Journal of Angiotherapy
Angiogenesis, Inflammation & Therapeutics | Online ISSN  2207-872X
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RESEARCH ARTICLE   (Open Access)
Contents Vol 8 (10)

Rehabilitation Outcomes in Diabetic Peripheral Neuropathy: An Evidence-Based Physiotherapy Approach for Functional Improvement – Case

Kulsum Akter 1, Siddiqua Syeda Ummul 1, Mohammad Fakhruzzaman 2, Azharul Islam 3, Md. Jahidul Islam 1, Md. Manik Ahmed Sumon 4, Mahmuda Akter 5, Tandra Rani Mukherjee 1, Saleha Fazal 1, Asma Islam 6*

+ Author Affiliations

Journal of Angiotherapy 8 (10) 1-7 https://doi.org/10.25163/angiotherapy.8109954

Submitted: 09 July 2024 Revised: 03 October 2024  Published: 03 October 2024 

Abstract

Background: Diabetic Peripheral Neuropathy (DPN) is a prevalent and debilitating complication of diabetes mellitus (DM), affecting up to 70% of individuals with diabetes. DPN impairs motor and sensory functions, leading to pain, muscle weakness, and functional limitations that severely affect the quality of life. Effective rehabilitation strategies, including physiotherapy, are essential for improving these functional outcomes. Methods: This study assessed the effectiveness of a 12-week evidence-based physiotherapy rehabilitation program designed to improve the functional status of a 48-year-old female patient with DPN. The intervention included Transcutaneous Electrical Nerve Stimulation (TENS), range of motion (ROM) exercises, strengthening exercises, balance training, and gait improvement, administered over 45 physiotherapy sessions. Progress was measured using the Visual Analog Scale (VAS), Berg Balance Scale (BBS), and the Timed Up and Go (TUG) test. Results: Following the 12-week intervention, the patient reported significant improvements in pain reduction, with VAS scores decreasing from 9/10 to 4/10. Sensory function improved from impaired to intact, as assessed through light and deep touch sensation tests. Balance scores on the BBS increased from 22 to 48, indicating substantial gains in stability. Gait speed, measured using the TUG test, improved from 35 seconds to 13 seconds. Additionally, there were marked improvements in ROM, muscle strength, and overall functional abilities. Conclusion: The study demonstrates the effectiveness of a structured physiotherapy rehabilitation program in reducing neuropathic pain and improving functional outcomes in patients with DPN. TENS, combined with exercise-based interventions, significantly enhanced pain management, balance, and gait. Long-term monitoring and continued physiotherapy may further optimize the patient’s functional status and quality of life.

Keywords: Diabetic Peripheral Neuropathy (DPN), Transcutaneous Electrical Nerve Stimulation (TENS), Range of Motion (ROM), Physiotherapy Rehabilitation, Functional Improvement

References

Ahmad, I., Verma, S., Noohu, M. M., Shareef, M. Y., & Hussain, M. E. (2020). Sensorimotor and gait training improves proprioception, nerve function, and muscular activation in patients with diabetic peripheral neuropathy: A randomized control trial. Journal of Musculoskeletal & Neuronal Interactions, 20(2), 234.

Bairaktaridou, A., Grewal, G. S., Schwenk, M., Lee-Eng, J., Bharara, M., & Najafi, B. (2021). Sensor-based interactive balance training with visual joint movement feedback for improving postural stability in diabetics with peripheral neuropathy: A randomized controlled trial. Gerontology, 61(6), 567-574.

Bhatt, U., Metha, M., & Kumar, G. P. (2022). Postural control in diabetic peripheral neuropathy: A narrative review. Journal of Clinical & Diagnostic Research, 16(4).

Burnet, K., Kelsch, E., Zieff, G., Moore, J. B., & Stoner, L. (2019). How fitting is F.I.T.T.?: A perspective on a transition from the sole use of frequency, intensity, time, and type in exercise prescription. Physiology & Behavior, 199, 33–34.

Dobson, J. L., McMillan, J., & Li, L. (2014). Benefits of exercise intervention in reducing neuropathic pain. Frontiers in Cellular Neuroscience, 8, 102.

EL-Refay, B. H., & Ali, O. I. (2013). Efficacy of exercise rehabilitation program in improving gait of diabetic neuropathy patients. Assessment, 2014.

Jahantigh Akbari, N., Hosseinifar, M., Naimi, S. S., Mikaili, S., & Rahbar, S. (2020). The efficacy of physiotherapy interventions in mitigating the symptoms and complications of diabetic peripheral neuropathy: A systematic review. Journal of Diabetes & Metabolic Disorders, 19(2), 1995-2004.

Jensen, T. S., Karlsson, P., Gylfadottir, S. S., Andersen, S. T., Bennett, D. L., Tankisi, H., ... & Callaghan, B. C. (2021). Painful and non-painful diabetic neuropathy, diagnostic challenges and implications for future management. Brain, 144(6), 1632-1645.

Kisozi, T., Mutebi, E., Kisekka, M., Lhatoo, S., Sajatovic, M., Kaddumukasa, M., ... & Katabira, E. (2017). Prevalence, severity and factors associated with peripheral neuropathy among newly diagnosed diabetic patients attending Mulago hospital: A cross-sectional study. African Health Sciences, 17(2), 463-473.

Kluding, P. M., Pasnoor, M., Singh, R., D'Silva, L. J., Yoo, M., Billinger, S. A., ... & Wright, D. E. (2015). Safety of aerobic exercise in people with diabetic peripheral neuropathy: Single-group clinical trial. Physical Therapy, 95(2), 223-234.

Kluding, P. M., Pasnoor, M., Singh, R., Jernigan, S., Farmer, K., Rucker, J., ... & Wright, D. E. (2012). The effect of exercise on neuropathic symptoms, nerve function, and cutaneous innervation in people with diabetic peripheral neuropathy. Journal of Diabetes and its Complications, 26(5), 424-429.

Melai, T., Schaper, N. C., IJzerman, T. H., Willems, P. J., de Lange, T. L., Meijer, K., ... & Savelberg, H. H. (2014). Strength training affects lower extremity gait kinematics, not kinetics, in people with diabetic polyneuropathy. Journal of Applied Biomechanics, 30(2), 221-230.

Mueller, M. J., Tuttle, L. J., LeMaster, J. W., Strube, M. J., McGill, J. B., Hastings, M. K., ... & Sinacore, D. R. (2013). Weight-bearing versus non-weight-bearing exercise for persons with diabetes and peripheral neuropathy: A randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 94(5), 829-838.

Serry, Z. M., Mossa, G., Elhabashy, H., Elsayed, S., Elhadidy, R., Azmy, R. M., ... & Mokhtar, A. (2016). Transcutaneous nerve stimulation versus aerobic exercise in diabetic neuropathy. The Egyptian Journal of Neurology, Psychiatry and Neurosurgery, 53(2), 124.

Thorat, K. D., & Ganvir, S. (2015). Effectiveness of strength training on hand function in patients with diabetic neuropathy. Indian Journal of Basic and Applied Medical Research, 4(4), 429-437.

Zivi, I., Maffia, S., Ferrari, V., Zarucchi, A., Molatore, K., Maestri, R., ... & Frazzitta, G. (2018). Effectiveness of aquatic versus land physiotherapy in the treatment of peripheral neuropathies: A randomized controlled trial. Clinical Rehabilitation, 32(5), 663-670.

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