Health Condition 1: E114- Type 2 diabetes mellitus with neurological complications
Conditions
Interventions
Intervention1: Group 1: Neural mobilization involving both sliders and tensioners of Tibial and Common Peroneal nerve
3 sets of 30 repetitions (15 each for sliders and tensioners) in 2min with 1min rest interval
4times/week for 3weeks after the washout period of 1 week intervention will be reversed, group 1 will become group 2 and group 2 will become group 1.
Intervention2: Group 2: Laser therapy will be giv
4times/week for 3weeks after the washout period of 1 week intervention will be reversed, group 2 will become group 1 and group 1 will become group 2.
Control Intervention1: NIL: NIL
Control Intervent
Sponsors
Rittu Sharma
Prof Manu Goyal
Eligibility
Inclusion criteria
Inclusion criteria: 1. Both males and females of age between 36 and 70 years 2. Referred cases of Type 1 & Type 2 diabetes mellitus induced chronic sensory, motor and autonomic lower extremity diabetic peripheral neuropathy 3. HbA1c level 4. Chronic symmetric sensorimotor involvement of bilateral lower limb after excluding all other causes of peripheral neuropathies 5. Self-Leeds Assessment of Neuropathic Symptoms and Signs Scale (S-LANSS) score =12 6. Willing to participate
Exclusion criteria
Exclusion criteria: 1. Individuals with any other systemic manifestations other than diabetes like stroke, SCI, and tuberculosis 2. Diabetic ulcer in either foot 3. Significant musculoskeletal disorder of lower limbs (Amputation, fracture, strain, sprain), any surgery of lower limb 4. Fixed ankle contractures 5. Having psychiatric disorders 6. Affected speech 7. Other causes for peripheral neuropathy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. S-LANSS (Self-Leeds Assessment of Neuropathic Symptoms and Signs) 2. Balance & Proprioception by using Pedalo®-Sensamove Balance Test Pro with Miniboard 3. Plantar pressure distribution 4. Nerve Conduction Velocity 5. Sympathetic Skin Response (SSR) 6. Neuropathy and foot ulcer specific quality of life questionnaire (NeuroQoL-H) in Hindi language 7. Semi-structured interviews with open ended questions Timepoint: All the outcome measures will be assessed at baseline and after completion of 3 weeks of each (Laser therapy and Neural mobilization) intervention separately for both the groups except semi-structured interview which will conduct at 7th week after completion of each (Laser therapy and Neural mobilization) intervention including 1 week washout period between both the interventions | — |
Secondary
| Measure | Time frame |
|---|---|
| NATimepoint: NA | — |
Countries
India
Contacts
Public ContactManu Goyal
Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, MM(DU)
Outcome results
None listed