Diabetic Peripheral Neuropathic Pain
Conditions
Brief summary
Neurodynamics, i.e., the mobilization of the peripheral nervous system, is a physical approach to the treatment of pain; the method relies on influencing pain physiology via mechanical treatment of neural tissues and the non-neural structures surrounding the nervous system. Neural mobilization (NM) is used to treat various disorders of the nervous system concerning the length and mobility of peripheral nerves, as the nerve mobilizing refers to techniques that help to reestablish motion between a nerve and its surrounding soft tissues, thus to treat the nerves that have become entangled within the soft tissue, as it leads to tension release on a nerve by stretching and pulling one end of the nerve during keeping the other end in a relaxed state.
Detailed description
The neurodynamic technique both sliders and tensioners results in changes of the mechanical or physiological function of nerve tissues along with the interface; restoring pressure gradients, relieving hypoxia and pain resulting in reducing associated symptoms. Through clinical reasoning the nervous system seems to be the logical place for treatment and explanations and previous descriptions of this method have clarified the overall impact on quality of life in diabetic peripheral neuropathy but it doesn't discuss which technique of neural mobilization is more effective and its effects on diabetic peripheral neuropathic population. Within this reasoning it is important to determine which neurodynamic technique is more effective in improving quality of life and reduce pain in patients with diabetic peripheral neuropathy.
Interventions
OTHERSliding Neural mobilization
Sliding neural mobilization to femoral, sciatic and tibial nerve
OTHERTensioner Neural mobilization
Tensioner neural mobilization to femoral, sciatic and tibial nerve
OTHERStretching exercises
Stretching exercises
DEVICETENS
TENS
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
50 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Patient having≥12score on Self report Leads Assessment of Neuropathic Symptoms and Sign * Patients with lower limb pain ≥4 to ≤7 on NPRS
Exclusion criteria
* Diabetic foot ulcer * Complex regional pain syndrome * Infection in lower limb * Lower extremity amputation * Discogenic pain * Restricted joint deformity * Dependency on chemical or drugs * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Michigan neuropathy screening instrument | 3 weeks | For screening the neuropathy; The MNSI questionnaire is self-administered. Responses are added to obtain a total score. 'Yes' responses to questions 1-3, 5-6, 8-9, 11-12, 14-15 are each counted as one point. 'No' responses to questions 7 and 13 each count as one point. Question 4 was considered to be a measure of impaired circulation and question 10 a measure of general asthenia and were not included in the published scoring algorithm. A score of ≥ 7 was considered abnormal. All 15 questions were included in the new scoring algorithms. |
| Numerical Pain Rating Scale | 3 weeks | Quantify the pain ranging from 0 to 10 in which zero means no pain and 10 severe pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Life SF-36 | 3 weeks | to assess the quality of life, SF-36 ; Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability. |
Countries
Pakistan
Outcome results
None listed