Tag: diabetic polyneuropathy

Comparing the effect of different acupoints stimulating methods on nerve conduction velocity in diabetic neuropathy: A randomised controlled study

Ashraf Ishak Michaiel Youssef, Nagwa Mohamed Badr, Hanan Hosni, Hala Mohamad Ezz el Din Hamed


Ashraf Ishak Michaiel Youssef, Nagwa Mohamed Badr, Hanan Hosni, Hala Mohamad Ezz el Din Hamed – Comparing the effect of different acupoints stimulating methods on nerve conduction velocity in diabetic neuropathy: A randomised controlled study. Fizjoterapia Polska 2022; 22(2); 112-117

Abstract
Purpose. To investigate the effect of needle versus laser acupuncture on nerve conduction velocity on diabetic neuropathies in type two diabetes. Methods. Fifty-five patients of both genders with age ranged from 40-60 years were diagnosed with lower extremities diabetic polyneuropathy. Patients were divided randomly into two equal groups; Group (A) (control group) treated by needle acupuncture and group (B) treated by laser acupuncture at same acupoints. All patients in both groups received two sessions per week for 6 weeks. The measurement variables were the tibial motor nerve conduction velocity (NCV) and sural sensory NCV, they were measured bilaterally, pre- and post-treatment for all patients. Results. At the acupuncture group only there was significant increase in NCV of tibial and sural nerves in both sides at post treatment in compare to pre treatment. Conclusion. acupuncture has a significant effect on improving the motor and sensory nerves function in patients with diabetic polyneuropathy. So it may be considered an appropriate safe and nonpharmacological complementary treatment option for type 2 diabetic polyneuropathy.
Key words:
acupuncture, nerve conduction velocity, diabetes mellitus, diabetic polyneuropathy
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Influence of visuo-motor integration on cortisol levels and gait performance in diabetic polyneuropathy patients: A randomized controlled trial

Mohamed Soliman El-Tamawy, Moshera Hassan Darwish, Shereen Saad Eldin Mohamed

Mohamed Soliman El-Tamawy, Moshera Hassan Darwish, Shereen Saad Eldin Mohamed – Influence of visuo-motor integration on cortisol levels and gait performance in diabetic polyneuropathy patients: A randomized controlled trial . Fizjoterapia Polska 2020; 20(5);  58-64

Abstract

High morning cortisol levels are associated with cognitive decline in diabetic polyneuropathy (DPN) patients. Cognitive decline is the fourth diabetic microvascular complication which has an effect on gait parameters in DPN patients. Objective. Our aim was to investigate influence of cognitive therapy (CT) on the cortisol levels and the spatiotemporal gait parameters during three different gait conditions (walking without cognitive task, walking with verbal fluency & walking with arithmetic task) in DPN patients. Materials and methods. Forty patients with type II diabetes mellitus (DM) with moderate polyneuropathy participated in this study. The patients group were assigned into two equal groups; study group (G1) treated by visuo-motor integration program via Rehacom system in addition to a selected physical therapy program for DPN patients, control group (G2) treated by the same selected physical therapy program. Rehacom procedure was used to assess cognitive function for all the patients and make CT for the study group (G1). Treatment was conducted three times per week for eight weeks. The cortisol level test was used to measure cortisol levels. The glycated hemoglobin (Hb1AC) test was used to detect the glycated Hb level. Different variables of spatiotemporal gait parameters (cadence, velocity & stride length) for all the patients were assessed using two dimension (2D) video-based motion analysis during the three different gait conditions. Results. The results showed significant reduction in cortisol levels post-treatment in (G1) compared to (G2) (P < 0.05). There was a significant improvement in all cognitive domains in (G1) compared to (G2) post-treatment (P < 0.05). Significant increase in all spatiotemporal gait parameters post-treatment in (G1) compared to (G2) during the three different gait conditions (P < 0.05). Conclusion. Visuo-motor integration activities have a positive effect on reducing serum cortisol levels and consequently improving cognitive function and gait parameters especially during dual task conditions while walking with verbal fluency task and walking with arithmetic task in DPN patients.

Key words:
diabetic polyneuropathy, figural memory, cortisol, hypothalamic-pituitary-adrenal axis, visuo-motor integration
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