Effect of Hydrotherapy On Pain, Balance and Quality of Life in Patients With Diabetic Peripheral Neuropathy

Beni-Suef University

Status: Not yet enrolling

Conditions: Diabetic Peripheral Neuropathy

Treatments: Other: Hydrotherapy training; Other: Land training

Study type: Interventional

Funder types: Other

Identifiers

NCT07260214

FPTBSUREC/0305/2325

Details and patient eligibility

About

The current study aims to investigate the effects of hydrotherapy compared to land-based training on patients with diabetic peripheral neuropathy. It will evaluate hydrotherapy's impact on pain relief, sensation improvement, balance, and overall quality of life for these patients.

Full description

Hydrotherapy training is a rehabilitative approach proposed for different medical conditions, the hydrotherapy environment facilitates patients with functional limitations, who feel a safer setting and are consequently more motivated to the training. The physical properties of water help to improve patient stability and to allow limbs movements by offloading the body weight and Exerting resistance against the body segments and giving proprioceptive inputs.

Moreover, the warmth of hydrotherapy pool helps muscle relaxation and seems to reduce pain perception, aiming to improve blood circulation so that nutrients can be distributed more smoothly to body tissues, strengthen small muscles, calves, and thighs, as well as address joint mobility limitations often experienced by diabetes mellitus patients.

Several authors evaluated hydrotherapy therapy as possible gait and balance training of neurological patients and demonstrated beneficial effects mostly in Parkinson's disease and stroke. Limited number of studies, even if affected by small sample sizes, made a comparison between hydrotherapy training and on land training. Showing best balance results of the former for the same diseases.

Enrollment: 34 estimated patients

Sex: All

Ages: 40 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosis of diabetic peripheral neuropathy due to type 2 diabetes mellitus of both sex Patients must have confirmed diagnosis of diabetic peripheral neuropathy based on clinical symptoms (E.G, numbness, tingling and burning pain) and diagnostic test such as nerve conduction studies
• Chronicity of type 2 diabetes mellitus more than 10 years
• Age range: between 40-65years old
• Stable Blood Glucose Levels HbA1c (≤5.7)
• No active infections or wound

Exclusion criteria

• Severe Renal Impairment.
• Uncontrolled cardiovascular diseases
• Pregnancy
• Neurological or musculoskeletal conditions
• Inability to safely enter or exit the pool
• Uncontrolled infections
• Vitamin B12 deficiency.
• Postural hypotension

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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34 participants in 2 patient groups

Hydrotherapy training

Experimental group

Description:

This group will consist of seventeen diabetic peripheral neuropathy patients will perform hydrotherapy training for 12 weeks.

Treatment:

Other: Hydrotherapy training

Land training

Active Comparator group

Description:

This group will consist of seventeen diabetic peripheral neuropathy patients will do land training for 12 weeks.

Treatment:

Other: Land training