Intraneural facilitation for diabetic neuropathy

NewsBot · Jan 23, 2016

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The Effects of a Novel Therapeutic Intervention in Diabetic Peripheral Neuropathy Patients
Adel Alshahrani, MPT, Mark Bussell, DPT, Eric Johnson, DS, Bryan E. Tsao, MD, Khalid Bahjri, MD, DrPH, MPH
Archives of Physical Medicine and Rehabilitation; Article in Press

Objective
To determine the effect of a novel therapeutic intervention called intraneural facilitation (INF) on balance measures and a neuropathy scale in patients with diabetic peripheral neuropathy.

Design
Prospective pre- and post-test, single group clinical trial.

Setting
Outpatient physical therapy clinic.

Participants
Thirteen patients with diabetic peripheral neuropathy.

Intervention
Subjects received ten sessions of INF.

Main Outcome Measures
The modified total neuropathy scale (mTNS), the NeuroCom? Smart Balance Master system computerized dynamic posturography (CDP) that includes the sensory organization test (SOT) and the limits of stability (LOS), and the activities-specific balance and confidence (ABC) scale.

Results
Subjects in this study showed significant improvement in the mTNS, SOT, and one component in the LOS (movement velocity, MVL). There were no significant differences in the ABC or in 4 components of the LOS, which were reaction time (RT), endpoint excursion (EPE), maximum excursion (MXE), and directional control (DCL).

Conclusion
Intraneural facilitation improved objective balance measures and neuropathy symptoms in patients with diabetic peripheral neuropathy. Further study is needed to determine long-term benefits of this intervention.
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