Diabetic Foot, Diabetic Neuropathies
Conditions
Keywords
diabetic neuropathies
Brief summary
To compare the effects of therapeutic ultrasound and high intensity laser therapy on neuropathic pain , strength and quality of life in patients with diabetic foot
Detailed description
therapeutic ultrasound and laser therapy with routine physical therapy are used to improve neuropathic pain and foot related quality of life. the scarcity of evidence regarding the application of high intensity laser therapy necessitates a comprehensive investigation. The effects of HILT and comparative effects with ultrasound remains largely unexplored in diabetic peripheral neuropathy
Interventions
OTHERultrasound
ultrasound 1 MHZ continuous for 20 minute with routine physical therapy 3 days /week 150 minutes/ week resistance training 5-10 exercises involving major muscles of leg and foot 3-4 sets per exercise and 10- 15 repetition per set
OTHERhigh intensity laser therapy
905 nm super pulsed laser 40 minute session 3 days /week 150 minutes/ week resistance training 5-10 exercises involving major muscles of leg and foot 3-4 sets per exercise and 10- 15 repetition per set
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
50 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Patients with type 2 diabetes. * Diabetic Patients of age 50 to 75 years. * Diabetic patient of Both genders * Diagnosed Diabetes Mellitus with at least 7 years of duration * Distal symmetrical or asymmetrical polyneuropathy with pain in the lower extremity for ≥6 months * DNS (Diabetic neuropathy symptoms questionnaire) score greater than 4 (90 percent probability of neuropath
Exclusion criteria
* Pregnant females * Lower limb Amputated patients * History or evidence of neurological disorders other than peripheral neuropathy associated with Diabetes mellitus. * Evidence of musculoskeletal dysfunctions like scoliosis, lumbar disc prolapses and lumbar spine associated radiculopathy. * History of any low back surgeries and lower limb surgeries * Patient with malignancy. Patient with epilepsy * Patient with hemophilia * Patient with pacemaker, metal implants prosthesis and internal fixation screws. * Patient with severe cervical and lumbar neuropathy, rheumatoid arthritis, hereditary neuropathy * Patient with a history of neurosurgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| michigan neuropathy screening instrument | 8th week | MNSI is designed to screen for the presence of diabetic neuropathy the first part consist of 15 self administered questions on foot sensations ,pain ,numbness etc second part is brief physical examination of feet |
| foot and ankle disability index | 8th week | FADI is designed to assess functional limitations related to foot and ankle conditions it has 26 items each item scored from 0 -4 FADI has totel 104 points |
Countries
Pakistan
Contacts
Primary ContactImran Amjad, Phd
Outcome results
None listed