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The effects of Vibro-medical insole on vibrotactile sensation in diabetic patients with mild-to-moderate peripheral neuropathy

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Abstract

Peripheral sensory neuropathy seems to be the main risk factor for diabetic foot ulceration. Previous studies demonstrated that stochastic resonance can improve the vibrotactile sensation of diabetic patients. The aim of this study was to evaluate the effects of Vibro-medical insole on pressure and vibration sensation in diabetic patients with mild-to-moderate peripheral neuropathy. A total of 20 patients with mild-to-moderate diabetic neuropathy were included in the pre-test and post-test clinical trial study. Vibro-medical insole consists of medical insole and vibratory system. Medical insole was made independently for each participant and vibratory system was inserted in it. Pressure and vibration sensation were evaluated before and after 30-min walking with Vibro-medical insole. Semmes-Weinstein monofilaments and tuning fork were used to evaluate pressure and vibration sensation, respectively. Pressure sensation showed significantly improvement using Vibro-medical insole at the heel, first and fifth metatarsophalangeal heads, and hallux of both feet in all participants (p < 0.001). Vibration sensation also improved at the big toe of both feet with 256 Hz tuning fork (p < 0.05) but no statistically significant effect was found with 128 Hz tuning fork (p > 0.05). Vibro-medical insole significantly improved pressure and vibration sensation of the foot in diabetic patients with mild-to-moderate peripheral neuropathy. The results suggest that Vibro-medical insole can be used for daily living activities to overcome sensory loss in diabetic neuropathy patients.

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Abbreviations

SR:

Stochastic resonance

TCNS:

Toronto Clinical Neuropathy Score

SWM:

Semmes-Weinstein monofilaments

MTP:

Metatarsophalangeal

VPT:

Vibration perception threshold

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Author information

Authors and Affiliations

  1. Neuromusculoskeletal Research Center, Department of Physical Medicine and Rehabilitation, Iran University of Medical sciences, P.O. Box: 1449614535, Tehran, Iran

    Masumeh Bagherzadeh Cham

  2. Department of Orthotics & Prosthetics, Iran University of Medical sciences, Tehran, Iran

    Masumeh Bagherzadeh Cham

  3. Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

    Mohammad Ali Mohseni-Bandpei

  4. Institute of Physical Therapy, Faculty of Allied Health Sciences, University of Lahore, Lahore, Pakistan

    Mohammad Ali Mohseni-Bandpei

  5. Department of Orthotics and Prosthetics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

    Mahmood Bahramizadeh

  6. Department of Biostatistics, Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

    Saeed Kalbasi

  7. Department of Biostatistics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

    Akbar Biglarian

Authors
  1. Masumeh Bagherzadeh Cham
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  2. Mohammad Ali Mohseni-Bandpei
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  3. Mahmood Bahramizadeh
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  4. Saeed Kalbasi
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  5. Akbar Biglarian
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Correspondence to Masumeh Bagherzadeh Cham.

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This study was reviewed and approved by the Xxxxxxxxxx xx Xxxxxx Xxxxxxx xxx Xxxxxxxxxxxxxx Xxxxxxxx, Xxxxxx, Xxxx institutional review board.

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Informed consent was obtained from all individual participants included in the study.

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Bagherzadeh Cham, M., Mohseni-Bandpei, M.A., Bahramizadeh, M. et al. The effects of Vibro-medical insole on vibrotactile sensation in diabetic patients with mild-to-moderate peripheral neuropathy. Neurol Sci 39, 1079–1084 (2018). https://doi.org/10.1007/s10072-018-3318-1

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  • DOI: https://doi.org/10.1007/s10072-018-3318-1

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