Purpose: To investigate the effect of high intensity interval training on diabetic obese women with polyneuropathy. Methods: In rehabilitation clinics. A double blinded controlled randomized study including 40 type II diabetic women with polyneuropathy having class II central obesity, mean age 48.23±2.4 years. Patients were randomized equally into Group (A); (study), received high intensity interval training on cycle ergometer and group (B); (control) received moderate intensity aerobic training for (3 times/week) for 15 weeks. Assessment performed before and after treatment using Leeds Assessment of Neuropathic symptoms and signs Scale for pain assessment. Other measures, lower extremity functional scale, body weight, body mass index, waist circumference, and oral glucose tolerance test. Results: There were statistically significant improvement in favor of Group (A) compared to Group (B) in Leeds Assessment of Neuropathic symptoms and signs Scale results with a mean difference (-3.6±0.7 points), (P≤0.0001); waist circumference mean difference (-1.13cm), (P≤0.017). Oral glucose tolerance test had (P≤0.0001): FBG (-6.5±2.9) (P≤0.03), 60 min, 90 min and 120 min mean difference was (-42.75±6.2 mg/dl), (-32.5±4.5 mg/dl) and (-20.15±2.2 mg/dl) respectively. However, lower extremity functional scale, body weight and body mass index did not show a significant difference between both groups. Conclusion: high intensity interval training was effective in reducing pain outcome and glucose tolerance in diabetic obese women with polyneuropathy compared to moderate aerobic intensity training.
Objectives: To compare the efficacy of pulsed electromagnetic field therapy (PEMFT) versus transcutaneous electrical nerve stimulation (TENS) in the treatment of post-herpetic neuralgia of the sciatic nerve.Methods: A double-blinded randomized clinical study has included 56 patients (18 males and 38 females). Participants were randomly and equally assigned into 2 groups. Both groups received conventional physical therapy treatment. Moreover, group (A) has an additional TENS, and group (B) had PEMFT. Both modalities were applied once daily, 3 times a week for 20 minutes for 8 successive weeks. Visual analog scale (VAS) and carbamazepine intake (CMI) dose have been assessed before and after interventions.Results: There was a significant decrease in VAS and CMI post-treatment in group A and B compared with that pretreatment (P > .001). The percent decrease in VAS and CMI in group A were 72.44% and 69.47% respectively and that for group B was 68.95% and 67.94% respectively. The findings revealed a non-significant difference in VAS and CMI (P > .05) between groups. The Means of VAS and CMI were (2.4 ± 0.78, 204.5 ± 16.76 and 2.67 ± 0.9, 210.57 ± 16.5) in group A and group B respectively. The mean difference for VAS and CMI was (−0.27 and −6.07) between groups post-treatment respectively.
Conclusion:Both TENS and PEMFT were effective and nearly equivalent in improving the post-herpetic neuralgia of the sciatic nerve as measured by in VAS and CMI. Clinical recommendations should be highlighted to instigate the using of TENS and PEMFT in the management of post-herpetic neuralgia of the sciatic nerve.Abbreviations: CMI = carbamazepine intake, HZ = herpes zoster, PEMFT = pulsed electromagnetic field therapy, PHN = post herpetic neuralgia, TENS = transcutaneous electrical nerve stimulation, VAS = visual analog scale, VZV = varicella zoster virus.
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