Senthil Kumar, V (2011) A Comparative study between effectiveness of external electrical muscle stimulation versus TENS in the Management of Diabetic Peripheral Neuropathy. Masters thesis, College of Physiotherapy, J.K.K. Munirajah Medical Research Foundation, Komarapalayam.
|
Text
270208227091410.pdf Download (346kB) | Preview |
Abstract
INTRODUCTION : Diabetes is severe disease affecting over hundred millions of people endure from diabetes with in the world. In USA about 16 million people are affected from diabetes. It affects all age group from children to elderly individual by type II Diabetes have greater damage of nerve ,kidney, eye and coronary heart diseases. Diabetes believed to be the national IV leading for death. In the nervous system could also be disturbed or damaged causing severe pain, loss of felling this situation is referred to neuropathy Diabetic neuropathy is a complication caused by diabetes symptoms includes numbness and some time pain in the hand, feet or in legs Peripheral neuropathy is a problem with the nerve that carry information to and from the brain and spinal cord this produce pain loss of sensation and in ability to control muscle. Peripheral means away from the center of the body distance from spinal cord, ‘neuro” means nerve, ‘pathy’ means abnormal about 60 to 70% of diabetic patient have mild to severe form of nervous system damage which leads to diabetic poly neuropathy. AIM OF THE STUDY : To compare the effectiveness of External Electrical Muscle Stimulator and Transcutaneous electrical nerve stimulation in Management of Diabetic Peripheral Neuropathy. OBJECTIVES OF THE STUDY : 1. To determine the effectiveness of External Electrical Muscle Stimulator in Diabetic Peripheral Neuropathy. 2. To determine the effectiveness of transcutaneous electrical nerve stimulation in Diabetic Peripheral Neuropathy. 3. To compare the effects of External Electrical Muscle Stimulator and Transcutaneous electrical nerve stimulation in Management of Diabetic Peripheral Neuropathy in sensory reeducation. 4. To compare the effects of External Electrical Muscle Stimulator and Transcutaneous electrical nerve stimulation in Management of Diabetic Peripheral Neuropathy using lower extremity functional scale. 5. To find out the effective treatment regarding pain, functional status, and sensation in Diabetic Peripheral Neuropathy. MATERIALS AND METHDOLOGY : MATERIALS - Couch, Pillows, External Electrical Muscle Stimulator, Transcutaneous Electrical Muscle Stimulator(TENS), Electrode gel, Strap, Cotton, Lower extremity functional scale and Neuropathy Total Symptom Score-6 chart. METHODOLOGY : A total number of 30 patients having Diabetic peripheral neuropathy who met the inclusion criteria were recruited by convenient sampling method. After the informed consent obtained, they were partitioned into two groups as Group A and Group B, with 15 patients in each. Study Design - Quasi Experimental Study Design. Study Setting - The study was conducted at out patient department in J.K.K. Munirajahh Medical Research Foundation College of Physiotherapy, Komarapalayam under the supervision of the higher concerns. Sampling Method - Convenient sampling method. Sample Size - Thirty patients with diabetic peripheral neuropathy, who comes under the inclusion criteria, were taken for the study. Study Duration - The study was conducted for a course of 6 months, and treatment duration for each patient was 20 min per sitting, 4 sittings per week for one month. Inclusion Criteria - Age group –50 years and above, Sex – both sexes, Diabetic peripheral neuropathy, HbA1(C) <8, Neuropathy Disability Score (NDS) <6. Exclusion Criteria - Pregnancy, Malignancy. vessel involvement, Patient with cardiac pacemaker, Infective skin lesion, Varicose vein, Presence of ulcer, Insulin dependent diabetes mellitus, HbA1(C)>8, Amputation. Parameters - Neuropathy Total Symptom Score-6 (NTSS-6), Lower Extremity Functional Scale. CONCLUSION : This study shows that there was reduction in cold, warm ,cold pain threshold ,heat pain threshold, vibration perception threshold and touch perception threshold diabetic peripheral neuropathy after treatment with external electrical muscle stimulation. Thus the study concluded that external electrical muscle stimulation is effective treatment for diabetic peripheral neuropathy and Neuropathy Total Symptom Score-6 (NTSS-6) and Lower Extremity Functional Scale could be used as the assessment tools for cold, warm ,cold pain threshold ,heat pain threshold, vibration perception threshold and touch perception threshold.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | external electrical muscle stimulation ; Transcutaneous Electrical Nerve Stimulation ; Management ; Diabetic Peripheral Neuropathy. |
| Subjects: | PHYSIOTHERAPY > Physiotherapy in Neurology |
| Depositing User: | Subramani R |
| Date Deposited: | 25 Aug 2017 01:17 |
| Last Modified: | 16 Oct 2017 02:55 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/2830 |
Actions (login required)
 |
View Item |
