The efficacy of physiotherapy interventions in mitigating the symptoms and complications of diabetic peripheral neuropathy: A systematic review

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Main idea: The results showed that most diabetic peripheral neuropathy patients suffer from muscle weakness, pain, loss of balance, and lower limb dysfunction. As a result, their daily activity and life satisfaction are gradually impaired. Exercise therapy, electrotherapy, and other physiotherapy methods have been used to reduce the mentioned cases. Among these interventions, exercise therapy has been the most effective. Although there was little evidence of aerobic exercise in these patients, further studies should be done on the effects of other therapies.

Abstract: Diabetic peripheral neuropathy (DPN) leads to decreased sole sensation and balance disorder, all of which increase the risk of falls and socioeconomic costs. Since physiotherapists do not use the same manner to lessen the complications of this problem, this review study was conducted to appraise physiotherapy intervention efficiencies in diminishing DPN’s symptoms and complications. A database search of Pubmed, Elsevier, Google Scholar, and Embase was performed to determine DPN’s published documents. Finally, this review study identified available DPN treatments available, particularly physiotherapy coupled with electrotherapy, exercise therapy, and other therapies. The study found that 968 articles were found in which 345 full texts were free and available resources, and finally, 19 articles were approved according to a database search on August 1, 2019, from 1989 to 2019. These articles examined the effects of physiotherapy interventions, including exercise therapy, electrotherapy, and other treatment techniques on DPN patients.

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