4.3. Music media combined with lower limb exercise
therapy improves lower limb vascular lesions in elderly
diabetics
Patients with diabetes mellitus are at higher risk of developing
macro-vascular disease, particularly cerebrovascular disease
(CAD) and peripheral arterial disease (PAD). Lower-extremity
arterial disease (LEAD) is a component of PAD and the primary
cause of diabetes foot gangrene and the need for
amputation of lower limbs in diabetics. The prevalence of the
disease increases along with increasing age. ABI is an accurate,
simple, and noninvasive measurement for the screening
of lower extremity arterial disease and is considered to be the
most accurate noninvasive diagnostic method for PAD [23].
PAD is also associated with an increased risk of anticoagulated
atrial fibrillation-based mortality, cardiovascular
mortality and total mortality when compared with patients
with a normal ABI (between 0.9 and 1.3) [24e26]. A lower ABI
( 0.05); after six months, the ABI value of
the intervention group was obviously higher than that of the
control group (p < 0.05). This suggested that music media in
combination with lower extremity movement improves lower
limb blood circulation and promotes the recovery of vascular
lesions. Moreover, the longer the patients adherence to exercise,
the better the rehabilitation will become. Of note, it is
advisable while training that the blood sugar be closely
monitored in case of an occurrence of hypoglycemia or other
adverse reactions.