About
Scope & Aims
Editorial office
Editorial board
Reviewers
Ethical standards and procedures
Abstracting and indexing
Contact
Articles & Issues
Current issue
Articles in press
Archive
For Authors
General rules
Guide for authors
Templates
Publication charge
For Reviewers
Guide for reviewers
Our reviewers
ORIGINAL PAPER
Effect of foot muscle energy technique in patients with diabetic neuropathy: a randomized controlled trial
1
Basic Sciences, Faculty of Physical Therapy, MTI University, Cairo, Egypt
2
Faculty of Physical Therapy, Al Ryada University for Science and Technology, Sadat city, Menoufia, Egypt
3
Faculty of Physical Therapy, Merit University, Sohag, Egypt
Submission date: 2023-04-10
Acceptance date: 2023-11-07
Online publication date: 2024-08-21
Corresponding author
Ahmed Magdy Alshimy
Faculty of Physical Therapy, Al Ryada University for Science and Technology, Sadat City, Menoufia, Egypt
Faculty of Physical Therapy, Al Ryada University for Science and Technology, Sadat City, Menoufia, Egypt
Physiother Quart. 2024;32(3):40-44
KEYWORDS
diabetic neuropathyfoot muscle energy techniqueisometric muscle strengthmotor nerve conduction velocity study
TOPICS
ABSTRACT
Introduction:
This study investigated the effect of foot muscle energy technique (MET) on nerve conduction velocity (NCV) and isometric muscle strength in patients with type 2 diabetic neuropathy (DN).
Methods:
Forty-four patients were randomly assigned to either the MET group (group A) or the conventional physical therapy program group (group B). Electrophysiological measurements, including peroneal and tibial motor NCV studies, and isometric muscle strength using a toe strength dynamometer, were conducted. The assessment period ranged from April to November 2022, with measurements taken before the first session and after 4 weeks of treatment.
Results:
Significant improvements were observed in post-treatment peroneal motor NCV (p < 0.001), tibial motor NCV (p < 0.001), and isometric muscle strength (p < 0.001) in group A, but not in group B.
Conclusions:
MET enhances motor NCV and isometric muscle strength in patients with type 2 DN.
This study investigated the effect of foot muscle energy technique (MET) on nerve conduction velocity (NCV) and isometric muscle strength in patients with type 2 diabetic neuropathy (DN).
Methods:
Forty-four patients were randomly assigned to either the MET group (group A) or the conventional physical therapy program group (group B). Electrophysiological measurements, including peroneal and tibial motor NCV studies, and isometric muscle strength using a toe strength dynamometer, were conducted. The assessment period ranged from April to November 2022, with measurements taken before the first session and after 4 weeks of treatment.
Results:
Significant improvements were observed in post-treatment peroneal motor NCV (p < 0.001), tibial motor NCV (p < 0.001), and isometric muscle strength (p < 0.001) in group A, but not in group B.
Conclusions:
MET enhances motor NCV and isometric muscle strength in patients with type 2 DN.
REFERENCES (27)
1.
Feldman EL, Callaghan BC, Pop-Busui R, Zochodne DW, Wright DE, Bennett DL, Bril V, Russell JW, Viswanathan V. Diabetic neuropathy. Nat Rev Dis Primers. 2019;5(1):41; doi: 10.1038/s41572-019-0092-1.
2.
Iqbal Z, Azmi S, Yadav R, Ferdousi M, Kumar M, Cuthbertson DJ, Lim J, Malik RA, Alam U. Diabetic peripheral neuropathy: epidemiology, diagnosis, and pharmacotherapy. Clin Ther. 2018;40(6):828–49; doi: 10.1016/j.clinthera.2018.04.001.
3.
Hwang S, van Nooten F, Wells T, Ryan A, Crawford B, Evans C, English M. Neuropathic pain: a patient-centered approach to measuring outcomes. Health Expect. 2018;21(4):774–86; doi: 10.1111/hex.12673.
4.
Kim SS, Won JC, Kwon HS, Kim CH, Lee JH, Park TS, Ko KS, Cha BY. Prevalence and clinical implications of painful diabetic peripheral neuropathy in type 2 diabetes: results from a nationwide hospital-based study of diabetic neuropathy in Korea. Diabetes Res Clin Pract. 2014;103(3):522–9; doi: 10.1016/j.diabres.2013.12.003.
5.
Qureshi MS, Iqbal M, Zahoor S, Ali J, Javed MU. Ambulatory screening of diabetic neuropathy and predictors of its severity in outpatient settings. J Endocrinol Invest. 2017;40:425–30; doi: 10.1007/s40618-016-0581-y.
6.
Callaghan BC, Cheng HT, Stables CL, Smith AL, Feldman EL. Diabetic neuropathy: clinical manifestations and current treatments. Lancet Neurol. 2012;11(6):521–34; doi: 10.1016/S1474-4422(12)70065-0.
7.
Timar B, Timar R, Gată L, Oancea C, Levai C, Lungeanu D. The impact of diabetic neuropathy on balance and on the risk of falls in patients with type 2 diabetes mellitus: a cross-sectional study. PLoS One. 2016;11(4):e0154654; doi: 10.1371/journal.pone.0154654.
8.
Bondor CI, Veresiu IA, Florea B, Vinik EJ, Vinik AI, Gavan NA. Epidemiology of diabetic foot ulcers and amputations in Romania: results of a cross-sectional quality of life questionnaire based survey. J Diabetes Res. 2016;2016:5439521; doi: 10.1155/2016/5439521.
9.
Juster-Switlyk K, Smith AG. Updates in diabetic peripheral neuropathy. F1000Res. 2016;5(F1000 Faculty Rev):738; doi: 10.12688/f1000research.7898.1.
10.
Chaitow L. Muscle Energy Technique. 3rd ed. Edinburgh: Churchill Livingstone Elsevier; 2008: pp. 143–254.
11.
Waldén M, Hägglund M, Magnusson H, Ekstrand J. Anterior cruciate ligament injury in elite football: a prospective three-cohort study. Knee Surg Sports Traumatol Arthrosc. 2011;19(1):11–9 doi: 10.1007/s00167-010-1170-9.
12.
Greenman PE. Principles of Manual Medicine. 19962nd ed. Baltimore: Williams and Wilkins; 1989: pp. 430–9.
13.
Lenehan KL, Fryer G, McLaughlin P. The effect of muscle energy technique on gross trunk range of motion. J Osteopathic Med. 2003;6(1):13–8.
14.
Schleip R. Fascial plasticity – a new neurobiological explanation. Part 2. J Bodyw Mov Ther. 2003;7(2):104–16; doi: 10.1016/S1360-8592(02)00076-1.
15.
Marusteri M, Bacarea V. Comparing groups for statistical differences: how to choose the right statistical test? Biochem Med. 2010;20(1):15–32.
16.
Sarwar N, Gao P, Seshasai SR, Gobin R, Kaptoge S, Di Angelantonio E, Ingelsson E, Lawlor DA, Selvin E, Stampfer M, Stehouwer CDA, Lewington S, Pennells L, Thompson A, Sattar N, White IR, Ray KK, Danesh J. Diabetes mellitus, fasting blood glucose concentration, and risk of vascular disease: a collaborative meta-analysis of 102 prospective studies. Lancet. 2010;375(9733):2215–22; doi: 10.1016/S0140-6736(10)60484-9.
17.
Ta S. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2014;37:81–90; doi: 10.2337/dc14-S081.
18.
Preston DC, Shapiro BE. Electromyography and Neuromuscular Disorders E-Book. Clinical-Electrophysiologic Correlations. Elsevier Health Sciences; 2012.
19.
McClinton S, Collazo C, Vincent E, Vardaxis V. Impaired foot plantar flexor muscle performance in individuals with plantar heel pain and association with foot orthosis use. J Orthop Sports Phys Ther. 2016;46(8):681–8; doi: 10.2519/jospt.2016.6482.
21.
Andreassen CS, Jakobsen J, Ringgaard S, Ejskjaer N, Andersen H. Accelerated atrophy of lower leg and foot muscles – a follow-up study of long-term diabetic polyneuropathy using magnetic resonance imaging (MRI). Diabetologia. 2009;52(6):1182–91; doi: 10.1007/s00125-009-1320-0.
22.
Parasoglou P, Rao S, Slade JM. Declining skeletal muscle function in diabetic peripheral neuropathy. Clin Ther. 2017;39(6):1085–103; doi: 10.1016/j.clinthera.2017.05.001.
23.
Fryer G, Ruszkowski W. The influence of contraction duration in muscle energy technique applied to the atlantoaxial joint. Int J Osteopath Med. 2004;7(2):79–84; doi: 10.1016/S1443-8461(04)80016-9.
24.
Wang J, Wang S, Wu H, Dong S, Zhang B. Muscle energy technique plus Neurac method in stroke patients with hemiplegia complicated by diabetes mellitus and assessment of quality of life. Dis Markers. 2022;2022:6318721; doi: 10.1155/2022/6318721.
25.
Gad Elhak RKAE, Battesha HHM, Samir SM. Muscle energy technique versus active release technique on motor functions in patients with carpal tunnel syndrome. Int J Ther Rehabil. 2014;28(7):1–11; doi: 10.12968/ijtr.2020.0114.
26.
Sartor CD, Watari R, Pássaro AC, Picon AP, Hasue RH, Sacco ICN. Effects of a combined strengthening, stretching, and functional training program versus usual care on gait biomechanics and foot function for diabetic neuropathy: a randomized controlled trial. BMC Musculoskelet Disord. 2012;13:36; doi: 10.1186/1471-2474-13-36.
27.
El-Refay BH, Ali OI. Efficacy of exercise rehabilitation program in improving gait of diabetic neuropathy patients. Med J Cairo Univ. 2014;82(2):225–32.
| eISSN: | 2544-4395 |
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
