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物理治疗干预对减轻糖尿病周围神经病变症状及并发症的疗效:一项系统评价。

The efficacy of physiotherapy interventions in mitigating the symptoms and complications of diabetic peripheral neuropathy: A systematic review.

作者信息

Jahantigh Akbari Narges, Hosseinifar Mohammad, Naimi Sedigheh Sadat, Mikaili Saeed, Rahbar Soulmaz

机构信息

Department of Physical Therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.

出版信息

J Diabetes Metab Disord. 2020 Oct 12;19(2):1995-2004. doi: 10.1007/s40200-020-00652-8. eCollection 2020 Dec.


DOI:10.1007/s40200-020-00652-8
PMID:33553048
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7843894/
Abstract

PURPOSE: Diabetic peripheral neuropathy (DPN) leads to decreased sole sensation and balance disorder, all of which increase the risk of falls and socioeconomic costs. Since the physiotherapists do not use the same manner to lessen the complications of this problem. Therefore, this review study was directed to appraise physiotherapy intervention efficiencies in diminishing DPN's symptoms and complications. METHOD: A database search of Pubmed, Elsevier, Google Scholar, and Embase was performed to determine DPN's published documents. Finally, studies of DPN and treatments available in this field, particularly physiotherapy that included electrotherapy, exercise therapy, and other therapies, were identified. RESULT: According to a database search on August 1, 2019, from 1989 to 2019, in the last 30 years, about 968 articles were found, 345 of which were free full text available, and finally, 19 articles were approved. These articles examined the effects of physiotherapy interventions, including exercise therapy, electrotherapy, and other treatment techniques on DPN patients. CONCLUSIONS: The results showed that most diabetic peripheral neuropathy patients suffer from muscle weakness, pain, loss of balance, and lower limb dysfunction. As a result, their daily activity and Life satisfaction are gradually impaired. Exercise therapy, electrotherapy, and other physiotherapy methods have been used to reduce the mentioned cases. Among these interventions, exercise therapy has been the most effective. Although there was little evidence of aerobic exercise in these patients, further studies should be done on other therapies' effects.

摘要

目的:糖尿病周围神经病变(DPN)会导致足底感觉减退和平衡障碍,所有这些都会增加跌倒风险和社会经济成本。由于物理治疗师减轻该问题并发症的方式不尽相同。因此,本综述研究旨在评估物理治疗干预在减轻DPN症状和并发症方面的效果。 方法:对PubMed、Elsevier、谷歌学术和Embase进行数据库检索,以确定有关DPN的已发表文献。最后,确定了DPN及该领域现有治疗方法的研究,特别是包括电疗法、运动疗法和其他疗法在内的物理治疗。 结果:根据2019年8月1日的数据库检索,在1989年至2019年的过去30年里,共找到约968篇文章,其中345篇有免费全文,最终有19篇文章被纳入。这些文章研究了物理治疗干预措施,包括运动疗法、电疗法和其他治疗技术对DPN患者的影响。 结论:结果表明,大多数糖尿病周围神经病变患者存在肌肉无力、疼痛、平衡失调和下肢功能障碍。因此,他们的日常活动和生活满意度逐渐受到损害。运动疗法、电疗法和其他物理治疗方法已被用于减少上述情况。在这些干预措施中,运动疗法最为有效。尽管这些患者中有氧运动的证据很少,但应进一步研究其他疗法的效果。

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[6]
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[8]
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本文引用的文献

[1]
Cost-Effectiveness and Effects of a Home-Based Exercise Intervention for Female Caregivers of Relatives with Dementia: Study Protocol for a Randomized Controlled Trial.

Healthcare (Basel). 2020-3-6

[2]
Effect of adding whole-body vibration training to squat training on physical function and muscle strength in individuals with knee osteoarthritis.

J Musculoskelet Neuronal Interact. 2019-9-1

[3]
Diabetic neuropathy.

Nat Rev Dis Primers. 2019-6-13

[4]
Different training durations and styles of tai chi for glucose control in patients with type 2 diabetes: a systematic review and meta-analysis of controlled trials.

BMC Complement Altern Med. 2019-3-14

[5]
Protocol for evaluating the effects of a foot-ankle therapeutic exercise program on daily activity, foot-ankle functionality, and biomechanics in people with diabetic polyneuropathy: a randomized controlled trial.

BMC Musculoskelet Disord. 2018-11-14

[6]
Using Plantar Electrical Stimulation to Improve Postural Balance and Plantar Sensation Among Patients With Diabetic Peripheral Neuropathy: A Randomized Double Blinded Study.

J Diabetes Sci Technol. 2017-7

[7]
Effect of exercise on the quality of life in type 2 diabetes mellitus: a systematic review.

Qual Life Res. 2017-3

[8]
Relationship between foot pain, muscle strength and size: a systematic review.

Physiotherapy. 2017-3

[9]
How effective is acupuncture for reducing pain due to plantar fasciitis?

Singapore Med J. 2017-2

[10]
Effectiveness of low-level laser on carpal tunnel syndrome: A meta-analysis of previously reported randomized trials.

Medicine (Baltimore). 2016-8

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