Effect of Novel Laser Shoe Photobiomodulation on Neuropathic Pain and Plantar Pressure Profile in Type 2 Diabetes Mellitus with Peripheral Neuropathy.

IF 2.4 Q3 ENDOCRINOLOGY & METABOLISM Current diabetes reviews Pub Date : 2024-02-13 DOI:10.2174/0115733998244000231106040749
G Arun Maiya, Radhika Aditya Jadhav, Hrishikesh Yadav K, Manjunatha Hande H, Harishchandra Hebbar, Karthik Mohan
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Abstract

Background: Photobiomodulation (PBM) or Low-level laser is used to treat diabetic foot complications. The existing method of laser application to the foot did not cover the foot's entire area to improve the foot's microcirculation. Therefore, we have developed a cost-effective Special LASER Shoe device, focusing exclusively on the entire foot region to manage neuropathic pain and other symptoms in individuals with type 2 diabetes mellitus.

Objective: The main objective of the present study was to evaluate the effect of this newly developed special laser shoe PBM on neuropathic pain and plantar pressure profile in individuals with type 2 diabetes mellitus with neuropathy.

Methods: We included 60 participants with diabetic peripheral neuropathy of both genders and age more than 20 years. Participants were treated with PBM by a specially designed novel Laser Shoe. Outcomes were clinical variables like Vibration Perception Threshold (VPT), Visual Analogue Scale (VAS), Michigan neuropathy screening instrument A&B, Ankle-Brachial Index (ABI), and Static dynamic gait parameters.

Results: Participants were with an average age of 62, and the average duration of diabetes was 11 years. Analysis showed a significant difference in VPT, VAS, Michigan neuropathic screening inventory, and ankle-brachial index. (P < 0.05).

Conclusion: We conclude that Novel laser shoe photobiomodulation using 'Laser Shoe' effectively reduces peripheral neuropathic pain. It is also effective in reducing average and maximum plantar pressure. Reduction in neuropathic pain and improvement in plantar pressure distribution can reduce further complications.

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新型激光鞋光生物调节疗法对伴有周围神经病变的 2 型糖尿病患者神经性疼痛和足底压力曲线的影响
背景:光生物调控(PBM)或低强度激光用于治疗糖尿病足并发症。现有的足部激光治疗方法不能覆盖整个足部区域,无法改善足部微循环。因此,我们开发了一种具有成本效益的特殊激光鞋装置,专门用于整个足部区域,以控制 2 型糖尿病患者的神经性疼痛和其他症状:本研究的主要目的是评估这种新开发的特殊激光鞋 PBM 对患有神经病变的 2 型糖尿病患者的神经性疼痛和足底压力曲线的影响:我们纳入了60名患有糖尿病周围神经病变的参与者,男女不限,年龄均在20岁以上。参与者使用专门设计的新型激光鞋进行 PBM 治疗。结果包括振动感知阈值(VPT)、视觉模拟量表(VAS)、密歇根神经病变筛查工具 A&B、踝肱指数(ABI)和静态动态步态参数等临床变量:参与者的平均年龄为 62 岁,平均糖尿病病程为 11 年。分析表明,VPT、VAS、密歇根神经病理性筛查量表和踝肱指数存在明显差异(P < 0.05)。(P<0.05):我们得出的结论是,使用 "激光鞋 "的新型激光鞋光生物调节疗法可有效减轻外周神经病理性疼痛。它还能有效降低平均和最大足底压力。神经性疼痛的减轻和足底压力分布的改善可减少进一步的并发症。
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来源期刊
Current diabetes reviews
Current diabetes reviews ENDOCRINOLOGY & METABOLISM-
CiteScore
6.30
自引率
0.00%
发文量
158
期刊介绍: Current Diabetes Reviews publishes frontier reviews on all the latest advances on diabetes and its related areas e.g. pharmacology, pathogenesis, complications, epidemiology, clinical care, and therapy. The journal"s aim is to publish the highest quality review articles dedicated to clinical research in the field. The journal is essential reading for all researchers and clinicians who are involved in the field of diabetes.
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