Plantar Cutaneous Sensory Stimulation in Patients With Diabetic Neuropathy

Riphah International University50 enrolled

Overview

To determine the effects of plantar cutaneous sensory stimulation on foot tactile sensitivity, postural control, and spatiotemporal gait parameters in patients with diabetic neuropathy.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Diabetic Neuropathies

Interventions

Traditional physical therapyOTHER

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.

Plantar cutaneous sensory stimulationOTHER

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.

Eligibility

Sex: ALLMin age: 45 YearsMax age: 67 Years

Medical Language ↔ Plain English

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

Locations (2)

PhysioFit

Faisalabad, Punjab Province, Pakistan

Allied Hospital Faisalabad.

Faisalābad, Punjab Province, Pakistan

Outcomes

Primary Outcomes

Foot tactile sensitivity

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

Time frame: 6th week

Postural control

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

Time frame: 6th week

Spatiotemporal gait parameters

By using a stopwatch and measuring tape

Time frame: 6th week

Data from ClinicalTrials.gov

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