Plantar Cutaneous Sensory Stimulation in Patients With Diabetic Neuropathy

Effects of Plantar Cutaneous Sensory Stimulation on Foot Tactile Sensitivity, Postural Control, and Spatiotemporal Gait Parameters in Patients With Diabetic Neuropathy

To determine the effects of plantar cutaneous sensory stimulation on foot tactile sensitivity, postural control, and spatiotemporal gait parameters in patients with diabetic neuropathy.

Inclusion Criteria:

• Age ranged between 45-67 years.
• Both male and female genders are included.
• DM for the past 7 years.
• Scored > 2/13 on the Michigan Neuropathy Screening Instrument (MNSI) questionnaire including at least two DPN symptoms.
• Scored >1/10 on MNSI physical assessment including impaired vibration perception

Exclusion Criteria:

• Loss of protective foot sensation (defined as a lack of response to the monofilament of the sensory evaluation instrument).
• Comorbidities include visual impairment, cerebrovascular accident, orthopedic trauma, labyrinthitis, peripheral vascular disease, and heart failure.
• Foot ulcers, orthopedic or surgical problems in a lower limb, other neurological impairment.
• Use of assistive devices for ambulation.
• Inability to walk independently with or without an assistive device.
• Receiving any structured supervised physiotherapy intervention