Implementing a clinical assessment protocol for sensory and skeletal function in diabetic neuropathy patients at a university hospital in Brazil
CONTEXT AND OBJECTIVE: Physiotherapy can contribute towards recovering or preventing physical and sensory alterations in diabetic neuropathy patients. Our objective was to create and apply a protocol for functional assessment of diabetic neuropathy patients' lower limbs, to guide future physiot...
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doaj-950c929779e24b4aa29d52dd80e473b62020-11-25T00:26:02ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-9460123522923310.1590/S1516-31802005000500006S1516-31802005000500006Implementing a clinical assessment protocol for sensory and skeletal function in diabetic neuropathy patients at a university hospital in BrazilIsabel de Camargo Neves Sacco0Silvia Maria Amado João1Denise Alignani2Daniela Kinoshita Ota3Cristina Dallemole Sartor4Leda Tomiko Silveira5Aline Arcanjo Gomes6Regeane Cronfli7Márcia Bernik8Universidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloCONTEXT AND OBJECTIVE: Physiotherapy can contribute towards recovering or preventing physical and sensory alterations in diabetic neuropathy patients. Our objective was to create and apply a protocol for functional assessment of diabetic neuropathy patients' lower limbs, to guide future physiotherapy. DESIGN AND SETTING: Clinical study at the University Hospital and teaching/research center of Universidade de São Paulo. METHODS: An intentional sample of diabetic neuropathy patients was utilized. The protocol was divided into: (1) preliminary investigation with identification of relevant clinical diabetes and neuropathy characteristics; (2) thermal, tactile and proprioceptive sensitivity tests on the feet; (3) evaluations of muscle function, range of motion, lower limb function, foot anthropometry. RESULTS: The patients' mean age was 57 years, and they had had the diagnosis for 13 years on average. Distal numbness and tingling/prickling were present in 62% and 67%, respectively. There were tactile sensitivity alterations above the heel in 50%, with thermal sensitivity in 40% to 60%. The worst muscle function test responses were at the triceps surae and foot intrinsic muscles. Longitudinal plantar arches were lowered in 50%. Decreased thermal and tactile sensitivity of the heels was found. There was a general reduction in range of motion. CONCLUSIONS: The results provided detailed characterization of the patients. This protocol may be easily applied in healthcare services, since it requires little equipment, at low cost, and it is well understood by patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802005000500006&lng=en&tlng=enDiabetes mellitusDiabetic neuropathiesDisability evaluationPhysical Therapy TechniquesTouch |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Isabel de Camargo Neves Sacco Silvia Maria Amado João Denise Alignani Daniela Kinoshita Ota Cristina Dallemole Sartor Leda Tomiko Silveira Aline Arcanjo Gomes Regeane Cronfli Márcia Bernik |
spellingShingle |
Isabel de Camargo Neves Sacco Silvia Maria Amado João Denise Alignani Daniela Kinoshita Ota Cristina Dallemole Sartor Leda Tomiko Silveira Aline Arcanjo Gomes Regeane Cronfli Márcia Bernik Implementing a clinical assessment protocol for sensory and skeletal function in diabetic neuropathy patients at a university hospital in Brazil São Paulo Medical Journal Diabetes mellitus Diabetic neuropathies Disability evaluation Physical Therapy Techniques Touch |
author_facet |
Isabel de Camargo Neves Sacco Silvia Maria Amado João Denise Alignani Daniela Kinoshita Ota Cristina Dallemole Sartor Leda Tomiko Silveira Aline Arcanjo Gomes Regeane Cronfli Márcia Bernik |
author_sort |
Isabel de Camargo Neves Sacco |
title |
Implementing a clinical assessment protocol for sensory and skeletal function in diabetic neuropathy patients at a university hospital in Brazil |
title_short |
Implementing a clinical assessment protocol for sensory and skeletal function in diabetic neuropathy patients at a university hospital in Brazil |
title_full |
Implementing a clinical assessment protocol for sensory and skeletal function in diabetic neuropathy patients at a university hospital in Brazil |
title_fullStr |
Implementing a clinical assessment protocol for sensory and skeletal function in diabetic neuropathy patients at a university hospital in Brazil |
title_full_unstemmed |
Implementing a clinical assessment protocol for sensory and skeletal function in diabetic neuropathy patients at a university hospital in Brazil |
title_sort |
implementing a clinical assessment protocol for sensory and skeletal function in diabetic neuropathy patients at a university hospital in brazil |
publisher |
Associação Paulista de Medicina |
series |
São Paulo Medical Journal |
issn |
1806-9460 |
description |
CONTEXT AND OBJECTIVE: Physiotherapy can contribute towards recovering or preventing physical and sensory alterations in diabetic neuropathy patients. Our objective was to create and apply a protocol for functional assessment of diabetic neuropathy patients' lower limbs, to guide future physiotherapy. DESIGN AND SETTING: Clinical study at the University Hospital and teaching/research center of Universidade de São Paulo. METHODS: An intentional sample of diabetic neuropathy patients was utilized. The protocol was divided into: (1) preliminary investigation with identification of relevant clinical diabetes and neuropathy characteristics; (2) thermal, tactile and proprioceptive sensitivity tests on the feet; (3) evaluations of muscle function, range of motion, lower limb function, foot anthropometry. RESULTS: The patients' mean age was 57 years, and they had had the diagnosis for 13 years on average. Distal numbness and tingling/prickling were present in 62% and 67%, respectively. There were tactile sensitivity alterations above the heel in 50%, with thermal sensitivity in 40% to 60%. The worst muscle function test responses were at the triceps surae and foot intrinsic muscles. Longitudinal plantar arches were lowered in 50%. Decreased thermal and tactile sensitivity of the heels was found. There was a general reduction in range of motion. CONCLUSIONS: The results provided detailed characterization of the patients. This protocol may be easily applied in healthcare services, since it requires little equipment, at low cost, and it is well understood by patients. |
topic |
Diabetes mellitus Diabetic neuropathies Disability evaluation Physical Therapy Techniques Touch |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802005000500006&lng=en&tlng=en |
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