About this trial
It's estimated that 50% of diabetic patients will have peripheral neuropathy as a complication within 3 years of the diabetes incidence \[14\], the goal of the study is to investigate this problem through the following objectives:
1. To measure the effect of using FREMS therapy in diabetic neuropathy in interventional group on the blood perfusion, neuropathy severity and quality of life after 10 sessions compared to baseline. 2. To measure the effect of using standard of care in diabetic neuropathy in control group on the blood perfusion, neuropathy severity and quality of life after 10 sessions compared to baseline. 3. To compare the results between both interventional and control group.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
patients diagnosed with DM
patients age group above 40 years old.
patient diagnosed with peripheral neuropathy with symptoms lasts more than 3 months.
patients lower limb ischemia in duplex affected APSV.
Disqualifiers
patients with implant peacemakers, defibrillator, or neurostimulator.
pregnancy.
any severe disease prevent compliance to study procedures.
patients with disabilities prevent their commitment to sessions.
Trial design
Parallel
Treatments tested in this trial
frequency rhythmic electrical modulated stimulation.
DeviceFREMS is characterized by sequences of biphasic electrical stimuli, with 10 consecutive sessions applied on lower limb within 10:14 days, 40 minutes for each session.
Duloxetine - low dose
Drugperipheral neuropathy conventional treatment, 30:60mg orally once/day within 10:14 days.
Treatment groups
Trial outcomes
Primary outcomes
Neuropathy severity
neuropathy symptoms like (tingling, numbness, pain, loss of sensation) will be measured through neuropathy impairment score(NIS). The higher the score the worst the symptoms are. 0 = No neurological impairment 244 = Complete loss of the assessed motor, reflex, and sensory functions (theoretical maximum)
blood perfusion.
effect of FREMS on blood perfusion by duplex.
Secondary outcomes
neuropathy effect in quality of life
neuropathy effect on quality of life by NORFOLK quality of life questionnaire. 136 = Worst possible quality of life (maximum neuropathy-related impairment)
Sponsors and contacts
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