DYNAMICS OF NEUROPATHIC PAIN SIGNS WHEN USING PHYSIOTHERAPEUTIC PROCEDURES IN THE COMPLEX TREATMENT OF PATIENTS WITH DIABETIC POLYNEUROPATHY

Authors

  • T. G. Bakaliuk I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine
  • N. R. Makarchuk I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine
  • H. O. Stelmakh I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine
  • K. B. Vakhno I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine

DOI:

https://doi.org/10.11603/1681-2786.2022.4.13685

Keywords:

diabetes, diabetic polyneuropathy, neuropathic pain, sensitivity

Abstract

Purpose: to evaluate the effect of physiotherapeutic procedures on neuropathic pain and restoration of sensitivity in diabetic patients with diabetic polyneuropathy.

Materials and Methods. 43 diabetic patients with diabetic polyneuropathy were examined. All the examined were divided into two groups: 1st group – 21 patients who received standard treatment according to the unified clinical protocol of primary and secondary (specialized) medical care (No. 1118 dated 12.21.2012). Physiotherapy procedures were additionally prescribed to 22 patients of the 2nd group. A DN4 questionnaire was used to assess the effectiveness of the treatment, and tuning forks were used for disturbance of different types of sensitivity - vibration, tactile - with a monofilament, the change in temperature sensitivity was measured using a Tip-therm cylinder and a painful atraumatic needle.

Results. In all groups, the dynamics of treatment was positive, however, significantly better results were obtained in the 2nd group together with the 1st group according to the experience indicator DN4, which showed in the presence of neuropathic pain and restoration of pain, temperature, tactile and vibration sensitivity p˂0.05. The most pronounced and fastest clinical effect was achieved in the 2nd research group, which received treatment using physiotherapeutic procedures.

Conclusions. The inclusion of physical therapy procedures in the standard therapy of diabetic polyneuropathy has a likely positive effect on the state of restoration of sensitivity and neuropathic pain in diabetic patients with diabetic polyneuropathy. To preserve the result for a long time, it is necessary to continue the use of physiotherapeutic procedures.

Author Biographies

T. G. Bakaliuk, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine

DM (Medicine), professor of the Department of Medical Rehabilitation, I.Horbachevsky Ternopil National Medical University

N. R. Makarchuk, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine

Assistant of the Department of Medical Rehabilitation, I.Horbachevsky Ternopil National Medical University

H. O. Stelmakh, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine

Assistant of the Department of Medical Rehabilitation, I.Horbachevsky Ternopil National Medical University

K. B. Vakhno, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine

Master's degree in "Physical Therapy, Occupational Therapy", I.Horbachevsky Ternopil National Medical University

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Published

2023-04-05

How to Cite

Bakaliuk, T. G., Makarchuk, N. R., Stelmakh, H. O., & Vakhno, K. B. (2023). DYNAMICS OF NEUROPATHIC PAIN SIGNS WHEN USING PHYSIOTHERAPEUTIC PROCEDURES IN THE COMPLEX TREATMENT OF PATIENTS WITH DIABETIC POLYNEUROPATHY. Bulletin of Social Hygiene and Health Protection Organization of Ukraine, (4), 70–74. https://doi.org/10.11603/1681-2786.2022.4.13685

Issue

No. 4 (2022)

Section

The science for health care practice

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