doiSerbia

Influence of low-intensity laser therapy on spatial perception threshold and electroneurographic finding in patients with diabetic polyneuropathy

Perić Zoran (Klinika za zaštitu mentalnog zdravlja, neurologiju i psihijatriju razvojnog doba, Klinički centar, Niš)

Introduction: Low-intensity laser therapy (LILT) can be applied in cases when patients with diabetic polyneuropathy (DPN) suffer from chronic severe neuropathic pain. Objective. We wanted to analyze influence of LILT on spatial perception threshold (SPT) and electroneurographic (ENG) parameters in patients with painful DPN. Method. We analyzed 45 patients (25 males), average age 54.3 years (54.3±10.9), with clinical and ENG signs of painful DPN. The patients were divided into two groups: A and B. Group A consisted of 30 patients with DPN who had 30 LILT treatments over the period of 12 weeks and group B consisted of 15 patients with DPN who received only vitamin therapy per os within the same period. Prior to and after 12 weeks of treatment, the following ENG parameters were determined using surface electrodes: motor (MCV) and sensory conduction velocities (SCV) values (in m/s) of nervus (n.) peroneus (NP), n. tibialis (NT) and n. medianus (NM) and their motor distal latency (MDL) values (in ms). SPT value (score as number from 1 to 8) was determined with Tactile Circumferential Discriminator on dorsal part of foot’s big toe skin. For statistical analysis, we used Student’s t-test and Pearson correlation (sig. 2 tailed) study. Results. We registered statistically significant difference between SPT (p<0.01) values prior to (5.25±1.11) and after (4.87±0.90) LILT, as well as NMMCV (p<0.05) values prior to (47.18±5.08) and after (49.12±3.72) LILT. Besides, we registered, only after LILT, statistically significant correlation between SPT and NMDML (p<0.01) values and also between SPT and NMSCV (p<0.05) values. The differences and correlations between other analyzed parameters before and after treatments were not significant (p>0.05). Conclusion. In this study we registered significant decrease of SPT and increase of NMMCV after LILT and that indicated a favorable effect of this treatment in analyzed patients with painful DPN. In our opinion these results need further investigation. .

Keywords: laser therapy, low intensity, spatial perception threshold, electroneurography, diabetic polyneuropathy