Use the Back button in your browser to see the other results of your search or to select another record.

Detailed Search Results

Effects of a task-based biofeedback training program on improving sensorimotor function in neuropathic hands in diabetic patients: a randomized controlled trial [with consumer summary]
Kuo L-C, Yang C-J, Lin C-F, Jou I-M, Yang Y-C, Yeh C-H, Lin C-C, Hsu H-Y
European Journal of Physical and Rehabilitation Medicine 2019 Oct;55(5):618-26
clinical trial
7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: Symptoms of diabetic hands have been gradually elucidated, however the interventions for these hand problems are typically underemphasized. Few studies have discussed intervention effects on sensorimotor problems in hands, which prevent diabetic patients from executing their daily routines and lower their quality of life. AIM: This study investigated the effects of task-based biofeedback training compared with home-based programs on sensorimotor function and quality of life (QoL) in diabetic patients with neuropathic hands. SETTING: Outpatient clinic at a university hospital. POPULATION: Thirty-eight patients with diabetic hand neuropathy whose sensorimotor functions were impaired based on screening with a pinch-holding-up activity (PHUA) test. METHODS: Participants were randomly assigned to either a computerized evaluation and re-education biofeedback (CERB) (n = 20) or a home-based (tendon gliding exercise in conjunction with resistive exercise) (n = 18) group. The primary outcome was sensorimotor control of a hand using the PHUA test. Secondary outcomes included changes in Semmes-Weinstein monofilament, two-point discrimination, the Purdue Pegboard test and a self-reported QoL questionnaire. The measurements were conducted before and after a 6-week treatment program. RESULTS: The CERB group significantly improved efficiency in pinch force output during the PHUA test by reducing the percentage of maximum pinch strength (change from 34.5 +/- 11.66 to 30.7 +/- 10.16%, p = 0.001), and there was a statistically significant between-group difference (p = 0.00, 95% CI -12.59 to -3.34, F 9.42). The CERB group showed superior treatment effects as compared to the control group on the two-point discrimination results (p = 0.01) as well as the pin insertion subtests in the Purdue pegboard test (p = 0.01). The QoL results also revealed significant between-group differences in several items of the Diabetes-39 (p < 0.05). CONCLUSIONS: This study showed that a task-based biofeedback training program provides superior benefits for restoration of hand sensorimotor functioning in diabetic patients as compared to a home-based program combining tendon gliding exercise and resistive exercise.

Full text (sometimes free) may be available at these link(s):      help