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The fundamental cause of diabetic limbs' problem is insufficient blood supply. The aim of the current work was to experimentally and numerically investigate the blood flow velocity and pressure changes in the channel during vibrational excitation. The micro-scale Particle Image Velocimetry (μPIV) technique as well as corresponding numerical channel model in COMSOL Multiphysics software were used to investigate the influence of external vibrations. Momentum upstream flow were noted on the fluid that was influenced by vibrations. Furthermore, momentum flow velocity increased by more than 3 times in both experimentally and theoretically. These results show that suggested novel low-frequency vibrational excitation method should be investigated in clinical studies in case of improvement of blood circulation in human limbs.

This pilot study gives evidence on the effect of low frequency 2-10 Hz vibration on young physically inactive subjects and associations with blood flow in limbs. For the study purposes, low frequency 2-10 Hz vibration was applied for the subjects in the lying position, and a special device, patented at Kaunas University of Technology, was used to generate low frequency vibrations. Altered temperatures in feet were measured with a thermovisual camera, which records thermal changes. Thermovisual measurement was performed in a warm room (20-21 °C). The entire procedure lasted 45 minutes. Thermovisual measurement was performed 15 minutes before vibration, 15 minutes during vibration and 15 minutes after vibration. For temperature analysis, 2 points on the subjects' feet were chosen: the central point on the foot where the highest temperature was taken and the peripheral point on the foot where the lowest temperature was measured. Heart rate variability was measured by the Elite HRV programme. The data analysis of temperature in both the central and the peripheral points of the foot under low frequency 2-10 Hz vibration showed insignificant changes in temperature and blood flow; however, the differences determined were insignificant. The assessment of heart rate variability demonstrated that there were statistically significant differences before, during and after vibration. A tendency of the heart rate to increase shows that the heart also reacts to any changes when peripheral blood flow in feet is affected. A reverse dependence was determined: low temperature in the foot increases heart rate variability and, vice versa, increasing temperature decreases heart rate variability. It would be expedient and useful to conduct results with those of healthy subjects.

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Background and objectives: tremor is an unintentional and rhythmic movement of any part of the body that is a typical symptom of Essential Tremor (ET). ET impairs the quality of life of patients and is treated with pharmacotherapy. We investigated the tremor reduction efficacy of an innovative vibrational medical device (IMD) in ET patients. Materials and Methods: we conducted a prospective, single-center, single-arm, pragmatic study in ET patients with an extended safety study to evaluate the efficacy and safety of the Vilim Ball—a local hand-arm vibration device that produces vibrations in the frequency range of 8–18 Hz and amplitude from 0 to 2 mm. The primary endpoint was the decrease in the power spectrum after device use. The secondary endpoints were safety outcomes. Results: In total, 17 patients with ET were included in the main study, and no patients withdrew from the main study. The tremor power spectrum (m2/s3 Hz) was lower after the device use, represented as the mean (standard deviation): 0.106 (0.221); median (Md) 0.009 with the interquartile range; IQR, 0.087 vs. 0.042 (0.078); Md = 0.009 with the IQR 0.012; Wilcoxon signed-rank test V = 123; and p = 0.027. Seven patients reported that vibrational therapy was not effective. Two patients reported an increase in tremor after using the device. In the extended safety study, we included 51 patients: 31 patients with ET and 20 with Parkinsonian tremor, where 48 patients reported an improvement in tremor symptoms and 49 in function. No serious adverse events were reported, while two patients in the Parkinsonian tremor group reported a lack of efficacy of the proposed medical device. Conclusions: the device reduces essential tremor in some patients and is safe to use in ET.