Exercise and manual therapy for diabetic peripheral neuropathy: a systematic review

Hernández Secorún, Mar (Universidad de Zaragoza) ; Vidal Peracho, Concepción (Universidad de Zaragoza) ; Márquez Gonzalvo, Sergio ; Corral de Toro, Jaime (Universidad de Zaragoza) ; Müller Thyssen Uriarte, Julián ; Rodríguez Sanz, Jacobo ; Lucha López, Orosia (Universidad de Zaragoza) ; Tricás Moreno, José Miguel (Universidad de Zaragoza) ; Hidalgo García, César (Universidad de Zaragoza)

Resumen: Background: Diabetic peripheral neuropathy (DPN) is one of the most common complications of diabetes mellitus (DM). Control of hyperglycaemia as well as surgical decompression are effective treatments for these patients. However, surgery is not indicated for all candidates. Manual therapy and physical exercise have been shown to be effective for peripheral neuropathies, and exercise for DM. The aim is to review the effectiveness of manual therapy and/or exercise in patients with DPN. (2) Methods: Randomised controlled clinical trials comparing the effects of manual therapy and/or exercise on pain, function and/or balance were selected. The search strategy was performed in PubMed, PEDro, Scopus, Cochrane and Web of Science databases. The PRISMA statement was followed. (3) Results: A total of 656 articles were registered, and 29 were selected. There was little consensus on DPN criteria selection. Aerobic, strength and balance exercises are beneficial for DPN. Sessions of 30–60 min, three times per week for 8 weeks seems to be the most used dose. Manual therapy is effective in the short term. A combination of both modalities was more beneficial than alone in one study. (4) Conclusions: Exercise and manual therapy are beneficial for patients with DPN. More studies should be carried out for analysing the potential effect of combining manual therapy and exercise.

Idioma: Inglés

DOI: 10.3390/app11125665

Año: 2021

Publicado en: Applied Sciences (Switzerland) 11, 12 (2021), [31 pp.]
ISSN: 2076-3417

Factor impacto JCR: 2.838 (2021)

Categ. JCR: ENGINEERING, MULTIDISCIPLINARY rank: 39 / 92 = 0.424 (2021) - Q2 - T2
Categ. JCR: PHYSICS, APPLIED rank: 76 / 161 = 0.472 (2021) - Q2 - T2
Categ. JCR: MATERIALS SCIENCE, MULTIDISCIPLINARY rank: 218 / 345 = 0.632 (2021) - Q3 - T2
Categ. JCR: CHEMISTRY, MULTIDISCIPLINARY rank: 100 / 180 = 0.556 (2021) - Q3 - T2

Factor impacto CITESCORE: 3.7 - Engineering (Q2) - Materials Science (Q2) - Chemical Engineering (Q2) - Computer Science (Q2) - Physics and Astronomy (Q2)

Factor impacto SCIMAGO: 0.507 - Engineering (miscellaneous) (Q2) - Computer Science Applications (Q2) - Process Chemistry and Technology (Q2) - Materials Science (miscellaneous) (Q2) - Fluid Flow and Transfer Processes (Q2)

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)
Área (Departamento): Área Fisioterapia (Dpto. Fisiatría y Enfermería)