Grbovic V, Jurisic-Skevin A, Djukic S, Stefanović S, Nurkovic J. Comparative analysis of the effects combined physical procedures and alpha-lipoic acid on the electroneurographic parameters of patients with distal sensorimotor diabetic polyneuropathy.
J Phys Ther Sci 2016;
28:432-7. [PMID:
27065527 PMCID:
PMC4792985 DOI:
10.1589/jpts.28.432]
[Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2015] [Accepted: 10/30/2015] [Indexed: 11/24/2022] Open
Abstract
[Purpose] Painful diabetic polyneuropathy occurs as a complication in 16% of all patients
with diabetes mellitus. [Subjects and Methods] A clinical, prospective open-label
randomized intervention study was conducted of 60 adult patients, with distal sensorimotor
diabetic neuropathy two groups of 30 patients, with diabetes mellitus type 2 with distal
sensorimotor diabetic neuropathy. Patients in group A were treated with combined physical
procedures, and patients in group B were treated with alpha lipoic acid. [Results] There
where a statistically significant improvements in terminal latency and the amplitude of
the action potential in group A patients, while group B patients showed a statistically
significant improvements in conduction velocity and terminal latency of n. peroneus. Group
A patients showed a statistically significant improvements in conduction velocity and
terminal latency, while group B patients also showed a statistically significant
improvements in conduction velocity and terminal latency. This was reflected in a
significant improvements in electrophysiological parameters (conduction velocity,
amplitude and latency) of the motor and sensory nerves (n. peroneus, n. suralis).
[Conclusion] These results present further evidence justifying of the use of physical
agents in the treatment of diabetic sensorimotor polyneuropathy.
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