A study protocol on experiences and outcomes of neural mobilization and high intensity laser therapy in individuals with chronic sensorimotor diabetic peripheral neuropathy
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引用次数: 0
Abstract
Background
Neural mobilization and Laser therapy are proven to be effective in improving functional impairments in Chronic Sensorimotor Diabetic Peripheral Neuropathy (CSMDPN). Still, there is hardly any qualitative study that has investigated the experiences and outcomes of patients with CSMDPN regarding Neural mobilization and High Intensity Laser therapy as therapeutic interventions. So, this study aims to estimate and explore the experiences and outcomes of Neural mobilization and High Intensity Laser therapy in patients with Chronic Sensorimotor Diabetic Peripheral Neuropathy.
Methodology
A mixed-method approach will be conducted on 16 patients with CSMDPN. Group-1 and group-2 will undergo Neural mobilization of the tibial and common peroneal nerve, and High Intensity Laser therapy for 4 times/week for 3 weeks and after a washout period of 1 week, intervention will be reversed in both groups. Pre-post assessment will be taken after completion of each intervention with quantitative outcome measures S-LANSS for neuropathic pain, static balance & proprioception by Pedalo-Sensamove Balance Test Pro with Miniboard, Plantar pressure distribution by using Harris mat, Nerve Conduction Velocity of tibial and common peroneal nerve, Sympathetic Skin Response (SSR), and NeuroQoL-H questionnaire for quality of life. After the completion of each intervention depth face to face, semi-structured interviews will be conducted to explore the experiences of patients having CSMDPN about Neural Mobilization and High Intensity Laser therapy.
Discussion
The results achieved after the completion of this study may provide both quantitative and qualitative information which helps in collecting broad information about the facilitators and barriers of interventions for the benefit of CSMDPN patients for future implementation in clinical practice.
CTRI/2023/12/060929 [Registered on: December 29, 2023].
背景神经活动和激光治疗被证明对改善慢性感觉运动糖尿病周围神经病变(CSMDPN)的功能障碍是有效的。然而,几乎没有任何定性研究调查了CSMDPN患者将神经活动和高强度激光治疗作为治疗干预措施的经历和结果。因此,本研究旨在评估和探讨神经动员和高强度激光治疗慢性感觉运动糖尿病周围神经病变的经验和结果。方法采用混合方法对16例CSMDPN患者进行研究。1组和2组进行胫骨和腓总神经的神经活动,高强度激光治疗4次/周,持续3周,洗脱期1周后,两组逆转干预。每次干预结束后采用定量结果测量S-LANSS测量神经性疼痛、Pedalo-Sensamove平衡测试Pro with Miniboard测量静态平衡和本体感觉、Harris垫测量足底压力分布、胫骨和腓总神经神经传导速度、交感皮肤反应(SSR)和NeuroQoL-H生活质量问卷进行前后评估。每个干预深度面对面完成后,将进行半结构化访谈,探讨CSMDPN患者对神经动员和高强度激光治疗的体验。本研究完成后获得的结果可能提供定量和定性信息,有助于收集有关干预措施的促进因素和障碍的广泛信息,以便将来在临床实践中实施CSMDPN患者。CTRI/2023/12/060929[注册日期:2023年12月29日]。
期刊介绍:
The Journal of Bodywork and Movement Therapies brings you the latest therapeutic techniques and current professional debate. Publishing highly illustrated articles on a wide range of subjects this journal is immediately relevant to everyday clinical practice in private, community and primary health care settings. Techiques featured include: • Physical Therapy • Osteopathy • Chiropractic • Massage Therapy • Structural Integration • Feldenkrais • Yoga Therapy • Dance • Physiotherapy • Pilates • Alexander Technique • Shiatsu and Tuina