Fisioterapia para mejorar las respuestas sensoriales y funcionales en tobillo y pie en pacientes con neuropatía periférica diabética

Abstract

Diabetic peripheral neuropathy is one of the most common pathologies in the world, for this reason the present study had the purpose of determining the effect of physiotherapeutic intervention strategies on sensory and functional responses in the ankle and foot in patients with DPN. The evaluations were carried out on two occasions, before and after the intervention, the evaluations of the Michigan Neuropathy Screening Instrument test, which contains two parts, the first has a form of 15 questions about the symptoms, while the second part, itself is the physical examination, the following tests were the 10g SemmesWeinstein monofilaments and the manual dynamometer test in the ankle and foot. The research project included 17 patients, the physiotherapy intervention consisted of strengthening exercises for platiflexion, dorsiflexion and intrinsic foot muscles, and balance, for a period of 8 weeks, for one day of supervision and the rest for patients independently. The results consisted of the Michigan test, the results did not show significant changes, while the Monofilament test and the manual dynamometry test, the changes were significantlywith a value of p= <0.00. Concluding that the application of the exercisesof ankle and foot showed positive changes for foot and ankle sensitivity and strength, xii while there were no significant changes to improve symptoms and signs according to the Michigan test.