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The purpose of the study is to monitor the effect of low intensity extracorporeal shock wave therapy on impaired nitric oxide synthase and microcirculation changes in type 2 diabetes mellitus with peripheral neuropathy.
Low-intensity extracorporeal shockwave therapy (Li-ESWT) improved peripheral nerve repair and regeneration. Li-ESWT exerts its biological effects by increasing neuro¬trophic factors, Schwann cell activation, and cellular signaling activation. Li-ESWT could be a novel treatment for nerve injury-induced diabetic neuropathy and other conditions related to nerve in¬jury.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Monitoring Effect Of Shock Wave On Microcirculation Changes In Type2 Diabetes Mellitus | Experimental | Energy intensity of (0.09 mJ/mm2) for 12 treatment sessions, two per week, for six weeks |
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| Effect Of Shock Wave On Microcirculation Changes In Type2 Diabetes Mellitus | Experimental | low intensity extracorporeal shock wave with the following parameters: - 3000 SWs (energy intensity of (0.09 mJ/mm2). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Low intensity extracorporeal shock wave | Device | Extracorporeal shock wave therapy generator: Wonjin beauty SW10 shock wave therapy system made in Korean. |
|
| Measure | Description | Time Frame |
|---|---|---|
| • Nitric oxide level and electrophysiological investigations of peripheral nerves and muscles was measured pre and post treatment. | 1. Laboratory methods: Nitric oxide laboratories for measurement of nitric oxide level.3. Electrodiagnostic studies are sensitive, specific, and validated measures of the presence of polyneuropathy. | six weeks |
| • Numerical Rating Pain Scale | • The Numerical Rating Scale (NRS) is designed for anyone over age 9. It is one of the most commonly used pain scales in health care. To use it, you just say the number that best matches the level of pain you are feeling; you can also place a mark on the scale itself. Zero means you have no pain, while 10 represents the most intense pain possible. | six weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| ibrahim ismail ibrahim abuzaid, PHD | Contact | +201006512150 | +962797756592 | ibrahim_ismail_2011@svu.edu.eg |
| Adbelrazak Ahmed Abdelrazak Ahmed, PHD | Contact | +01063267068 | +215507322087 | dr_abdelrazak_pt@yahoo.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| South Valley University | Recruiting | Luxor | South Valley University | South valley university | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 18410351 | Background | Ovayolu N, Akarsu E, Madenci E, Torun S, Ucan O, Yilmaz M. Clinical characteristics of patients with diabetic polyneuropathy: the role of clinical and electromyographic evaluation and the effect of the various types on the quality of life. Int J Clin Pract. 2008 Jul;62(7):1019-25. doi: 10.1111/j.1742-1241.2008.01730.x. Epub 2008 Apr 10. | |
| 21545063 |
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| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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| ID | Term |
|---|---|
| D000074059 | Extracorporeal Shockwave Therapy |
| ID | Term |
|---|---|
| D014464 | Ultrasonic Therapy |
| D003972 | Diathermy |
| D006979 | Hyperthermia, Induced |
| D013812 | Therapeutics |
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Monitor the effect of low intensity extracorporeal shock wave therapy on impaired nitric oxide synthase and microcirculation changes in type 2 diabetes mellitus with peripheral neuropathy
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A group of 80 patients (male and female) diagnosed as type 2 diabetes mellitus, will be included in the study. Their age will be ranged from 40-60 years. Their weight ranged from 80 - 100 k.g. and their height ranged from 160 - 180 cm. Patients will divide into two groups: Study groups (A) 40 patients type 2 diabetes mellitus with clinically proved peripheral neuropathy. And control group (B) 40 patients with asymptomatic type 2 diabetes mellitus. They will be selected from South valley university hospitals. Group A will receive low intensity extracorporeal shock wave therapy for two per week for four weeks. Group B will receive shame low intensity extracorporeal shock wave therapy.
|
| South Valley University | Recruiting | Luxor | South Valley University | South valley university | Egypt |
|
| Cvijanovic M, Ilin M, Slankamenac P, Horvat SB, Jovin Z. The sensitivity of electromyoneurography in the diagnosis of diabetic polyneuropathy. Med Pregl. 2011 Jan-Feb;64(1-2):11-4. doi: 10.2298/mpns1102011c. |
| D026741 |
| Physical Therapy Modalities |
| D012046 | Rehabilitation |