high tone power therapy: patients will be assigned into 2 groups with pre and post treatment protocol application. all patients will be thoroughly evaluated before and after treatment protocol application.
TENS: These patients will receive TENS with applied frequencies range from 2 to 120 Hz. for 3 times per week for 30 minutes every session during 3 months of intervention in addition to medications.
Study summary
the results of this study may provide an easy non pharmacological modality for dealing with diabetic polyneuropathic pain. Also, the outcome of this study will guide physiotherapists to develop a new noninvasive treatment modality that may improve patient symptoms and promotes their social participation , this in turn may add to clinical role played by therapists in management of diabetic polyneuropathy. In Addition, increased knowledge of the influence of High tone power therapy on neuropathic pain
Eligibility
Sex
MALE
Min age
50 Years
Max age
60 Years
Healthy volunteers
No
Inclusion Criteria:
* The patient selection will be according to the following criteria:
1. Sixty male patients are diagnosed with diabetic polyneuropathy their ages will be ranged from 50-60 years old.
2. All patients are ambulant independently.
3. All patients are under full medical control
4. HbA1c is ranged from 6.5 : 7 %.
5. Patients has diabetes more than 10 years.
Exclusion Criteria:
* The participants will be excluded if they meet one of the following criteria:
1. Psychiatric disorders or seizures.
2. Visual and auditory impairment or tremors influencing balance.
3. Other neuromuscular disorders.
4. Foot deformities and ulcers.
5. Lower limb operations.
6. Feverish systemic infection
7. cardiac pacemaker.
Primary outcome measure(s)
Neuropathic pain by DN4 (Douleur Neuropathique en 4 Questions) Questions) — up to 12 weeks t is a questionnaire has been developed to facilitate detection of neuropathic pain.total score is 10 .diagnosis of neuropathic pain is 4/10.
Pain pressure threshold algometer — up to 12 weeks devices that can be used to identify the pressure and/or force eliciting a pressure-pain threshold. It has been noted in pressure
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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