Effect of Plantar Vibration Therapy On Sensation and Nerve Conduction Velocity Of Plantar Nerve In Diabetic Neuropathy
试验速览
- 阶段
- 1 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 42
- 试验地点
- 1
- 主要终点
- Nerve conduction velocity.
研究概览
简要总结
Diabetes is a very common condition affecting 101 million population of India in 2021 (1). Chronic diabetes leads to several complications.
Diabetic peripheral neuropathy (DPN) is one of the most common complications of patients with Type 2 diabetes mellitus (T2DM), which affects sensation, proprioception and somatosensory information.
The symptoms of diabetic neuropathy include reduced sensation, numbness, burning sensation, and pain, especially in the lower extremities due to nerve damage .Tactile sensations mostly affected in this condition.Chronic neuropathy when not managed leads to further complication like diabetic foot.
Currently, diagnosis of diabetic PN is mostly clinical, further confirmed by nerve conduction study (NCS) of peripheral sensory nerves.Plantar nerve is the major nerve supply of the distal lower limb.
vibration therapy improves reduces the pain intensity, improves the glycemic control, skin blood flow, muscle strength, which makes it applicable for DPN prevention or for delaying its progression.Localised plantar vibration has shown to improve proprioception and balance in diabetic patients
There are studies which indicates that nerve conduction velocity of plantar nerve is a predictor for diabetic foot which can be caused by chronic peripheral neuropathy.
Predicting diabetic foot in pre-symtomatic stage would aid in foot care and prevent further complications.
Vibration therapy has shown effects on blood flow, strength and flexibility. So there was a need to study if the vibration therapy affects nerve conduction velocity of plantar nerve.
研究设计
- 研究类型
- Interventional
- 分配方式
- Coin toss, Lottery, toss of dice, shuffling cards etc
- 盲法
- Participant Blinded
入排标准
- 年龄范围
- 35.00 Year(s) 至 80.00 Year(s)（—）
- 性别
- All
入选标准
- •Cut off of cut-off of Plantar nerve -SNAP amplitude of 4.55 lV and 2.65 lV Type 2 diabetes mellitus of minimum 8 years Diagnosed DPN for more than 1 year, Age between 35 yr and above.
- •More than 2.5 score in Michigan neuropathy screening instrument.
排除标准
- •Patient diagnosed with mental disease.
- •Patients having impaired vibration sensation orthopedic, neurological disorders related to balance disturbances,skin lesions.
- •Bone deformities in the feet.
结局指标
主要结局
Nerve conduction velocity.
时间窗: 1) At the biginning of the study | 2) at the end of the study ( after 3 weeks)
Monofilament for sensation
时间窗: 1) At the biginning of the study | 2) at the end of the study ( after 3 weeks)
Tuning fork and pin for sensation.
时间窗: 1) At the biginning of the study | 2) at the end of the study ( after 3 weeks)
• Michigan Neuropathy Screening Instrument
时间窗: 1) At the biginning of the study | 2) at the end of the study ( after 3 weeks)
次要结局
未报告次要终点
研究者
Kratika Dubey
DR. D.Y. Patil College of Physiotherapy