HIGH AND LOW FREQUENCY TRANSCUTANEOUS ELECTRONEUROSTIMULATION IN THE TREATMENT OF DIABETIC DISTAL POLYNEUROPATHY OF LOWER EXTREMITIES
Author Affiliations1Clinic of Brain and Vertebral Diseases 142100, Podolsk, Revolutsionny av., 18
2First Moscow State Medical University n.a. I.M. Sechenov of Minzdrav of Russia 119991, Moscow, Trubetskaya str., 8
Abstract
Up to the present day there are no specific criteria and algorithms to apply high (HF) and low frequency transcutaneous electroneurostimulaion (LF TENS) to the treatment of distal polyneuropathy of the lower limbs (DPLL) in patients with type 2 diabetes. The aim of the study was to compare the efficacy of HF TENS and LF TENS in treatment of DPLL in type 2 diabetes. Material and methods. 187 patients (F: 97, M: 90) with a confirmed diagnosis DPLL with type 2 diabetes were examined. Patients of the control group underwent standard course of drug therapy. Patients of the main group underwent the course of high-frequency (HF) and low-frequency (LF) TENS. Results. Application of LF TENS was more effective than HF TENS under the treatment of sensory and motor deficits in patients with DPLL in type 2 diabetes, while the use of HF TENS has a more pronounced analgesic effect than LF frequency TENS under the treatment of neuropathic pain.
Key words
References
- Algorithms for specialized medical care to patients with diabetes mellitus / Eds. I.I. Dedov, M.V. Shestakova. Moscow: Informpoligraph. 2013. 120 p. [In Russian]
- Bouhassira D., Attal N., Alchaar H. et al. Comparison of pain syndromes associated with nervous or somatic lesions and development of a new neuropathic pain diagnostic questionnaire (DN4) // Pain. 2005. 114. 29-36.
- Kılınç M., Livanelioğlu A., Yıldırım S.A., Tan E. Effects of transcutaneous electrical nerve stimulation in patients with peripheral and central neuropathic pain // J. Rehabil. Med. 2014. 46. (5). 454-460.
- Melzack R., Wall P. Pain mechanism: A new theory // Science. 2005. 150. (1965). 971-981.
- Moharić M., Burger H. Effect of transcutaneous electrical nerve stimulation on sensation thresholds in patients with painful diabetic neuropathy: an observational study // Int. J. Rehabil. Res. 2010. 33. (3). 211-219.
- Patent 2596714 RF. A method of treating diabetic distal sensorimotor polyneuropathies / Al Zamil M.K.M.; published 09.10.2016. [In Russian]
- Ratajczak B. Effectiveness of diadynamic currents and transcutaneous electrical nerve stimulation in disc disease lumbar part of spine // J. Back Musculoskelet. Rehabil. 2011. 24. (3). 155-159
- Shnider N.A., Petrova M.M. Diagnosis of diabetic neuropathy. Moscow: Medica, 2014. 88 p. [In Russian]
About Authors (Correspondence):
Al Zamil M. – candidate of medical sciences, doctor of functional diagnostics and reflexologist, e-mail: alzamil@mail.ru
Full Text
Received: 30/10/2017
Accepted: 30/10/2017
