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首页> 外文期刊>South African Journal of Physiotherapy >Improving vibration perception in a patient with type 2 diabetes and sensory peripheral neuropathy
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Improving vibration perception in a patient with type 2 diabetes and sensory peripheral neuropathy

机译:改善2型糖尿病和感觉性周围神经病患者的振动知觉

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Introduction: ?Diabetes mellitus (DM) and its related sensory peripheral neuropathy (SPN) are the biggest risk factors for foot ulcer formation and lower limb amputation. Reduced vibration perception results in less sensitivity to pressure and is a known risk factor for diabetic foot ulcers. Improving vibration perception in the feet of people with SPN could be protective against foot ulcers. The aim of this study was to determine if a therapeutic vibrating insole, used for 35 consecutive days, could improve vibration perception in a patient with type 2 DM. Patient presentation: ?The patient was a 63 year-old male with a medical history of peripheral vascular disease, controlled hypertension, hyperlipidaemia, artherosclerosis and SPN secondary to controlled type 2 diabetes. Management and outcome: ?The patient used the insoles for 20 min a day for 35 consecutive days. Vibration perception thresholds were measured four times in total: once at baseline, immediately post intervention, 1 month and 10 months later. Vibration perception threshold decreased with an average of 22 V (range 6 V–34 V) dependant on the tested location and time after intervention. The improvement remained after 1 and 10 months. Conclusion: ?The use of a vibrating insole as a therapeutic device improved this patient’s perception of vibration in his feet. Clinically, vibrating insoles potentially might reduce the risk for ulcer formation and subsequent lower limb amputation in patients with DM and SPN. Clinical implications: ?Using a vibrating insole therapeutically, can potentially improve the perception of vibration and pressure in patients with sensory peripheral neuropathy secondary to type 2 diabetes mellitus. Improved vibration perception might reduce the risk for diabetic ulcer formation and subsequent lower limb amputation.
机译:简介:糖尿病(DM)及其相关的感觉周围神经病(SPN)是足溃疡形成和下肢截肢的最大危险因素。振动感觉的降低导致对压力的敏感性降低,并且是糖尿病足溃疡的已知危险因素。患有SPN的人改善脚部的振动感觉可以预防脚部溃疡。这项研究的目的是确定连续治疗35天的治疗性振动鞋垫是否可以改善2型DM患者的振动感觉。患者介绍:患者为63岁的男性,有周围血管疾病,高血压,高血脂,动脉硬化和2型糖尿病继发于SPN的病史。处理和结果:患者连续35天每天使用鞋垫20分钟。振动感知阈值总共测量了四次:在基线一次,干预后立即,1个月和10个月后。振动感知阈值平均降低22 V(6 V–34 V范围),具体取决于干预后的测试位置和时间。 1个月和10个月后,改善仍然存在。结论:?将振动鞋垫用作治疗装置可改善该患者脚部振动的感觉。在临床上,振动鞋垫可能会降低DM和SPN患者溃疡形成和随后下肢截肢的风险。临床意义:?在治疗上使用振动鞋垫可以潜在地改善2型糖尿病继发性感觉周围神经病患者的振动和压力感。改善的振动感知可能会降低糖尿病性溃疡形成和随后下肢截肢的风险。

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