|
Effect of Extracorporeal Shockwaves on Diabetic Neuropathic Foot
|
|
| Author:
|
, ENGI E.SARHAN, USAMA M. RASHAD, NEVIN M. SHALA, IBRAHIM M. HAMMODA, MARWA M. M. MAHMOUD, MAHMOUD Y. E. REZK
|
| Abstract:
|
Background: cases with diabetes mellitus (DM) type II manifest Symmetrical bilateral feet Pain and Sensory dysfunctions that interfere with quality of daily activities. This for evaluating efficacy of extracorporeal shock waves therapy (ESWT) on neuropathic pain relief and nerve function. Objective: our study aimed to determine the effect of extracorporeal shock wave therapy on foot pain and sensory functions in diabetic neuropathic foot. Subjects and methods: Sixty subjects of both sexes (45-55 years) complaining of type II diabetic neuropathic feet participated in the study. Patients were randomly divided into two equal groups; every group consisted of 30 patients. Group A (study group) was consisted of (14 females and 16 males) received extracorporeal shock wave therapy (ESWT) 1000 shots/ 3 HZ/ 5 bars, once/week and parallel to the course of CPN (mid-dorsum of foot) for three months, in addition to selected sensory re-education program. Group B (control group) contained (13 females and 17 males) received the selected sensory re-education program three times/day for ten minutes/session for three months without ESWT. We used the Numeric Pain Rating Scale (NPRS) to measure pain intensity, electromyography and ultrasonography to measure sensory changes and cross sectional area (CSA) in the common peroneal nerve (CPN) respectively, Measurements were be done before the initial management and at the termination of the third month of management.
Results: The results revealed that, there was a highly significant decrease in NPRS scores, no significant difference in values of conduction studies, and a highly significant decrease in the mean value of CSA of CPN at the end of the treatment in study group (A) comparing to control group (B).
Conclusion: Extracorporeal shockwave therapy was advantageous and fruitful in decreasing the foot pain and improving sensory functions of type II diabetic foot.
|
| Keyword:
|
Extracorporeal shockwaves, type II diabetic foot, pain, sensory functions.
|
| EOI:
|
-
|
| DOI:
|
https://doi.org/10.31838/ijpr/2020.SP2.554
|
| Download:
|
Request For Article
|
|
|