The Effects of a Novel Therapeutic Intervention in Diabetic Peripheral Neuropathy Patients

Publication date: Available online 22 January 2016
Source:Archives of Physical Medicine and Rehabilitation
Author(s): Adel Alshahrani, Mark Bussell, Eric Johnson, Bryan E. Tsao, Khalid Bahjri
ObjectiveTo determine the effect of a novel therapeutic intervention called intraneural facilitation (INF) on balance measures and a neuropathy scale in patients with diabetic peripheral neuropathy.DesignProspective pre- and post-test, single group clinical trial.SettingOutpatient physical therapy clinic.ParticipantsThirteen patients with diabetic peripheral neuropathy.InterventionSubjects received ten sessions of INF.Main Outcome MeasuresThe modified total neuropathy scale (mTNS), 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.ResultsSubjects in this study showed significant improvement in the mTNS, SOT, and one component in the LOS (movement velocity, MVL). There were no significant differences in the ABC or in 4 components of the LOS, which were reaction time (RT), endpoint excursion (EPE), maximum excursion (MXE), and directional control (DCL).ConclusionIntraneural 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.



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