Sohrabzadeh Elnaz, Kalantari Khosro Khademi, Naimi Sedigheh Sadat, Daryabor Aliyeh, Akbari Narges Jahantigh
Physiotherapy Research Center, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Diabetes Metab Disord. 2021 Nov 25;21(1):43-49. doi: 10.1007/s40200-021-00933-w. eCollection 2022 Jun.
Patients with diabetic neuropathy usually suffer from impaired balance, pain, and decreased sole-foot sensation. The present research was designed to appraise the relic of whole-body vibration (WBV) on balance, pain, and sole-foot sensation in diabetic neuropathy patients.
Present study was a single-blind randomized controlled clinical trial. Thirty-four patients with type 2 diabetic neuropathy were randomly divided into intervention groups (n=17) and control (n=17). The therapeutic program in the intervention group included standing on the platform of the WBV device, and in the control group included using the device in off mode. Dynamic balance (including overall, anterior-posterior, and medial-lateral stability indices) was measured using Biodex device, functional balance with timed up and go (TUG) test, pain using the visual analog scale (VAS), and sole-foot sensation of both feet with a monofilament. The outcomes were measured in both groups before and after the interventions.
Sixteen people in each group were analyzed. Intra-group comparison showed a significant improvement in the mean pain (P = 0.000), functional balance (P = 0.011), right and left sole-foot sensation (P = 0.001), and overall (P = 0.000), anterior-posterior (P = 0.000) and medial-lateral (P = 0.000) stability indices for the intervention group in post-intervention compared to pre-intervention. However, changes in the control group were not statistically significant. Results of inter-group comparison indicated a significant improvement in all parameters in the intervention group, except for functional balance.
WBV can be effective in reducing pain and improving the sole-foot sensation and dynamic balance.
糖尿病神经病变患者通常存在平衡受损、疼痛以及足底感觉减退的问题。本研究旨在评估全身振动（WBV）对糖尿病神经病变患者平衡、疼痛和足底感觉的影响。
本研究为单盲随机对照临床试验。34例2型糖尿病神经病变患者被随机分为干预组（n = 17）和对照组（n = 17）。干预组的治疗方案包括站在WBV设备的平台上，对照组的治疗方案包括使用关闭模式的设备。使用Biodex设备测量动态平衡（包括整体、前后和内外侧稳定性指标），通过计时起立行走（TUG）测试评估功能平衡，使用视觉模拟量表（VAS）评估疼痛，并使用单丝评估双脚的足底感觉。在干预前后对两组的各项指标进行测量。
每组分析16人。组内比较显示，干预组干预后平均疼痛（P = 0.000）、功能平衡（P = 0.011）、左右足底感觉（P = 0.001）以及整体（P = 0.000）、前后（P = 0.000）和内外侧（P = 0.000）稳定性指标较干预前均有显著改善。然而，对照组的变化无统计学意义。组间比较结果表明，除功能平衡外，干预组所有参数均有显著改善。
全身振动可有效减轻疼痛，改善足底感觉和动态平衡。
