Article

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.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS