Cultura

The Role Of Physical Therapy In Rehabilitating Stroke Patients

VOLUME 21, 2024

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Abed Bin Mohammed Mukanni Alharbi

Abstract

According to WHO and many other related international agencies, a healthy person contains “A state of complete physical, mental, and social well-being not merely the absence of disease.” Here the access of health for a normal person leads to complete health care, determination of diseases in advance and a focused approach towards the normal well-being and enjoying basic quality of life. Then on the other hand WHO also relates the perception of healthy human on the basis of culture and value system in which a person is living and also moving towards the self-sustained goals, expectations from self and related environment. It is largely affected by individual’s psychological beliefs, physical health and social involvement. This present study evaluates the system of recovery for stroke patients and the main focus will be on the physiotherapy of physical exercise. Study is based on secondary data and takes the reference from previous studies. 

Keywords : Physical Therapy, Stroke patients, Rehabilitation..
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty