Comparative Effects of Therapeutic Ultrasound and High Intensity Laser Therapy on Neuropathic Pain ,Strength and Quality of Life in Diabetic Foot
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Enrollment
- 46
- Locations
- 1
- Primary Endpoint
- michigan neuropathy screening instrument
Study Overview
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
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- Double (Participant, Investigator)
Eligibility Criteria
- Ages
- 50 Years to 75 Years (Adult, Older Adult)
- Sex
- All
- Accepts 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
Arms & Interventions
ultrasound
therapeutic ultrasound 1MHZ continuous mode for 20 minutes
Intervention: ultrasound (Other)
high intensity laser therapy
approximately 905 nm super pulsed laser
Intervention: high intensity laser therapy (Other)
Outcomes
Primary Outcomes
michigan neuropathy screening instrument
Time Frame: 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
Time Frame: 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
Secondary Outcomes
No secondary outcomes reported