Effect of Transcranial Direct Current Stimulation on Sensory Integration
NCT ID: NCT04516200
Last Updated: 2020-08-20
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
30 participants
INTERVENTIONAL
2020-08-31
2020-10-31
Brief Summary
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Detailed Description
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To determine the effect of Transcranial direct current stimulation on sensory integration and risk of falling in diabetic polyneuropathy.
BACKGROUND:
Diabetic polyneuropathy is the most prevalent chronic complication affecting 30% - 50% of diabetic patients. Diabetic polyneuropathy usually affect the peripheral, autonomic, and central nervous systems with several clinical symptoms .About 80% of the cases of DN manifest as distal symmetrical sensorimotor polyneuropathy which is responsible for cases of chronic pain; impaired sleep quality; increase of the falling risk associated with weakness and increase of the risk of extremities amputation. Transcranial direct current stimulation is neurophysiologic intervention that alters cortical excitability to enhance lower extremity somato-sensation and thus improve functional outcomes.
HYPOTHESES:
There will be no effect of Transcranial direct current stimulation on sensory integration and risk of falling in diabetic polyneuropathy
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Transcranial direct current stimulation
Transcranial direct current stimulation will be applied to study group only . Anodal transcranial stimulation will be applied on left somatosensory cortex while the cathodal one will be applied on right supra-orbital area with frequency of 2m.A for 20 minutes.Stimulation will be applied three times per week for two months.
transcranial direct current stimulation and traditional physical therapy program
Transcranial stimulation will be applied only for the study group.
designed physical therapy program
sensory training and balance training
traditional physical therapy program
traditional physical therapy program will be applied to both the control group and study group. It will be consist of sensory re-education training and balance training.Exercises will be applied three times per week for two months
designed physical therapy program
sensory training and balance training
Interventions
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transcranial direct current stimulation and traditional physical therapy program
Transcranial stimulation will be applied only for the study group.
designed physical therapy program
sensory training and balance training
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
2-The age of the patients ranged from 35 to 55 years.
3-Clinically all patients suffered from glove stock hyposthesia, numbness and burning sensation and mild distal moror weakness
4-Patients have sensorymotor peripheral neuropathy according to neurophysiological study to detect sensory and motor conduction velocity to confirm diagnosis.
Exclusion Criteria
2. Osteoporosis.
3. Fractures of lower limbs.
4. Gross musculoskeletal problems eg:burn.
5. Significant Scar tissue or calluses on the feet.
6. Peripheral vascular diseases (PVD) or Microcirculation problems.
7. Balance disturbance rather than diabetic peripheral neuropathy as ear problems, labrynthinitis, stroke or cerebellar problems.
8. Visual disturbance.
9. Autonomic neuropathy.
10. Advanced Osteoarthritis of lower limbs.
11. Nerve root compression (Radicuolopathy) affecting lower limbs.
12. Patients with implanted devices for pain control such as deep brain
50 Years
65 Years
FEMALE
No
Sponsors
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MTI University
OTHER
Responsible Party
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Sara Salah El-Din Abdel Megeed
principal investigator
Provided Documents
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Document Type: Informed Consent Form
Other Identifiers
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P.T.REC/012/002000
Identifier Type: -
Identifier Source: org_study_id
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