title: Effects of a Novel Therapeutic Intervention in Patients With Diabetic Peripheral Neuropathy.
abstract: To determine the effect of a novel therapeutic intervention called intraneural facilitation on balance measures and a neuropathy scale in patients with diabetic peripheral neuropathy.
  
  
  
  Prospective pre- and posttest, single group clinical trial.
  
  
  
  Outpatient physical therapy clinic.
  
  
  
  Patients with diabetic peripheral neuropathy (N=13).
  
  
  
  Subjects received 10 sessions of intraneural facilitation.
  
  
  
  The modified Total Neuropathy Scale, the NeuroCom SMART Balance Master system computerized dynamic posturography (CDP) that includes the Sensory Organization Test (SOT) and the limits of stability (LOS), and the Activities-specific Balance and Confidence (ABC) scale.
  
  
  
  Subjects in this study showed significant improvement in the modified Total Neuropathy Scale, SOT, and 1 component in the LOS test (movement velocity). There were no significant differences in the ABC scale or in 4 components of the LOS test, which were reaction time, end point excursion, maximum excursion, and directional control.
  
  
  
  Intraneural facilitation improved objective balance measures and neuropathy symptoms in patients with diabetic peripheral neuropathy. Further study is needed to determine long-term benefits of this intervention.
authors.affiliation: School of Allied Health Professions, Department of Physical Therapy, Loma Linda University, Loma Linda, CA.
authors.forename: Adel
authors.initials: A
authors.lastname: Alshahrani
authors.affiliation: East Campus Rehabilitation Services, Department of Physical Therapy, Loma Linda University Medical Center, Loma Linda, CA.
authors.forename: Mark
authors.initials: M
authors.lastname: Bussell
authors.affiliation: School of Allied Health Professions, Department of Physical Therapy, Loma Linda University, Loma Linda, CA. Electronic address: ejohnson@llu.edu.
authors.forename: Eric
authors.initials: E
authors.lastname: Johnson
authors.affiliation: Clinical Neurophysiology, Neurology Department, Loma Linda University School of Medicine, Loma Linda, CA.
authors.forename: Bryan
authors.initials: B
authors.lastname: Tsao
authors.affiliation: School of Public Health, Department of Public Health, Loma Linda University, Loma Linda, CA.
authors.forename: Khalid
authors.initials: K
authors.lastname: Bahjri
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003929:Diabetic Neuropathies / Q000503:physiopathology / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities; D004856:Postural Balance; D011446:Prospective Studies; D012720:Severity of Illness Index; D016896:Treatment Outcome; D055815:Young Adult
keywords: Diabetes mellitus; Diabetic neuropathies; Musculoskeletal manipulations; Rehabilitation