Effect Of Matrix Rhythm Therapy On Quality Of Life And Postural Control In Diabetic Peripheral Neuropathy

Abstract

Diabetic neuropathy (DPN) is the most common microvascular complication following type 2 diabetes. DPN results in burning pain, tingling sensation, and hyperesthesia. DPN causes injury to the small and large-diameter nerve fibers in the peripheral nerves, which cause altered motor, sensory, vibration, and proprioceptive functions. This causes an increase in disability and a further reduction in the quality of life. Management of the DN follows medications, exercises, and lifestyle interventions. Matrix rhythm therapy (MaRhyThe) is an innovation in physiotherapy used to relieve pain, improve microcirculation, relax the tissues, and improve the oxygenation to the blood. Since there are no studies on the MaRhyThe on DPN, this is the first kind of study to identify the effect of the Matrix rhythm therapy on the QOL and postural control in Diabetic peripheral neuropathy. This study is a single-blind, randomized controlled trial with 60 diabetes patients recruited from Physiotherapy OPD, JKKMMRF College of Physiotherapy, Komarapalayam, and Supreme Hospital, Komarapalayam. The selection of the participants is based on the proper selection criteria.

The selected participants were randomly allocated into two groups, and the Intervention group will undergo MaRhyThe for 30 minutes, followed by supervised exercises for 30 minutes. The control group will undergo supervised exercises for 30 minutes and walk for 30 minutes. All the participants were taught home exercises. The outcome measures are Quality of life and the postural control and were evaluated with the Norfolk QOL-DN and Postural sway meter. SPSS software version 24.0 was used (SPSS Inc. Chicago, Illinois). The Wilcoxon signed-rank test was used to determine the effect of the treatment methods, and the Mann-Whitney U test was used for between group analysis. The result shows that the z value for the postural sway meter is 6.007 and for the quality of life is 6.669, with the p-value 0.001. This study concludes that MaRhyThe and supervised exercises significantly improved postural control and quality of life for diabetic peripheral neuropathy.