FUNCTIONAL POSSIBILITIES IN PATIENTS WITH DIABETIC NEUROPATHY
Keywords:
kinesitherapy, functional capabilities, diabetic neuropathyAbstract
Diabetic neuropathy (DN) is the most common neurological complication, which occurs in patients with diabetes mellitus and is increasing in frequency. Most diabetics develop symmetric distal neuropathy and neuropathic pain, 25% of patients have carpal tunnel syndrome, 5% have autonomic neuropathy, and 1% have proximal asymmetric neuropathy. Kinesitherapy (КT) is one of the main therapeutic approaches for treating DN. There are indisputable data about its positive effect on the metabolic control of diabetics, which predetermines its possibilities to influence the basic pathogenetic factor for the development of DN. At the same time, there are very few studies analyzing the place and role of kinesitherapy in the treatment of DN. Guidelines are mainly given for the expediency of the application of certain exercises, based on the physiological mechanisms of their effects, without monitoring and evaluating their complex impact in patients with DN. The research goal is to follow through the effect of kinesitherapy methods on functional disorders with diabetic neuropathy. Material and Methods: 11 patients with diagnosed diabetic neuropathy have been examined (6 women and 5 men, average age 59.3 ± 6.6 years). Functional examination revealed limited ankle range of motion and muscle weakness. A complex of functionality tests is applied: pain sensitivity, discrimination sensation, vibration sensation, Romberg's test, manual muscle test (MMT), centimeter, ankle mobility test. The results were assessed on the 1st, 10th day and 1st month from the start of the treatment. Results: After applied kinesitherapy, the highest tendency towards improvement in functional recovery with significance level p<0.001 is at the 1st month. Conclusion: Therapeutic exercises significantly improve the functional capabilities of patients with diabetic neuropathy and the effectiveness of the application is shown in increasing the range of motion, endurance and muscle strength and reducing pain.
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