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Development of Electrically Stimulation System of Skeletal Muscle to Improve Walking Performance in Rat Claudication Model

扇谷, 桃子 筑波大学 DOI:10.15068/0002007876

2023.07.31

概要

IC is characterized by fatigue, numbness, cramping, or pain of muscles resulting in
decreased walking capability and significant deterioration of quality of life. Despite the
large population of patients, the medication for IC is limited; cilostazol and
pentoxifylline are the only drugs approved by Food and Drug Administration as a
pharmacologic intervention with limited effect [10-12]. Thus, PAD is a disease with
high unmet medical need, and novel effective therapeutics are needed.
Many trials have been conducted for decades to find an effective target for patients
with PAD mainly focusing on vascular intervention; however, most of the approaches
have been unsuccessful [30, 31], implying novel and distinct strategies would be
necessary for the treatment of the disease. Although PAD is primarily caused by
vascular occlusion, symptoms may arise from multi-dysfunction of peripheral nervous
system, skeletal muscles, and vasculature which are functionally interconnected [32].
Therefore, it may be necessary to take an integrative approach targeting the vasculature,
nervous system, and skeletal muscles as a whole to tackle the symptoms of PAD.
Exercise is considered as the most efficacious intervention for improving walking
capacity in patients with IC, therefore, exercise training is recommended as the firstline treatment of claudication [33]. Exercise is also effective for the management of
systemic disease, including improvement of coronary risk factors commonly associated
with PAD [34, 35]. Despite its benefits, the underlying mechanisms precipitating this
effect remain unclear. Thus, the pleiotropic effect of exercise is an attractive area for
basic research as well as for searching a novel therapeutic target that mimics the
beneficial effects of exercise [25]. ...

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