Effect of sensory retraining program on latency, amplitude and conduction velocity of sensory nerves of lower limb in type 2 diabetic peripheral neuropathy
DOI:
https://doi.org/10.15584/ejcem.2024.4.12Keywords:
amplitude, conduction velocity, diabetic neuropathy, latency, sensory retraining, sural nerveAbstract
Introduction and aim. India is known as the world’s diabetes capital. Diabetic neuropathy is the most common complication of diabetes, and if not managed properly, leads to diabetic foot complications like ulcers and amputations. Physiotherapy interventions addressing these complications are very limited. Hence, this study was performed to access to what extent a sensory retraining program affects the latency, amplitude, and conduction velocity of the sural nerve in lower limbs. The study aims to improve the nerve conduction velocity of the sural nerve in diabetic neuropathy with a sensory retraining program.
Material and methods. One-hundred individuals who met the inclusion criteria were randomly allocated into 2 groups. The control group had received routine medical care. The experimental group individuals were managed with a sensory retraining program 5 days a week for 16 weeks. Latency, amplitude, and conduction velocity values were recorded before and after the study.
Results. Results conclude that the sensory retraining program is effective in decreasing the latency and improving conduction velocity. It did not have any effect on the amplitude.
Conclusion. Hence, we conclude that a sensory retraining program can be incorporated into routine physical therapy intervention in subjects with diabetic peripheral neuropathy.
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Hajar B, Hassan B, Eddine OD, et al. The influence of therapeutic education on diabetesrelated distress and therapeutic adherence among patients with type 2 diabetes in Tetouan, Morocco. Eur J Clin Exp Med. 2024;22(1):140-146. doi: 10.15584/ejcem.2024.1.28
Bhattacharya P, Chatterjee D, Sarkar P, Ghosh K, Bandyopadhyay AR. Association of fat patterning, type 2 diabetes mellitus and MTHFR gene polymorphism: a study among the two ethnic groups of Tripura, North-East India. Eur J Clin Exp Med. 2019;17(3):209-213. doi: 10.15584/ejcem.2019.3.2
Ambreen Asad,Muhammad Amjad Hameed, Umar Ali Khan et al. Comparison of nerve conduction studies with diabetic neuropathy symptom score and diabetic neuropathy examination score in type-2 diabetics for detection of Sensorimotor Polyneuropathy. J Pak Med Assoc. 2009;59(9):594-598.
Jyoti K, Gauri JV. A Study of the Effect of Stability Trainer on Dynamic Balance in Distal Sensory Diabetic Neuropathy. Journal of Exercise Science and Physiotherapy. 2016;12(1):94-98. doi: 10.18376//2016/v12i1/86822
Mete T, Aydin Y, Saka M, et al. Comparison of Efficiencies of Michigan Neuropathy Screening Instrument, Neurothesiometer, and Electromyography for Diagnosis of Diabetic Neuropathy. International Journal of Endocrinology. 2013;821745:1-7. doi: 10.1155/2013/821745
Trivedi S Pandit A, Ganguly G, Das SK. Epidemiology of peripheral neuropathy: An Indian perspective. Ann Indian Acad Neurol. 2017;20:173-184. doi: 10.4103/aian.AIAN_470_16
Pasquale Cancelliere. A review of the pathophysiology and clinical sequelae of diabetic polyneuropathy in the feet. J Diabetes Metab Disord Control. 2016;3(2):21-24. doi: 10.15406/jdmdc.2016.03.00062
Nisar MU, Asad A, Waqas A, et al. Association of Diabetic Neuropathy with Duration of Type 2 Diabetes and Glycemic Control. Cureus. 2015;7(8):1-10. doi: 10.7759/cureus.302
Mohan G, Chandey M, Monga A. Comparative study of detection of diabetic neuropathy by clinical and nerve conduction study in type 2 diabetes mellitus patients. Int J Adv Med. 2018;5(2):380-383. doi 10.18203/2349-3933.ijam20181073
Kimura J. Electro diagnosis in diseases of nerve and muscle principles and practice. Oxford press. 2013.
Misra UK, Kalita J. Clinical neuro physiology, nerve conduction, electro myography and evoked potentials. Elsevier publications.2005.
Maruboyina S, Attry S, Kumari BK, et al. Symmetry of electro physiological measures of sural nerve in type 2 diabetes patients. Pramana Research Journal. 2019;9(6):1989-1996.
Maruboyina S, Attry S, Kumari BK, et al. Comparison of Exercises on two Unstable Surfaces for Balance and Gait Reeducation in Patients with Diabetic Peripheral Neuropathy. JMSCR. 2018;6(6):752-756. doi: 10.18535/jmscr/v6i6.126
Maruboyina S, Attry S, Kusuma KB, et al. Significance of sensory specific intervention on balance in type 2 peripheral diabetic neuropathy individuals. Int J Health Sci Res. 2019;9(3):47-51.
AL Kakrani, VS Gokhale, Karan V Vohra. Clinical and Nerve Conduction Study Correlation in Patients of Diabetic Neuropathy. JAPI. 2014;62(1): 24-27.
Kluding PM, Bareiss SK, Hastings M, et al. Physical Training and Activity in People with Diabetic Peripheral Neuropathy: Paradigm Shift. Phys Ther. 2017;97(1):31-43. doi: 10.2522/ptj.20160124
Zakaria HM, Adel SM, Tantawy SA. The Role of Physical Therapy Intervention in the Management of Diabetic Neuropathic Foot Ulcers. Bull Fac Ph Th. 2008;13(2):63-72.
Majeed Kutty NA, Latheef Majida NA. Effects of Multisensory Training on Balance and Gait in Persons with Type 2 Diabetes: A Randomised Controlled Trial. DCIDJ. 2013;24(2):79-91. doi: 10.5463/dcid.v24i2.206
Garg R, Kumar A, Dhar U. A Study of Median Nerve Conduction Velocity in Diabetes Mellitus Type 2 in Neurologically Asymptomatic Patients. IJHSR. 2013;3(5):42-49.
Hung JW, Liou CW, Wang PW, et al. Effect of 12-week tai chi chuan exercise on peripheral nerve modulation in patients with type 2 diabetes mellitus. J Rehabil Med. 2009;41:924-929. doi: 10.2340/16501977-0445
Dixit S, Maiya AG, Shastry BA. Effect of aerobic exercise on peripheral nerve functions of population with diabetic peripheral neuropathy in type 2 diabetes: A single blind, parallel group randomized controlled trial. JDC. 2014;(28):332-339. doi: 10.1016/j.jdiacomp.2013.12.006
Ahn S, Song R. Effects of Tai Chi Exercise on Glucose Control, Neuropathy Scores, Balance, and Quality of Life in Patients with Type 2 Diabetes and Neuropathy. The Journal of Alternative and Complementary Medicine. 2012;18(12):1172-1178. doi: 10.1089/acm.2011.0690
Balduccia S, Iacobellisb G, Parisic L, et al. Exercise training can modify the natural history of diabetic peripheral neuropathy. JDC. 2006;20:216-223. doi: 10.1016/j.jdiacomp.2005.07.005
Kikkawaa Y, Kuwabaraa S, Misawaa S, et al. The acute effects of glycemic control on nerve conduction in human diabetics. Clinical Neurophysiology. 2005;116:270-274. doi: 10.1016/j.clinph.2004.08.011
Dhavalikar M, Narkeesh A, Gupta N. Effect of Skin Temperature on Nerve Conduction Velocity and Reliability of Temperature Correction Formula in Indian Females. JESP. 2009;5(1):24-29.
Gholamia F, Nikookheslat S, Salekzamani Y, et al. Effect of aerobic training on nerve conduction in men with type2 diabetes and peripheral neuropathy: A randomized controlled trial. Clinical Neuro physiology. 2018;48:195-202. doi: 10.1016/j.neucli.2018.03.001
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