Nervous System Diseases Nutritional, Metabolic, Endocrine
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1-Sixty female patients. 2- Their ages will range from 50 to 60 years old. 3- Their HbA1c is more than 7% and less than 9 %. 4- Bilateral lower limb chronic DPN. 5- They suffer mild diabetic polyneuropathy for at least three months. 6- All the patients have significant decrease in the sensory (sural &superficial peroneal) lower limb nerve conduction velocity (from 20 m/s to 30 m/s). 7- All the patients have significant decrease in the motor (tibial &deep peroneal) lower limb nerve conduction velocity (from 20 m/s to 30 m/s). 8- All the patients have score more than in 20 Norfolk QOL-DN. 9- They all have score more than 8 on Toronto scoring system. 10- They have willingness to participate in this study.
Exclusion criteria
Exclusion criteria: 1. Chest diseases (either obstructive or restrictive). 2. Smoker patient. 3. Clinical signs of a severe cardiac event. (eg, congestive heart failure), 4. Severe psychiatric or cognitive impairment, who unable to follow comment. 5. Neurological disorders affecting respiratory muscles or any muscular dystrophies (cervical disc or bulge). 6. Other type of polyneuropathy (Alcoholic, hereditary…..). a) Any patient that suffer from lower limb pathology that may interfere with the results like: b) Cellulitis. c) Lower limb pressure or diabetic ulcer. d) Atherosclerosis. e) Deep venous thrombosis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| sensory and motor nerve conduction velocity | — |
Secondary
| Measure | Time frame |
|---|---|
| The Norfolk Quality of Life Questionnaire-Diabetic Neuropathy (Norfolk QOL-DN):;Toronto clinical scoring system (TCSS);The Berg Balance Scale (BBS;brief painful inventory scale for diabetic peripheral neuropathy | — |
Countries
Egypt
Contacts
assistant professor cairo university