Abstract
Objective
To determine the effect of a novel therapeutic intervention called intraneural facilitation
on balance measures and a neuropathy scale in patients with diabetic peripheral neuropathy.
Design
Prospective pre- and posttest, single group clinical trial.
Setting
Outpatient physical therapy clinic.
Participants
Patients with diabetic peripheral neuropathy (N=13).
Intervention
Subjects received 10 sessions of intraneural facilitation.
Main Outcome Measures
The modified Total Neuropathy Scale, the NeuroCom SMART Balance Master system computerized
dynamic posturography (CDP) that includes the Sensory Organization Test (SOT) and
the limits of stability (LOS), and the Activities-specific Balance and Confidence
(ABC) scale.
Results
Subjects in this study showed significant improvement in the modified Total Neuropathy
Scale, SOT, and 1 component in the LOS test (movement velocity). There were no significant
differences in the ABC scale or in 4 components of the LOS test, which were reaction
time, end point excursion, maximum excursion, and directional control.
Conclusions
Intraneural facilitation improved objective balance measures and neuropathy symptoms
in patients with diabetic peripheral neuropathy. Further study is needed to determine
long-term benefits of this intervention.
Keywords
List of abbreviations:
ABC (Activities-specific Balance Confidence), CDP (computerized dynamic posturography), DM (diabetes mellitus), DPN (diabetic peripheral neuropathy), DSPN (distal symmetric polyneuropathy), LOS (limits of stability), SOT (Sensory Organization Test)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: January 22, 2016
Footnotes
Disclosures: none.
Identification
Copyright
© 2016 The American Congress of Rehabilitation Medicine.
