Effects of Monochromatic Infrared Light on Painful Diabetic Polyneuropathy: Randomized Controlled Trial.

IF 1.6 4区医学 Q2 NURSING

Pain Management Nursing Pub Date : 2024-09-24 DOI:10.1016/j.pmn.2024.08.012

Daniella Silva Oggiam, Juliana Vallim Jorgetto, Guilherme Luiz Chinini, Mônica Antar Gamba, Denise Miyuki Kusahara

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引用次数: 0

Abstract

Purpose: To evaluate the effect of 890 nm Monochromatic Infrared Light (MIR) associated with a physical therapy protocol on pain in individuals with diabetic Distal Symmetric Polyneuropathy.

Methods: Randomized, parallel, double-blind controlled trial conducted with individuals randomly allocated into two groups: an experimental group (EG) with the application of 890 nm MIR associated with physical therapy and a control group that received the same treatment protocol without MIR application. Both groups underwent 18 treatment sessions and were followed up for 10 weeks. Pain assessment took place at four times using the instruments: Leeds Assessment of Neuropathic Symptoms and Signs, Douleur Neuropathique 4, and Brief Pain Inventory. Descriptive, inferential statistics and probabilistic estimates of the magnitude of the intervention's effect on neuropathic pain were used in data analysis (5% significance level).

Results: A total of 144 patients were allocated to groups. Lower levels of pain were observed for the EG after 6 weeks of intervention (p < .001) and 30 days after the intervention ended (p < .001). Pain intensity was lower and sleep quality improved (p < .001) for the experiment group, especially in people with severe pain.

Conclusions: 890 nm MIR associated with a physical therapy protocol alleviated pain in people with Diabetic Painful Polyneuropathy after 6 weeks of follow-up, showing to be a promising alternative for the control of neuropathic pain due to diabetes mellitus.

Clinical implications: 890 nm MIR improves Painful Diabetic Polyneuropathy patient care due to relief of neuropathic pain.

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单色红外光对疼痛性糖尿病多发性神经病变的影响：随机对照试验

目的：评估 890 纳米单色红外光（MIR）与物理治疗方案相结合对糖尿病远端对称性多发性神经病患者疼痛的影响：随机、平行、双盲对照试验，将患者随机分为两组：实验组（EG）在物理治疗的同时应用 890 纳米单色红外光；对照组接受相同的治疗方案，但不应用单色红外光。两组均接受了 18 次治疗，并随访 10 周。使用以下工具对疼痛进行了四次评估：利兹神经病理性症状和体征评估》、《Douleur Neuropathique 4》和《简明疼痛量表》。数据分析采用了描述性、推断性统计方法，并对干预对神经病理性疼痛的影响程度进行了概率估计（显著性水平为 5%）：共有 144 名患者被分配到各组。在干预 6 周后（p < .001）和干预结束 30 天后（p < .001），观察到 EG 的疼痛程度降低。实验组的疼痛强度较低，睡眠质量有所改善（p < .001），尤其是严重疼痛患者：结论：890 nm MIR 与物理治疗方案相结合，可在 6 周的随访后减轻糖尿病痛性多发性神经病患者的疼痛，是控制糖尿病引起的神经病理性疼痛的一种很有前途的替代疗法：临床意义：890 纳米近红外可缓解神经病理性疼痛，从而改善糖尿病痛性多发性神经病患者的护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pain Management Nursing 医学-护理

CiteScore

3.00

自引率

5.90%

发文量

187

审稿时长

>12 weeks

期刊介绍： This peer-reviewed journal offers a unique focus on the realm of pain management as it applies to nursing. Original and review articles from experts in the field offer key insights in the areas of clinical practice, advocacy, education, administration, and research. Additional features include practice guidelines and pharmacology updates.