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The effectiveness of balneotherapy on pain, walking, and function in patients with diabetic neuropathy: a prospective observational study.

作者信息

Dogaru Gabriela, Ciubean Alina Deniza, Marinescu Luminița, Pop Bianca-Maria, Pașca Gabriel-Sorin, Ciumărnean Lorena

机构信息

Department of Medical Rehabilitation, "Iuliu Haţieganu" University of Medicine and Pharmacy Cluj-Napoca, Romania, Victor Babeş Str., No. 43, 400012, Cluj-Napoca, Romania.

Dept. of Rehabilitation Medicine, Clinical Rehabilitation Hospital, Viilor Str, No 46-50, 400066, Cluj-Napoca, Romania.

出版信息

Int J Biometeorol. 2025 Feb;69(2):319-329. doi: 10.1007/s00484-024-02808-0. Epub 2025 Jan 8.


DOI:10.1007/s00484-024-02808-0
PMID:39776225
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11785697/
Abstract

The treatment of type 2 diabetes patients with diabetic neuropathy using pharmacological and non-pharmacological measures remains a current topic. The aim of this study is to evaluate the effect of comprehensive medical rehabilitation programs that include natural therapeutic factors (carbonated natural mineral water) on pain, gait, and functional status in these patients. Fifty patients diagnosed with type 2 diabetes and diabetic neuropathy in the lower limbs participated in the study. Half of them (DZ-PT) underwent treatment consisting of physical exercises, physiotherapy, and terrain cure, while the other half (DZ-CMW) received the same treatment plus baths with carbonated natural mineral water. Patients were evaluated using assessment scales for pain Visual Analogue Scale (VAS), the 10-meter walking test (W10m), lower limb muscle strength (FM), Functional Independence Measure (FIM), and Neuropathy Disability Score (NDS). The results showed a statistically significant reduction in pain assessed by VAS at the end of the treatment, persisting for three months (p-values < 0.001 between the two groups), with a greater reduction in the DZ-CMW group. Similarly, a significant improvement in gait, evaluated by W10m, was found both at the end of the treatment and at 3 months after its completion, with greater improvement in the DZ-CMW group. In conclusion, patients with type 2 diabetes with diabetic neuropathy can benefit from comprehensive medical rehabilitation programs periodically, including therapeutic natural factors, at balneoclimacteric resorts, alongside medication, dietary regimen, and physical activity.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8731/11785697/91d27fad49b2/484_2024_2808_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8731/11785697/b172dbc5834b/484_2024_2808_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8731/11785697/4cd5b0c8d58a/484_2024_2808_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8731/11785697/c8f76c25c9d1/484_2024_2808_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8731/11785697/91d27fad49b2/484_2024_2808_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8731/11785697/b172dbc5834b/484_2024_2808_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8731/11785697/4cd5b0c8d58a/484_2024_2808_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8731/11785697/c8f76c25c9d1/484_2024_2808_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8731/11785697/91d27fad49b2/484_2024_2808_Fig4_HTML.jpg

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[1]
The effectiveness of balneotherapy on pain, walking, and function in patients with diabetic neuropathy: a prospective observational study.

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本文引用的文献

[1]
12. Retinopathy, Neuropathy, and Foot Care: Standards of Medical Care in Diabetes-2022.

Diabetes Care. 2022-1-1

[2]
Global Prevalence of Diabetic Retinopathy and Projection of Burden through 2045: Systematic Review and Meta-analysis.

Ophthalmology. 2021-11

[3]
Diabetic peripheral neuropathy: advances in diagnosis and strategies for screening and early intervention.

Lancet Diabetes Endocrinol. 2019-10-14

[4]
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Diabetes Care. 2019-1

[5]
A new look at painful diabetic neuropathy.

Diabetes Res Clin Pract. 2018-9-7

[6]
Shinrin-Yoku (Forest Bathing) and Nature Therapy: A State-of-the-Art Review.

Int J Environ Res Public Health. 2017-7-28

[7]
Economic Evaluation of Combined Diet and Physical Activity Promotion Programs to Prevent Type 2 Diabetes Among Persons at Increased Risk: A Systematic Review for the Community Preventive Services Task Force.

Ann Intern Med. 2015-9-15

[8]
Effectiveness of balneotherapy and spa therapy for the treatment of chronic low back pain: a review on latest evidence.

Clin Rheumatol. 2015-2

[9]
Dietary substitutions for refined carbohydrate that show promise for reducing risk of type 2 diabetes in men and women.

J Nutr. 2015-1

[10]
Prevention and management of type 2 diabetes: dietary components and nutritional strategies.

Lancet. 2014-6-7

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