin blood flow by laser doppler blood flowmetry, a probe was pasted on the 1st distal phalange of the big toe. Light pressure at a single point was applied on the plantar skin fold between the bases of the second and third toes by using the digital algometer. The pressure was applied gently, then increased slightly until the participant started to feel some minor discomfort. Patients were asked to rate their pain intensity using the visual analogue scale.

Results: The average pressing pressure without discomfort was 3.55 ± 1.04 kg/cm2. The foot skin blood flow increased significantly immediately after the pressing pressure, and this increase represented about 1.9 times when compared with the baseline (p < 0.001).

Conclusion: The application of light pressing pressure could be used as a basic standard criterion for massage to improve the foot skin blood flow in type 2 diabetic patients.
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