Ciencias de la Salud
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Item Estrategias de intervención con movilizaciones neurales para mejorar las respuestas sensoriales y funcionales en la neuropatía periférica diabética(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Fisioterapia, 2023-03-01) Mayorga Reinoso, Alba Selena; Reales Chacón, Lisbeth Josefina Dra.Type 2 diabetes mellitus is a condition in which glucose levels are not normal and cause damage to peripheral nerve fibers causing diabetic neuropathy, being the most frequent the sensory-motor, whose symptoms include altered tactile perception, temperature, loss of sensation in hands and feet. The evidence of treatments that include neural mobilization is limited, so the aim of this study is to determine whether intervention strategies with neural mobilization improve sensory and functional responses in diabetic peripheral neuropathy. A quantitative-analytical, prospective longitudinal study was carried out. Applying the instruments and whose results were statistically evaluated through the SSPSS program. The instruments applied correspond to a clinical record for the collection of relevant data such as age, sex, BMI, personal pathological history, the Michigan test that carries a questionnaire of 15 questions related to the symptoms in the last week and an exploratory physical examination to know the patient's condition (foot morphology, skin condition, ulcers, amputations), evaluation of tactile and thermal sensitivityxiv (dermatomas: C5, C6, C7, C8, T1, L2, L3, L4, L5, S1, S2) and vibratory (olecranon, radial styloid, external malleolus and hallux), dynamometry where the maximum hand grip strength and foot dorsiflexion strength are evaluated; these instruments applied pre and post treatment. Being a small sample, the entire population of 37 diabetic individuals was included in the intervention with neural mobilizations of sliding type for the median, radial, ulnar, sciatic and peroneal nerves, in daily sessions during 8 weeks. In the relationship of variables, the Student's T revealed data of a significant improvement in this group since the second evaluation obtained positive results after the intervention, where the strategies of sliding neural mobilization for upper and lower limb are optimal to reduce symptoms such as cramps, numbness, loss of sensitivity to touch, temperature and vibration in hands and feet. However, these strategies do not affect foot morphology and skin appearance. These results provide reliability of neural mobilization as a conservative treatment in diabetic peripheral neuropathyItem Estrategias de movilizaciones neurales para mejorar las respuestas sensoriales y funcionales en adultos mayores con neuropatía periférica diabética(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Fisioterapia, 2023-03-01) Arias Andrade, Katherin Michelle; Ortiz Villalva, Paola Gabriela Lcda. MscThe objective of the research was to determine the efficacy of neural m obilization strategies to improve sensory and functional response in older adults with diabetic peripheral neuropathy. The methodology was quantitative research approach because data we re collected with numerically measurable instruments, analytical prospective longitudinal type, descriptive because it had an evaluation under the parameters of: Michigan Neuropathy Screening Instrumental MNSI, sensitivity test and neural mobilization, the population consisted of 34 adults. The main conclusion, the exercise program performed to diabetic patients with peripheral neuropathy decreased the most common neuropathic symptoms such as pain and numbness in legs and feet, in turn improved the perception of thermal and tactile sensitivity in the L3-L4-S1 dermatomes which are the most affected in this population. There is also an increase in lower limb strength improving balance and gait