Centre for Diabetic Foot Care and Research, Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka, 576104, India.
Faculty of Allied Health Professions, AIMST University, Bedong, 08100, Malaysia.
Curr Diabetes Rev. 2023;19(9):e290422204244. doi: 10.2174/1573399818666220429085256.
BACKGROUND: Diabetic peripheral neuropathy is a severe complication of type 2 diabetes mellitus. The most common symptoms are neuropathic pain and altered sensorium due to damage to small nerve fibers. Altered plantar pressure distribution is also a major risk factor in diabetic peripheral neuropathy, leading to diabetic foot ulcers. OBJECTIVE: The objective of this systematic review was to analyze the various studies involving photobiomodulation therapy on neuropathic pain and plantar pressure distribution in diabetic peripheral neuropathy. METHODS: We conducted a systematic review (PubMed, Web of Science, CINAHL, and Cochrane) to summarise the evidence on photobiomodulation therapy for Diabetic Peripheral Neuropathy with type 2 diabetes mellitus. Randomized and non-randomized studies were included in the review. RESULTS: This systematic review included eight studies in which photobiomodulation therapy showed improvement in neuropathic pain and nerve conduction velocity. It also reduces plantar pressure distribution, which is a high risk for developing foot ulcers. CONCLUSION: We conclude that photobiomodulation therapy is an effective, non-invasive, and costefficient means to improve neuropathic pain and altered plantar pressure distribution in diabetic peripheral neuropathy.
背景:糖尿病周围神经病变是 2 型糖尿病的严重并发症。最常见的症状是由于小纤维神经损伤引起的神经性疼痛和感觉改变。足底压力分布改变也是糖尿病周围神经病变的一个主要危险因素,导致糖尿病足溃疡。 目的:本系统评价的目的是分析涉及光生物调节疗法治疗糖尿病周围神经病变中神经性疼痛和足底压力分布的各项研究。 方法:我们进行了系统评价(PubMed、Web of Science、CINAHL 和 Cochrane),以总结关于光生物调节疗法治疗 2 型糖尿病的糖尿病周围神经病变的证据。本综述纳入了随机和非随机研究。 结果:本系统评价共纳入了 8 项研究,结果显示光生物调节疗法可改善神经性疼痛和神经传导速度。它还降低了足底压力分布,这是发生足部溃疡的高风险因素。 结论:我们的结论是,光生物调节疗法是一种有效、非侵入性且具有成本效益的方法,可改善糖尿病周围神经病变中的神经性疼痛和改变的足底压力分布。