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Effects of a Novel Therapeutic Intervention in Patients With Diabetic Peripheral Neuropathy.

Identifieur interne : 000713 ( Main/Exploration ); précédent : 000712; suivant : 000714

Effects of a Novel Therapeutic Intervention in Patients With Diabetic Peripheral Neuropathy.

Auteurs : Adel Alshahrani [États-Unis] ; Mark Bussell [États-Unis] ; Eric Johnson [États-Unis] ; Bryan Tsao [États-Unis] ; Khalid Bahjri [États-Unis]

Source :

RBID : pubmed:26808781

Descripteurs français

English descriptors

Abstract

OBJECTIVE

To determine the effect of a novel therapeutic intervention called intraneural facilitation on balance measures and a neuropathy scale in patients with diabetic peripheral neuropathy.

DESIGN

Prospective pre- and posttest, single group clinical trial.

SETTING

Outpatient physical therapy clinic.

PARTICIPANTS

Patients with diabetic peripheral neuropathy (N=13).

INTERVENTION

Subjects received 10 sessions of intraneural facilitation.

MAIN OUTCOME MEASURES

The modified Total Neuropathy Scale, the NeuroCom SMART Balance Master system computerized dynamic posturography (CDP) that includes the Sensory Organization Test (SOT) and the limits of stability (LOS), and the Activities-specific Balance and Confidence (ABC) scale.

RESULTS

Subjects in this study showed significant improvement in the modified Total Neuropathy Scale, SOT, and 1 component in the LOS test (movement velocity). There were no significant differences in the ABC scale or in 4 components of the LOS test, which were reaction time, end point excursion, maximum excursion, and directional control.

CONCLUSIONS

Intraneural facilitation improved objective balance measures and neuropathy symptoms in patients with diabetic peripheral neuropathy. Further study is needed to determine long-term benefits of this intervention.


DOI: 10.1016/j.apmr.2015.12.026
PubMed: 26808781


Affiliations:


Links toward previous steps (curation, corpus...)


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<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Diabetic Neuropathies (physiopathology)</term>
<term>Diabetic Neuropathies (therapy)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Physical Therapy Modalities (MeSH)</term>
<term>Postural Balance (MeSH)</term>
<term>Prospective Studies (MeSH)</term>
<term>Severity of Illness Index (MeSH)</term>
<term>Treatment Outcome (MeSH)</term>
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<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Indice de gravité de la maladie (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Neuropathies diabétiques (physiopathologie)</term>
<term>Neuropathies diabétiques (thérapie)</term>
<term>Résultat thérapeutique (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Techniques de physiothérapie (MeSH)</term>
<term>Équilibre postural (MeSH)</term>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
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<term>Middle Aged</term>
<term>Physical Therapy Modalities</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVE</b>
</p>
<p>To determine the effect of a novel therapeutic intervention called intraneural facilitation on balance measures and a neuropathy scale in patients with diabetic peripheral neuropathy.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>DESIGN</b>
</p>
<p>Prospective pre- and posttest, single group clinical trial.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>SETTING</b>
</p>
<p>Outpatient physical therapy clinic.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>PARTICIPANTS</b>
</p>
<p>Patients with diabetic peripheral neuropathy (N=13).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>INTERVENTION</b>
</p>
<p>Subjects received 10 sessions of intraneural facilitation.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>MAIN OUTCOME MEASURES</b>
</p>
<p>The modified Total Neuropathy Scale, the NeuroCom SMART Balance Master system computerized dynamic posturography (CDP) that includes the Sensory Organization Test (SOT) and the limits of stability (LOS), and the Activities-specific Balance and Confidence (ABC) scale.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Subjects in this study showed significant improvement in the modified Total Neuropathy Scale, SOT, and 1 component in the LOS test (movement velocity). There were no significant differences in the ABC scale or in 4 components of the LOS test, which were reaction time, end point excursion, maximum excursion, and directional control.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>Intraneural facilitation improved objective balance measures and neuropathy symptoms in patients with diabetic peripheral neuropathy. Further study is needed to determine long-term benefits of this intervention.</p>
</div>
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<AbstractText Label="SETTING">Outpatient physical therapy clinic.</AbstractText>
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HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i   -Sk "pubmed:26808781" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd   \
       | NlmPubMed2Wicri -a PosturoV1 

Wicri

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