Summary:
In patients with diabetic peripheral neuropathy (DPN), tibial nerve neurodynamic techniques (NDTs) significantly reduced neuropathy severity and improved quality of life and range of motion compared to sham NDTs combined with basic complementary treatment, though it was associated with no changes in nerve conduction parameters or widespread mechanosensitivity improvement.
| PICO | Description |
|---|---|
| Population | Adults diagnosed with diabetic peripheral neuropathy (DPN), confirmed by electrodiagnostic and laboratory assessments. |
| Intervention | Real tibial nerve neurodynamic techniques (NDTs) in combination with a standardized basic complementary treatment. |
| Comparison | Sham NDTs delivered alongside the same basic complementary treatment provided to the intervention group. |
| Outcome | Significant reductions in neuropathy severity (MDNS improvement, MD = -4.60, Cohen’s d = -0.93, P = 0.001), improved quality of life (MD = -13.25, Cohen’s d = -0.73, P = 0.006), and modest gains in straight leg raise range of motion (PFSLRP1 and PFSLRP2 ROM). Nerve conduction parameters showed no significant changes. |
Source: Mahdi Ashoori, et al. “Adding tibial nerve neurodynamic techniques to a rehabilitative pain management strategy improved neuropathy severity and quality of life in patients with diabetic peripheral neuropathy: a randomized sham-controlled trial.” Read article here.
