Diabetic Neuropathies
Conditions
Keywords
Diabetic neuropathy, Gait parameters, Plantar cutaneous stimulation, Postural instability
Brief summary
To determine the effects of plantar cutaneous sensory stimulation on foot tactile sensitivity, postural control, and spatiotemporal gait parameters in patients with diabetic neuropathy.
Interventions
OTHERTraditional physical therapy
This group received 30 minutes of muscle stretching (quadriceps, gastrocnemius, hamstrings, tibialis), bilateral ankle strengthening, gait training and foot care guidelines, 3 times a week for a duration of six weeks.
OTHERPlantar cutaneous sensory stimulation
This group received 45 minutes of plantar cutaneous sensory stimulation, TENS, muscle stretching (quadriceps, gastrocnemius, hamstrings, tibialis), bilateral ankle strengthening, gait training, and foot care guidelines, 3 times a week for a duration of six weeks.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
45 Years to 67 Years
Healthy volunteers
No
Inclusion criteria
* Age ranged between 45-67 years. * Both male and female genders are included. * DM for the past 7 years. * Scored \> 2/13 on the Michigan Neuropathy Screening Instrument (MNSI) questionnaire including at least two DPN symptoms. * Scored \>1/10 on MNSI physical assessment including impaired vibration perception
Exclusion criteria
* Loss of protective foot sensation (defined as a lack of response to the monofilament of the sensory evaluation instrument). * Comorbidities include visual impairment, cerebrovascular accident, orthopedic trauma, labyrinthitis, peripheral vascular disease, and heart failure. * Foot ulcers, orthopedic or surgical problems in a lower limb, other neurological impairment. * Use of assistive devices for ambulation. * Inability to walk independently with or without an assistive device. * Receiving any structured supervised physiotherapy intervention
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Foot tactile sensitivity | 6th week | Semmes Weinstein monofilaments, Foot tactile sensitivity loss, commonly assessed by monofilaments, is a fall risk factor among older adults. The broadly used threshold of the monofilament for fall risk assessment in older adults is 5.07 |
| Postural control | 6th week | Brief BESTest is a clinical balance assessment tool. It is an abbreviated version of Balance Evaluation Systems Test (BESTest) designed to assess 6 different aspects contributing to postural control in standing and walking. It consist of 27 tasks, with 36 items in total. Each items is scored based on ordinal scale scoring from 0- 3 where 3 representing best performances and 0 representing worst performances. Scores for the total test is provided as a percentage of total points i.e. 108. In addition, 6 sub-systems scores can be generated separately in percentage of total score each representing a specific balance system |
| Spatiotemporal gait parameters | 6th week | By using a stopwatch and measuring tape |
Countries
Pakistan
Outcome results
None listed