quarta-feira, 14 de agosto de 2013

Evidências apontam para efetividade da abordagem fisioterapêutica na neuropatia diabética

THE EFFECT OF A NEW PHYSICAL THERAPY METHOD ON DIABETIC NEUROPATHIC PAIN
M.R. Ebrahimpoor Mashhadi *,a, Z. Liaghat b
a Anatomy and Physiotherapy Ward School of Medicine, Kazeroun, Iran
b Physiotherapy Ward Shahid Chamran Hospital, Shiraz, Iran


Background. Diabetes mellitus is a common endo- crine disease which causes several problems in different part of the body. Peripheral diabetic neuropathy is a most noticeable one, leading to bilateral pain in some diabetic patient especially in distal parts of the upper and lower limbs.
Aims. To determine the effect of a new physical ther- apy method in relieving the neuropathic pains in dia- betic patients.
Methods. Six diabetic patients who had bilateral pain in their limbs were selected (4 men, 2 women)and received special physical therapy method for 15 days continuously as follow:


(a) Ultrasound (5 min continuous type 1 w/cm2), for forearms and hands in upper limbs and legs and foots in lower limbs.
(b) TENS (trans cutaneous electrical nerve stimulation, 20 min, Burst type), for forearms and hands in upper limbs and legs and foots in lower limbs.
(c) Neodynator (5 min LP wave, and 5 min DF wave immediately) for forearms and hands in upper limbs and legs and foots in lower limbs.
Results. Statistical analysis of the results proved the significant pain relief in diabetic patient after 15 days. (p 6 0.05). The cases who received the above treatment
were also followed up for 2 month period,while in none, the pain were again observable.


Conclusion. So this study showed that above physical therapy treatment method are effective for relieving the neuropathic pains in diabetic patients.

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