Comparison of the Effects of Aquatic Therapeutic Exercise and Kinesio-taping on Blood Glucose Levels, Sensory-Motor Symptoms, and Neuropathic Pain in Women with Diabetic Peripheral Neuropathy

Document Type : Original research papers

Authors

1 department of sports sciences, university of bojnord, Bojnord, Iran.

2 Department of Sports Sciences, University of Bojnord, Bojnord, Iran

Abstract

Background: Diabetic peripheral neuropathy (DPN) is a prevalent long-term complication of diabetes, characterized by severe pain, loss or reduction of sensation, and an increased risk of ulcers and amputations. The present study aims to compare the effects of aquatic therapeutic exercise (ATE) and kinesio-taping (KT) on blood glucose levels, sensory-motor symptoms, and neuropathic pain in women with DPN.
Methods: A quasi-experimental study was conducted with a causal-comparative approach and a pretest-posttest design. Twenty women with DPN (age: 51.55 ± 4.54 years; height: 160.50 ± 3.77 cm; weight: 67.68 ± 8.09 kg) were randomly assigned to either an ATE group or a KT group. The ATE group performed Aquatic Therapeutic exercises for eight weeks. In the KT group, the tapes were continuously applied to the anterior and posterior muscles of the calf for eight weeks. A glucometer was used to assess blood glucose levels, and the Michigan neuropathy screening instrument was employed to evaluate neuropathy symptoms. Moreover, the LANSS pain scale was utilized to measure pain levels.
Results: The study findings revealed that both methods caused significant changes in symptoms and neuropathic pain; however, only the ATE significantly changed blood glucose levels (P<0.05). Additionally, no significant differences were observed between the effects of KT and ATE on neuropathic symptoms and pain between the two groups (P>0.05).
Conclusions: According to the results, while both methods have positive effects on improving neuropathy symptoms and reducing pain in women with DPN, only ATE reduces blood glucose levels in these individuals

Keywords

Main Subjects


  1. Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes research and clinical practice. 2010;87(1):4-14. DOI: 1016/j.diabres.2009.10.007.
  2. Chawla A, Chawla R, Jaggi S. Microvasular and macrovascular complications in diabetes mellitus: Distinct or continuum?. Indian journal of endocrinology and metabolism. 2016;20(4):546-51. DOI: 4103/2230-8210.183480.
  3. Vinik AI, Nevoret ML, Casellini C, Parson H. Diabetic neuropathy. Endocrinology and metabolism clinics. 2013;42(4):747-87. https://www.endo.theclinics.com/article/S0889-8529(13)00052-2/abstract
  4. Booya F, Bandarian F, Larijani B, Pajouhi M, Nooraei M, Lotfi J. Potential risk factors for diabetic neuropathy: a case control study. BMC neurology. 2005;5:1-5. https://link.springer.com/article/10.1186/1471-2377-5-24
  5. Rathur HM, Boulton AJ. The neuropathic diabetic foot. Nature Clinical Practice Endocrinology & Metabolism. 2007;3(1):14-25. DOI: 1038/ncpendmet0347.
  6. Cham MB, Mohseni-Bandpei MA, Bahramizadeh M, Forogh B, Kalbasi S, Biglarian A. Effects of vibro-medical insoles with and without vibrations on balance control in diabetic patients with mild-to-moderate peripheral neuropathy. Journal of Biomechanics. 2020;16;103:109656. DOI: 1016/j.jbiomech.2020.109656.
  7. Nardone A, Grasso M, Schieppati M. Balance control in peripheral neuropathy: are patients equally unstable under static and dynamic conditions. Gait & posture. 2006;23(3):364-73. DOI: 1016/j.gaitpost.2005.04.002.
  8. Ghaderiyan M, Ghasemi GA. Comparison of the Amount and Ratio of Ankle Muscles Isometric Strength in Persons with Planus, Cavus and Normal Foot Types. Studies in Sport Medicine. 2017;20;8(20):53-72. DOI: 22089/smj.2017.898.
  9. Andersen H, Nielsen S, Mogensen CE, Jakobsen J. Muscle strength in type 2 diabetes. Diabetes. 2004;1;53(6):1543-8 DOI: 10.2337/diabetes.53.6.1543
  10. Shanb AA, Youssef EF, Al Baker WI, Al-Khamis FA, Hassan A, Jatoi NA. The efficacy of adding electromagnetic therapy or laser therapy to medications in patients with diabetic peripheral neuropathy. Journal of Lasers in Medical Sciences. 2020;11(1):20. https://pmc.ncbi.nlm.nih.gov/articles/PMC7008750/
  11. Shourabi P, Bagheri R, Ashtary-Larky D, Wong A, Motevalli MS, Hedayati A, Baker JS, Rashidlamir A. Effects of hydrotherapy with massage on serum nerve growth factor concentrations and balance in middle aged diabetic neuropathy patients. Complementary therapies in clinical practice. 2020. 1;39:101141. DOI: 1016/j.ctcp.2020.101141.
  12. Lee BA, Oh DJ. The effects of aquatic exercise on body composition, physical fitness, and vascular compliance of obese elementary students. Journal of exercise rehabilitation. 2014;10(3):184. https://pmc.ncbi.nlm.nih.gov/articles/PMC4106774.
  13. Sakinepoor A, Naderi A, Mazidi M, Hashemian AH, Mirzaei M, Letafatkar A. Effect of resistance and aquatic exercises on balance in diabetes peripheral neuropathy patients: a randomized clinical trial study. Journal of Diabetes Nursing. 2019;10;7(4):968-82. http://jdn.zbmu.ac.ir/article-1-390-en.html
  14. Abasgholipour A, Shahbazi M, Boroujeni ST, Ameri EA. The effects of in-water and on-land aerobic training on postural sway and balance in patients with type 2 diabetes. International Journal of Diabetes in Developing Countries. 2021;1:1-7. https://link.springer.com/article/10.1007/s13410-021-00943-7
  15. Aghaie P, Abbasi A, Letafatkar A. The immediate effect of facilitatory and inhibitory Kinesio Taping on the muscular activity and fatigue of the elbow flexor muscles. Studies in Sport Medicine. 2021;13(29):207-28. DOI: 22089/smj.2021.11497.1540.
  16. Ahmed AE, Mohamed NI, Mariam EM, Ahmed M. Effect of kinesiotape versus resistive exercise on dorsiflexors functional performance in diabetic peripheral neuropathy. The Medical Journal of Cairo University. 2020;1(88):1777-82. https://mjcu.journals.ekb.eg/article_116827.html.
  17. Nokhodchi N, Hosseini M, Attaran Iraj Z, Rahimi A. The Effects of Kinesio-tape through Facilitation of Hamstring and Inhibition of Quadriceps on Biomechanical Variables affecting Anterior Cruciate Ligament Injury When Landing in Active Healthy Young Women. Journal of Advanced Sport Technology. 2020;4(2):104-13. https://jast.uma.ac.ir/article_1080.html.
  18. Thakur K, Goyal M. Effectiveness of neuromuscular taping on balance, proprioception, pain, and nerve conduction parameters in patients with diabetic peripheral neuropathy: a two-group pretest-posttest randomized sham-controlled trial study protocol. Journal of Diabetes & Metabolic Disorders. 2023;22(2):1793-800. https://link.springer.com/article/10.1007/s40200-023-01275-5
  19. Nesreen G, Sally A, Louis N, Mubarak L, Heba R. Effects of Kinesio Tapping on Diabetic Peripheral Neuropathy Symptoms in Type II Diabetes. The Medical Journal of Cairo University. 2022;1(9):1309-15. https://journals.ekb.eg/article_264484.html
  20. Thomas E, Ficarra S, Nakamura M, Drid P, Trivic T, Bianco A. The effects of stretching exercise on levels of blood glucose: a systematic review with Meta-analysis. Sports medicine-open. 2024;10(1):15. https://link.springer.com/article/10.1186/s40798-023-00661-w
  21. Kazamel M, Stino AM, Smith AG. Metabolic syndrome and peripheral neuropathy. Muscle & Nerve. 2021;63(3):285-9 DOI: 10.1002/mus.27086.
  22. Streckmann F, Balke M, Cavaletti G, Toscanelli A, Bloch W, Décard BF, Lehmann HC, Faude O. Exercise and neuropathy: systematic review with meta-analysis. Sports Medicine. 2022;52(5):1043-65. https://link.springer.com/article/10.1007/s40279-021-01596-6
  23. Hanachi, P., Heydari, M. R., & Nikbakht, H. A Comparison between lipid Per oxidation Products & Hemoglobin in Patients of Diabetes T.2 with Normal People. J. Ilam Uni. Med. Sci. 2008;16(1):43-48. http://sjimu.medilam.ac.ir/article-1-14-fa.html
  24. Taguchi T, Kishikawa H, Motoshima H, Sakai K, Nishiyama T, Yoshizato K, Shirakami A, Toyonaga T, Shirotani T, Araki E, Shichiri M. Involvement of bradykinin in acute exercise-induced increase of glucose uptake and GLUT-4 translocation in skeletal muscle: studies in normal and diabetic humans and rats. Metabolism-Clinical and Experimental. 2000;49(7):920-30. DOI: 1053/meta.2000.6755
  25. Rose AJ, Richter EA. Skeletal muscle glucose uptake during exercise: how is it regulated?. Physiology. 2005;20(4):260-70. DOI: 1152/physiol.00012.2005.
  26. Dixit S, Maiya AG, Shastry BA. Effect of aerobic exercise on peripheral nerve functions of population with diabetic peripheral neuropathy in type 2 diabetes: a single blind, parallel group randomized controlled trial. Journal of Diabetes and its Complications. 2014;1;28(3):332-9. DOI: 1016/j.jdiacomp.2013.12.006.
  27. Kluding PM, Pasnoor M, Singh R, Jernigan S, Farmer K, Rucker J, Sharma NK, Wright DE. The effect of exercise on neuropathic symptoms, nerve function, and cutaneous innervation in people with diabetic peripheral neuropathy. Journal of Diabetes and its Complications. 2012;26(5):424-9. DOI: 1016/j.jdiacomp.2012.05.007
  28. Parsa TA, Hosseini SA, Bije N, Nia MH. The study of the effect of a 16-week program of resistance-aerobic training on BDNF, Hba1c, pain, and michigan neuropathy score among type 2 diabetic patients with peripheral neuropathy. J Diabetes Metab. 2018;1;9(11). DOI: 10.4172/2155-6156.1000811.
  29. Lee BA, Oh DJ. The effects of aquatic exercise on body composition, physical fitness, and vascular compliance of obese elementary students. Journal of exercise rehabilitation. 2014;10(3):184. https://pmc.ncbi.nlm.nih.gov/articles/PMC4106774/
  30. Ragab IM. Aquatic therapy versus combined aquatic and land-based therapy in the treatment of chronic lateral ankle sprain. Egyptian Journal of Physical Therapy. 2020;2(1):16-23. DOI: 21608/ejpt.2020.32561.1008.
  31. Konishi Y. Tactile stimulation with Kinesiology tape alleviates muscle weakness attributable to attenuation of Ia afferents. Journal of Science and Medicine in Sport. 2013;1;16(1):45-8. DOI: 1016/j.jsams.2012.04.007.
  32. Lu Z, Li X, Chen R, Guo C. Kinesio taping improves pain and function in patients with knee osteoarthritis: A meta-analysis of randomized controlled trials. International Journal of Surgery. 2018;1(59):27-35. DOI: 1016/j.ijsu.2018.09.015.