冷敷与经皮神经刺激对乳房切除术后化疗诱导的糖尿病周围神经病变的影响。

IF 1.5 Q3 REHABILITATION Physiotherapy Research International Pub Date : 2024-01-01 Epub Date: 2023-10-09 DOI:10.1002/pri.2051
Ahmed M Elshinnawy, Zeezy S Eraky, Sarah Sami Abdelaziz, Noha A F Abd-Elrahman
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引用次数: 0

摘要

背景:化疗诱导的糖尿病周围神经病变(CIDPN)的不良反应相当普遍。目前还没有已知的药物治疗可以阻止CIDPN。目的:本研究比较了冷敷和经皮神经刺激(经皮神经电刺激(TENS))对CIDPN后接受乳房切除术的个体的影响。受试者和方法:2021年火星至2021年9月,在现代科技与信息大学的物理治疗诊所进行了一项随机对照实验。30名患者被随机分为两组(A组和B组)。双下肢分别接受冷敷(A组),每周3次,持续12周,TENS敷(B组),每周三次,连续12周。使用视觉模拟量表和腓肠神经的神经传导速度来评估患者治疗前后12周的情况。结果:A组疗效显著(p结论:冷敷对CIDPN乳房切除术后疼痛有较好的治疗效果。
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Effect of cold application versus transcutaneous nerve stimulation on chemotherapy induced diabetic peripheral neuropathy post mastectomy.

Background: The adverse effects of chemotherapy-induced diabetic peripheral neuropathy (CIDPN) are rather prevalent. There is no known pharmaceutical treatment that can stop CIDPN.

Objective: This study compared the effects of cold application and transcutaneous nerve stimulation (Transcutaneous electrical nerve stimulation (TENS)) on individuals who had undergone mastectomy following CIDPN.

Subjects and methods: Between Mars 2021 and September 2021, a randomised controlled experiment was carried out at physical therapy clinics at the Modern University for Technology and Information. 30 patients were randomly split into two equal groups (A and B). Both lower limbs received cold application (Group A) three times per week for 12 weeks and TENS application (Group B) three times each week for 12 weeks. The Visual Analogue Scale and nerve conduction velocity for the sural nerve were used to assess patients before and after 12 weeks of therapy.

Results: The results showed that Group A significantly (p < 0.05) decreased pain intensity after treatment by 70.83% compared with Group B by 55.17%. Moreover, Group A improved significantly (p < 0.05) the sural nerve amplitude by 44.12% compared with group B which recorded 26.87%. After treatment, both pain intensity and sural nerve amplitude significantly (p < 0.05) changed between Group A versus Group B.

Conclusion: Cold application has a better effect on pain in CIDPN post mastectomy.

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来源期刊
CiteScore
3.30
自引率
5.90%
发文量
53
期刊介绍: Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.
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