School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand; Research Center in Back, Neck, Other Joint Pain and Human Performance, Khon Kaen University, Khon Kaen, Thailand.
Research Center in Back, Neck, Other Joint Pain and Human Performance, Khon Kaen University, Khon Kaen, Thailand; Physical Therapy/Rehabilitation Department, Wapi Pathum Hospital, Maha Sarakham, 44120, Thailand.
J Bodyw Mov Ther. 2023 Jan;33:14-19. doi: 10.1016/j.jbmt.2022.09.015. Epub 2022 Sep 22.
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.
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.
The average pressing pressure without discomfort was 3.55 ± 1.04 kg/cm. 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).
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.
传统泰式按摩是治疗糖尿病足的替代疗法之一。然而，目前尚不清楚泰式足部按摩时足部所施加的按压压力的具体大小。本研究旨在评估轻度按压压力对 2 型糖尿病患者足部皮肤血流的影响。
采用单臂重复测量设计。通过密歇根神经病变筛查工具进行主观检查和筛选，共招募了 43 名参与者。使用激光多普勒血流仪在大脚趾第 1 远节趾骨处粘贴探头，以获取足部皮肤血流。使用数字压力计在第二和第三脚趾根部之间的足底皮肤褶皱处施加单点轻压。轻轻施压，然后稍微增加压力，直到参与者开始感到一些轻微不适。患者使用视觉模拟评分法（VAS）来评估疼痛强度。
无不适的平均按压压力为 3.55±1.04kg/cm。按压后足部皮肤血流明显增加，与基线相比增加了约 1.9 倍（p<0.001）。
轻度按压压力的应用可作为按摩改善 2 型糖尿病患者足部皮肤血流的基本标准。
