Effect of High Tone Power Therapy on Neurophysiological Measures and Function Outcome in Patients With Diabetic Neuropathy
Diabetic Neuropathy Peripheral
About this trial
This is an interventional treatment trial for Diabetic Neuropathy Peripheral
Eligibility Criteria
Inclusion Criteria:
- Forty type II referred diabetic neuropathy patients from both genders their ages will be ranged from 40-60 years old.
- All patients with diabetic neuropathy > 10 years having diabetes (will be examined according to the general and specific neurological evaluation sheet for diabetic neuropathy).
- All patients in the study should be ambulant independently.
- All patients should be medically stable.
- The body mass index (BMI) ranged from 20:30 Kg/m2.
- All patients will approve and sign a consent form.
Exclusion Criteria:
- Patients < 10 years having diabetes.
- Patients with musculoskeletal deformities and disorders.
- Patients with psychiatric disorders or seizures.
- Patients with visual and auditory impairment or tremors influencing balance.
- Patients with other neuromuscular disorders.
- Patients with BMI more than 30 kg/m2.
- Patients with foot deformities and ulcers.
- Patients with cognitive impairment using mini-mental state examination (MMSE).
- Patients with lower limb operations.
Sites / Locations
- October 6 University
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Group I
Group II
Group I (Study): will consist of 20 patients with diabetic neuropathy and will receive High tone power therapy in addition to selected physical therapy program (Wobble board training, AROM exercises for both UL & LL, gentle manual stretching exercises for both UL & LL and graduated gait training). for 10 sessions every other day, each session for 1.45 hours (60 minutes for HiTop and 45 minutes for selected physical therapy program).
Group II (Control): will consist of 20 patients with diabetic neuropathy and will receive selected physical therapy program only same as group I. For 10 sessions every other day, each session for 45 minutes.