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    STUDIA EDUCATIO ARTIS GYMNASTICAE - Issue no. 4 / 2014  
         
  Article:   PHYSICAL EXERCISES FOR DIABETIC POLYNEUROPATHY.

Authors:  .
 
       
         
  Abstract:  VIEW PDF: PHYSICAL EXERCISES FOR DIABETIC POLYNEUROPATHY

Introduction: Chronic sensorimotor neuropathy is the commonest of the diabetic neuropathies, although at any one time only approximately 50% of patients will experience symptoms and 10-20% have symptoms severe enough to warrant specific therapy. A structured exercise program with active and passive movements to reduce muscle tension and prevent muscle wasting. Material and methods: In this study, 28 patients received a structured exercise program: 14 with treatment and physical program exercises and 14 without. Pain relief was measured by the patient’s global assessment of efficacy, using a visual analogue scale (0–10). Treatment goals include restoring function and improving pain control. Patients were randomly selected, the common factor being the presence of painful diabetic non insulin-dependent neuropathy. Patients of either sex with type 2 diabetes, aged between 25 and 83 years, who were on stable glucose-lowering medications during the preceding 3 month and who had PDN for at least 1 month were begin to be treated. Patients who had a pain score of >5, as assessed by visual analogue scale (VAS), were enrolled in our observation. Results: Our study shows the results of physiotherapy for painful diabetic non insulin-dependent neuropathy after 6 months of exercise program improving stability, gait and coordination. Another aspect is the reduction in depression symptoms caused by unsuccessful therapy before using the physiotherapy used in this study. The study shows how the physiotherapy is efficient in reducing muscle cramps and pain. Pain relief was measured by the patient’s global assessment of efficacy, using a visual analogue scale (0–10). Treatment goals include restoring function and improving pain control. Conclusions: The current study compared the efficacy of physiotherapy in patients with painful diabetic non insulin-dependent neuropathy. Numerically, more patients have pain relief after physiotherapy program than the group without physiotherapy. 

Keywords: polyneuropathy, physical exercises, pain control
 
         
     
         
         
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