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The immediate effect of a single whole-body vibration session on balance, skin sensation, and pain in patients with type 2 diabetic neuropathy

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Abstract

Purpose

Patients with diabetic neuropathy usually suffer from impaired balance, pain, and decreased sole-foot sensation. The present research was designed to appraise the relic of whole-body vibration (WBV) on balance, pain, and sole-foot sensation in diabetic neuropathy patients.

Methods

Present study was a single-blind randomized controlled clinical trial. Thirty-four patients with type 2 diabetic neuropathy were randomly divided into intervention groups (n=17) and control (n=17). The therapeutic program in the intervention group included standing on the platform of the WBV device, and in the control group included using the device in off mode. Dynamic balance (including overall, anterior-posterior, and medial-lateral stability indices) was measured using Biodex device, functional balance with timed up and go (TUG) test, pain using the visual analog scale (VAS), and sole-foot sensation of both feet with a monofilament. The outcomes were measured in both groups before and after the interventions.

Results

Sixteen people in each group were analyzed. Intra-group comparison showed a significant improvement in the mean pain (P = 0.000), functional balance (P = 0.011), right and left sole-foot sensation (P = 0.001), and overall (P = 0.000), anterior-posterior (P = 0.000) and medial-lateral (P = 0.000) stability indices for the intervention group in post-intervention compared to pre-intervention. However, changes in the control group were not statistically significant. Results of inter-group comparison indicated a significant improvement in all parameters in the intervention group, except for functional balance.

Conclusion

WBV can be effective in reducing pain and improving the sole-foot sensation and dynamic balance.

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Conflict of interest

The responsible author declares that no conflict of interest exists on behalf of all other authors. The financial support center did not have any funding for this study.

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Authors and Affiliations

  1. Physiotherapy Research Center, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Elnaz Sohrabzadeh

  2. Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Khosro Khademi Kalantari, Sedigheh Sadat Naimi & Aliyeh Daryabor

  3. Student Research Committee, Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Narges Jahantigh Akbari

Authors
  1. Elnaz Sohrabzadeh
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  2. Khosro Khademi Kalantari
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  3. Sedigheh Sadat Naimi
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  5. Narges Jahantigh Akbari
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Correspondence to Sedigheh Sadat Naimi.

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Sohrabzadeh, E., Kalantari, K.K., Naimi, S.S. et al. The immediate effect of a single whole-body vibration session on balance, skin sensation, and pain in patients with type 2 diabetic neuropathy. J Diabetes Metab Disord 21, 43–49 (2022). https://doi.org/10.1007/s40200-021-00933-w

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  • DOI: https://doi.org/10.1007/s40200-021-00933-w

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