经皮电刺激神经疗法应用于糖尿病周围神经病变患者后，其姿势控制能力是否会得到改善？一项随机安慰剂对照试验。
Dose postural control improve following application of transcutaneous electrical nerve stimulation in diabetic peripheral neuropathic patients? A randomized placebo control trial.
作者信息
Saadat Z, Rojhani-Shirazi Z, Abbasi L
机构信息
Student Research Committee, Department of Physiotherapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Associated Professor, Department of Physiotherapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran; Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
出版信息
Diabetes Metab Syndr. 2017 Dec;11 Suppl 2:S755-S757. doi: 10.1016/j.dsx.2017.05.011. Epub 2017 Jun 9.
BACKGROUND
peripheral neuropathy is the most common problem of diabetes. Neuropathy leads to lower extremity somatosensory deficits and postural instability in these patients. However, there are not sufficient evidences for improving postural control in these patients.
AIM
To investigate the effects of transcutaneous electrical nerve stimulation (TENS) on postural control in patients with diabetic neuropathy.
METHODS
Twenty eighth patients with diabetic neuropathy (40-55 Y/O) participated in this RCT study. Fourteen patients in case group received TENS and sham TENS was used for control group. Force plate platform was used to extract sway velocity and COP displacement parameters for postural control evaluation.
RESULTS
The mean sway velocity and center of pressure displacement along the mediolateral and anteroposterior axes were not significantly different between two groups after TENS application (p>0.05).
CONCLUSION
Application of 5min high frequency TENS on the knee joint could not improve postural control in patients with diabetic neuropathy.
背景
周围神经病变是糖尿病最常见的问题。神经病变导致这些患者下肢体感缺陷和姿势不稳。然而，目前尚无足够证据证明可改善这些患者的姿势控制。
目的
探讨经皮电刺激神经疗法（TENS）对糖尿病神经病变患者姿势控制的影响。
方法
28例糖尿病神经病变患者（40 - 55岁）参与了这项随机对照试验研究。病例组14例患者接受TENS治疗，对照组使用假TENS。使用测力平台提取摆动速度和压力中心位移参数以评估姿势控制。
结果
应用TENS后，两组之间沿内外侧和前后轴的平均摆动速度和压力中心位移无显著差异（p>0.05）。
结论
对膝关节应用5分钟高频TENS不能改善糖尿病神经病变患者的姿势控制。
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