Awareness about peripheral diabetic neuropathy among physical therapists in twin cities

  • Saeeda Taj Bashir Institute of Health Sciences, Islamabad, Pakistan
  • Kinza Anwar University of Lahore, Lahore, Pakistan
  • Abdul Ghafoor Sajjad Riphah International University, Islamabad, Pakistan
Keywords: Peripheral diabetic neuropathy, physical therapists, musculoskeletal, neuromuscular, visual analouge scale

Abstract

Objective: The main purpose of this study was to create awareness of holistic Screening approach about Peripheral Diabetic Neuropathy among Physical Therapists in Twin Cities. A descriptive cross-sectional study conducted at hospitals of Rawalpindi and Islamabad for of 6 months.

Methodology: A descriptive cross-sectional survey was carried out and non-probability purposive sampling technique was used to collect data from 110 Physical Therapists (58.1% females and 41.8% Males. A specified semi structured questionnaire was used to collect data from Physical Therapists.

Results: This study was carried out on 110 Physical Therapists. Results of our study showed that 94 (85.5%) Physical Therapists screened patients with different modalities such as 7 (6.4%) used touch perception, 6 (5.5%) used pain perception, 2 (1.8%) used vibration perception and only 1 (.9%) used ankle deep tendon reflex. 97 (88.2%) Physical Therapists assessed pain by different methods such as Pin prick method was used by 67 (60.9%) therapist, VAS was used by 15 (13.6%) therapists, 87 (79.1%) Physical Therapists assessed touch sensation. 21 (19.1%), used cotton ball, 5 (4.5%) used manual touch while 41 (37.3%) were having no specific response.

Conclusion: It is concluded that Physical Therapists of twin cities are aware of basic screening steps for Peripheral Diabetic Neuropathy and they utilize appropriate tool/modalities for assessing sensations and motor reflexes. This highlight the up to date evidence-based knowledge of PT working in twin cities.

Downloads

Download data is not yet available.

Author Biographies

Saeeda Taj, Bashir Institute of Health Sciences, Islamabad, Pakistan

Lecturer, Department of Physical Therapy

Kinza Anwar, University of Lahore, Lahore, Pakistan

Lecturer, Department of Physical Therapy

Abdul Ghafoor Sajjad, Riphah International University, Islamabad, Pakistan

Associate Dean, Riphah College of Rehabilitation Sciences

References

Kelsey JS, Gordon SA. Updates in diabetic peripheral neuropathy. F1000Research. 2016; 5.

DOI: https://doi.org/10.12688/f1000research.7898.1

Rayanagoudar, G., Hashi, A.A., Zamora, J. et al. Quantification of the type 2 diabetes risk in women with gestational diabetes: a systematic review and meta-analysis of 95,750 women. Diabetologia 2016; 59:1403-1411.

DOI: https://doi.org/10.1007/s00125-016-3927-2

Javed S, Petropoulos IN, Alam U, Malik RA. Treatment of painful diabetic neuropathy. Ther Adv Chronic Dis. 2015; 6(1):15-28. DOI: https://doi.org/10.1177/2040622314552071

Shahbazian H, Yazdanpanah L, Latifi SM. Risk assessment of patients with diabetes for foot ulcers according to risk classification consensus of International Working Group on Diabetic Foot (IWGDF). Pak J Med Sci. 2013; 29(3):730-34.

DOI: https://doi.org/10.12669/pjms.293.3473

Bašić-Kes V, Zavoreo I, Rotim K, Bornstein N, Rundek T, Demarin V. Recommendations for diabetic polyneuropathy treatment. Acta Clin Croat. 2011; 50(2):289-302.

Chen YW, Hsieh PL, Chen YC, Hung CH, Cheng JT. Physical exercise induces excess hsp72 expression and delays the development of hyperalgesia and allodynia in painful diabetic neuropathy rats. Anesth Analg. 2013; 116(2):482-90.

DOI: https://doi.org/10.1213/ANE.0b013e318274e4a0

American Diabetes Association. 5. Prevention or delay of type 2 diabetes. Diabetes Care. 2017; 40(1):S44-7.

DOI: https://doi.org/10.2337/dc17-S008

Bansal D, Gudala K, Muthyala H, Esam HP, Nayakallu R, Bhansali A. Prevalence and risk factors of development of peripheral diabetic neuropathy in type 2 diabetes mellitus in a tertiary care setting. J Diabetes Investig. 2014; 5(6):714-21.

DOI: https://doi.org/10.1111/jdi.12223

Addoor KR, Bhandary SV, Khanna R, Rao LG, Lingam KD, Binu VS et al. Assessment of awareness of diabetic retinopathy among the diabetics attending the peripheral diabetic clinics in Melaka, Malaysia. Med J Malaysia. 2011; 66(1):48-52.

Ibarra CT, Rocha JJ, Hernández RO, Nieves RE, Leyva RJ. Prevalence of peripheral neuropathy among primary care type 2 diabetic patients. Rev Med Chil. 2012; 140(9):1126-31.

DOI: https://doi.org/10.4067/s0034-98872012000900004

Perkins BA, Olaleye D, Zinman B, Bril V. Simple screening tests for peripheral neuropathy in the diabetes clinic. Diabetes Care. 2001; 24(2):250-6.

DOI: https://doi.org/10.2337/diacare.24.2.250

Selvarajah D, Cash T, Davies J, Sankar A, Rao G, Grieg M et al. SUDOSCAN: a simple, rapid, and objective method with potential for screening for diabetic peripheral neuropathy. PloS one. 2015; 10(10).

DOI: https://doi.org/10.1371/journal.pone.0138224

Brown JJ, Pribesh SL, Baskette KG, Vinik AI, Colberg SR. A comparison of screening tools for the early detection of peripheral neuropathy in adults with and without type 2 diabetes. J Diabetes Res. 2017.

DOI: https://doi.org/10.1155/2017/1467213

Sacco ID, João SM, Alignani D, Ota DK, Sartor CD, Silveira LT et al. Implementing a clinical assessment protocol for sensory and skeletal function in diabetic neuropathy patients at a university hospital in Brazil. Sao Paulo Med J. 2005; 123(5):229-33.

DOI: https://doi.org/10.1590/S1516-31802005000500006

Won JC, Park TS. Recent advances in diagnostic strategies for diabetic peripheral neuropathy. Endocrinol Metab. 2016; 31(2):230-8.

DOI: https://doi.org/10.3803/EnM.2016.31.2.230

Published
2019-12-19
How to Cite
1.
Taj S, Anwar K, Sajjad A. Awareness about peripheral diabetic neuropathy among physical therapists in twin cities. JSTMU [Internet]. 19Dec.2019 [cited 22Dec.2024];2(2):72-6. Available from: https://j.stmu.edu.pk/ojs/index.php/jstmu/article/view/51