Effect of Motor Imagery, Pain education and exercises on quality of life, pain, fear of movement and anxiety in painful diabetic nerve conditions
- Conditions
- Polyneuropathy in diseases classified elsewhere,
- Registration Number
- CTRI/2022/01/039276
- Lead Sponsor
- Jorida Fernandes
- Brief Summary
Painand its associated disability cannot be attributed only to somatic pathologybut to psychological factors like catastrophization of pain, depressionand anxiety. As the focus of treatment in pain reduction has now shifted to the top downapproach, cognitive interventions are known to activate specific areas of thebrain associated with pain, thus helping the individual to cope and reduce theimpact of pain. The effectiveness of Graded Motor Imagery (GMI) has beenextensively studied in neuropathic syndromes which have overlapping features likepain, allodynia and hyperalgesia. These overlapping features can lend themselves to common treatmentstrategies. Exercises have benefitted patients with Diabetic Peripheral Neuropathy(DPN) in terms of pain reduction, improvement in balance, nerve function andsensory disturbances leading to better functional mobility. Educating thepatient about pain and its associated disabilities works best in combinationwith physiotherapy to improve pain, pain related fears & QoL. There is dearth of evidence on the effects of GMI in PDN. Hence the present study aims to compare the effects of GMI with Graded Exposureand Conventional physiotherapy in patients with PDN.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 72
- Participant of all gender in the age group of 18-75 years.
- Diabetic participants with diagnosis of Peripheral neuropathy (score 1-4),presenting with pain in the feet.
- Participants visiting Goa Medical College & Hospital, Dharwad between Jan 2022- Jan 2023.
- Participants willing to sign the informed consent.
- Participants with severe OA, knee/ankle ligament sprains and fractures of the lower limb 2.
- Any other neurological disease than PDN 3.
- Any other disease that may cause pain in the feet and/or damage to the peripheral nervous system (e.g. ulcers, amputation, vascular insufficiency).
- Presence of severe cardiovascular and respiratory diseases 5.
- Participants on chemotherapeutic drugs or radiation in the last 10 years.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method RAND SF-36, Visual Analogue Scale,Tampa scale for Kinesiophobia (TSK), Pain Catastrophization Scale (PCS), 1st week, 8th week
- Secondary Outcome Measures
Name Time Method Pain Anxiety Symptom Scale- Short Form 2, Pain Self Efficacy Questinnaire (PSEQ) 1st week, 8th week
Trial Locations
- Locations (1)
Medicine wards, Physiotherapy OPD
🇮🇳Goa, GOA, India
Medicine wards, Physiotherapy OPD🇮🇳Goa, GOA, IndiaJorida FernandesPrincipal investigator9060778888joridaphd2021@gmail.com