关键词: Diabetic neuropathies Exercise therapy Physiotherapy techniques

来  源:   DOI:10.1007/s40200-020-00652-8   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
OBJECTIVE: 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.
METHODS: 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.
RESULTS: 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)导致单觉减退和平衡障碍,所有这些都增加了跌倒的风险和社会经济成本。因为物理治疗师不使用相同的方式来减少这个问题的并发症。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有效性。
方法:对Pubmed,Elsevier,谷歌学者,并执行Embase以确定DPN的已发布文档。最后,对DPN和该领域可用的治疗方法的研究,特别是理疗,包括电疗,运动疗法,和其他疗法,已确定。
结果:根据2019年8月1日的数据库搜索,从1989年到2019年,在过去的30年中,共发现约968篇文章,其中345个是免费全文,最后,批准了19条。这些文章研究了物理治疗干预的效果,包括运动疗法,电疗,和其他治疗技术对DPN患者的影响。
结论:结果显示,大多数糖尿病周围神经病变患者患有肌无力,疼痛,失去平衡,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损。运动疗法,电疗,和其他物理治疗方法已被用来减少提到的病例。在这些干预措施中,运动疗法是最有效的。尽管这些患者几乎没有有氧运动的证据,应进一步研究其他疗法的效果。
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