الفهرس 
Effect of planter electrical stimulation on balance in diabetic patients withsensory peripheral neuropathy
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Abstract
Background: Polyneuropathy is the most common complication of type2 diabetes which occurs in the distal extremities and typically affects sensory, motor and autonomic system. People with diabetic peripheral neuropathy (DPN) often exhibit deteriorations in motor performance mainly due to lack of planter sensation. Purpose: To evaluate the effect of planter electrical stimulation (TENS) on balance in diabetic patients with sensory peripheral neuropathy.Patients and Methods: Using a Randomized controlled Trial (RCT), forty diabetic patients with sensory peripheral neuropathy assessed clinicallyand confirmed by NCS from both sexes (31 women and 9 men) with age ranged from (50-60y) were recruited fromoutpatient clinics ofKasr El-Ainy Hospital and conducted in outpatient clinics of faculty of physical therapy, Cairo university and randomly assigned into two groups (study and control) equal in number (n=20). All patients received same traditional balance exercise training, 3 times per week for 6 weeks; the study group (group A) received also TENS on planter surface of the foot for 15 minutes, 3 times per week over 6 weeks. The outcome measures were assessed by Biodex Stability System and visual analogue scale pre and post the study duration. Results: There was a significant overall stability index decrease with percentage about 44.4% and 17% for group A and group B respectively. Also, there was a significant visual analogue scale decrease with percentage about 62.3% and 13.5% for group A and group B respectively. There was a significant difference between group A and group B with better improvement in favor of group A.Conclusion: It was concluded that planter electrical stimulation (TENS) had a significant effect on balance in diabetic patients with sensory peripheral neuropathy