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Effectiveness of neuromuscular taping on balance, proprioception, pain, and nerve conduction parameters in patients with diabetic peripheral neuropathy: a two-group pretest-posttest randomized sham-controlled trial study protocol

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Abstract

Background

The management of diabetic peripheral neuropathy (DPN) comprises a multidimensional approach. Along with pharmacological treatment, physiotherapy has gained applaudable popularity in improving the symptoms of DPN. Neuromuscular taping (NMT) is effective in improving motor, sensory, and balance impairments in many neuromuscular and musculoskeletal conditions but no research has conducted to evaluate the effect of NMT on balance, proprioception, pain, and nerve conduction parameters in patients with DPN.

Purpose

To evaluate the effectiveness of NMT on balance, proprioception, pain, and nerve conduction parameters in patients with DPN.

Methods

50 DPN patients aged 40–60 years, scored ≥ 2/13 on physical appearance and ≥ 1/10 on physical examination of Michigan Neuropathy Screening Instrument (MNSI), > 12 on Leeds Assessment of Neuropathic Symptom and Sign (LANSS) scale and < 45 on Berg Balance Scale (BBS) will be included. The experimental group (EG) will receive NMT at the tibialis anterior, tibialis posterior, and peroneus longus muscle and transverse arch of the foot and TENS at the tibial and peroneal nerves (80 Hz, 50 Amp, 0.2 ms square pulses, 2 to 3 times sensory threshold) and the control group (CG) will receive sham taping at the ankle joint and TENS with the same parameters as EG. Outcome measures will be taken at baseline, at 4 weeks, and at 8 weeks of intervention, respectively.

Conclusion

The results obtained upon completion of this study may provide a cost-effective non-invasive treatment option to improve the outcomes that will be measured in the present study in patients with DPN.

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Abbreviations

DPN :

Diabetic peripheral neuropathy

DM :

Diabetic Mellitus

NMT :

Neuromuscular taping

MNSI :

Michigan Neuropathy Screening Instrument

LANSS :

Leeds Assessment of Neuropathic Symptoms Scale

BBS :

Berg Balance Scale

EG :

Experimental Group

CG :

Control Group

TENS :

Transcutaneous electrical nerve stimulation

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Authors and Affiliations

  1. Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar (Deemed to be University), Mullana- Ambala, Haryana, 133207, India

    Kanika Thakur & Manu Goyal

Authors
  1. Kanika Thakur
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  2. Manu Goyal
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Contributions

Conceptualization: MG, KT.

Draft formation: MG, KT.

Supervision: MG.

Writing- original draft: KT.

Writing- review & editing: MG.

Corresponding author

Correspondence to Manu Goyal.

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Both authors declare no conflict of interest.

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Thakur, K., Goyal, M. Effectiveness of neuromuscular taping on balance, proprioception, pain, and nerve conduction parameters in patients with diabetic peripheral neuropathy: a two-group pretest-posttest randomized sham-controlled trial study protocol. J Diabetes Metab Disord 22, 1793–1800 (2023). https://doi.org/10.1007/s40200-023-01275-5

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  • DOI: https://doi.org/10.1007/s40200-023-01275-5

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