Bulletin of Rehabilitation MedicineBulletin of Rehabilitation MedicineВестник восстановительной медицины2078-19622713-2625National Medical Research Center for Rehabilitation and Balneology64355010.38025/2078-1962-2025-24-3-54-65ArticlesСтатьиResearch ArticleTreadmill with transcutaneous electrical nerve stimulation impact on peak velocity in peripheral arterial disease: a randomized controlled trialЭффективность беговой дорожки с использованием транскутанной электрической нервной стимуляции при заболеваниях периферических артерий: рандомизированное контролируемое исследованиеhttps://orcid.org/0009-0002-9456-4239AbdelazimHadeer K.АбдельазимХадир К. Камал
Egypt

Assistant Lecturer at the Department for Cardiovascular/Respiratory Disorder and Geriatrics of the Faculty of Physical Therapy

ассистент преподавателя кафедры сердечно-сосудистых/респираторных заболеваний и гериатрии факультета физической терапии

hadeer.kamal@pt.cu.edu.egAbdelhadyAzza A.АбдельхадиАзза Абдельазиз
Egypt

Professor at the Department of Physical Therapy for Cardiovascular/Respiratory Disorder and Geriatrics of the Faculty of Physical Therapy

профессор кафедры физической терапии сердечно-сосудистых/респираторных заболеваний и гериатрии факультета физической терапии

hadeer.kamal@pt.cu.edu.eghttps://orcid.org/0000-0001-7705-0354ShakerAhmed A.ШакурАхмед Алаа
Egypt

Associate Professor at the Department of Vascular and Endovascular Surgery

доцент кафедры сосудистой и эндоваскулярной хирургии

hadeer.kamal@pt.cu.edu.egHabibAsmaa H. I.ХабибАсмаа Хусейн Ибрагим
Egypt

Lecturer at the Department of Diagnostic Radiology

преподаватель кафедры диагностической радиологии

hadeer.kamal@pt.cu.edu.eghttps://orcid.org/0000-0002-1854-6541ElsayedMarwa M.Эль-СайедМарва Махмуд
Egypt

Associate Professor at the Department of Physical Therapy for Cardiovascular/Respiratory Disorder and Geriatrics of the Faculty of Physical Therapy

доцент кафедры физической терапии сердечно-сосудистых/респираторных заболеваний и гериатрии факультета физической терапии

hadeer.kamal@pt.cu.edu.egCairo UniversityКаирский университет0906202524354652912202421022025Copyright ©; 2025, Abdelazim H.K., Abdelhady A.A., Shaker A.A., Habib A.H., Elsayed M.M.Copyright ©; 2025, Абдельазим Х.К., Абдельхади А.А., Шакур А.А., Хабиб А.Х., Эль-Сайед М.М.2025Abdelazim H.K., Abdelhady A.A., Shaker A.A., Habib A.H., Elsayed M.M.Абдельазим Х.К., Абдельхади А.А., Шакур А.А., Хабиб А.Х., Эль-Сайед М.М.https://creativecommons.org/licenses/by/4.0https://journals.eco-vector.com/2078-1962/article/view/643550

INTRODUCTION. Patients’ functional ability and quality of life are negatively impacted by peripheral arterial disease, which presents as incapacitating leg discomfort that affects walking. Although there are numerous methods for treating these symptoms, as treadmill training, individuals stopped because of their persistent pain. Transcutaneous electrical nerve stimulation (TENS) is a suggested treatment for pain relief.

AIM. This study aimed to determine how combined treadmill training and TENS affect walking distance, pain, and peak velocity in patients with peripheral artery disease.

MATERIALS AND METHODS. The study included 50 people with peripheral arterial disease (PAD), stage II Fontaine, and an ankle-brachial index of 0.90 or lower at rest or 0.73 or lower after exercise. Participants were randomly assigned to either supervised treadmill training (control group, n = 25) or supervised treadmill training combined with TENS (experimental group, n = 25) for 3 months. Doppler ultrasonography, and skeletal muscle oxygen saturation (SmO₂) were evaluated at baseline and after the study’s completion.

RESULTS AND DISCUSSION. The experimental group significantly improved all parameters being assessed more than the control group (< 0.05), except total hemoglobin, which did not differ statistically between groups.

CONCLUSION. This trial is the first to use treadmill training in conjunction with TENS as an adjuvant method to improve vascular function in people with PAD. Patients may use this strategy over time to improve their walking abilities, and it might be introduced into normal care in cardiovascular retraining.

ВВЕДЕНИЕ. Заболевания периферических артерий негативно сказываются на функциональной способности и качестве жизни пациентов, что проявляется в виде дискомфорта в ногах, который приводит к потере трудоспособности и влияет на ходьбу. Несмотря на то, что существует множество методов лечения этих симптомов, таких как тренировки на беговой дорожке, люди отказываются от них из-за постоянной боли. Для облегчения боли рекомендуется использовать транскутанную электрическую нервную стимуляцию (TЭНС).

ЦЕЛЬ. Определить, как комбинированные тренировки на беговой дорожке и TЭНС влияют на дистанцию ходьбы, боль и максимальную скорость у пациентов с заболеваниями периферических артерий.

МАТЕРИАЛЫ И МЕТОДЫ. В исследование было включено 50 человек с заболеваниями периферических артерий, II стадией по классификации Фонтейна и лодыжечно-плечевым индексом, равным 0,90 или ниже в состоянии покоя или 0,73 или ниже после физической нагрузки. Пациенты были случайным образом распределены на две группы для занятий под наблюдением врача на беговой дорожке (контрольная группа, n = 25) или на беговой дорожке в сочетании с TЭНС (основная группа, n = 25) в течение 3 месяцев. Ультразвуковая допплерография и насыщение кислородом скелетных мышц (SMO₂) оценивались в начале исследования и после его завершения.

РЕЗУЛЬТАТЫ И ОБСУЖДЕНИЕ. Основная группа значительно улучшила все оцениваемые показатели по сравнению с контрольной группой (p < 0,05), за исключением общего уровня гемоглобина, который статистически не отличался между группами.

ЗАКЛЮЧЕНИЕ. В этом исследовании впервые используются тренировки на беговой дорожке в сочетании с TЭНС в качестве вспомогательного метода для улучшения функции сосудов у людей с заболеваниями периферических артерий. Пациенты могут со временем использовать эту стратегию для улучшения своих способностей к ходьбе, и она может быть внедрена в обычную практику при переподготовке сердечно-сосудистых специалистов.

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