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Effect of surgical decompression of nerves in the lower extremity in patients with painful diabetic polyneuropathy on stability: a randomized controlled trial
by
Kon, Moshe
, van Hal, Mireille
, Peters, Edgar JG
, ter Horst, Britt
, Macaré van Maurik, Joanne FM
in
Ankle
/ Body mass index
/ Body weight
/ Clinical trials
/ Criteria
/ Decompression, Surgical
/ Diabetes
/ Diabetic Neuropathies - surgery
/ Diabetic neuropathy
/ Feet
/ Female
/ Fractures
/ Health problems
/ Humans
/ Limbs
/ Lower Extremity - innervation
/ Lower Extremity - surgery
/ Lower limbs
/ Male
/ Medical research
/ Middle Aged
/ Nerve Compression Syndromes - etiology
/ Nerve Compression Syndromes - surgery
/ Nerves
/ Netherlands
/ Outcome Assessment (Health Care)
/ Pain
/ Patients
/ Peripheral neuropathy
/ Plastic surgery
/ Postural Balance - physiology
/ Stability
/ Surgery
/ Ulcers
/ Unilateralism
/ Variables
/ Weight bearing
2015
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Effect of surgical decompression of nerves in the lower extremity in patients with painful diabetic polyneuropathy on stability: a randomized controlled trial
by
Kon, Moshe
, van Hal, Mireille
, Peters, Edgar JG
, ter Horst, Britt
, Macaré van Maurik, Joanne FM
in
Ankle
/ Body mass index
/ Body weight
/ Clinical trials
/ Criteria
/ Decompression, Surgical
/ Diabetes
/ Diabetic Neuropathies - surgery
/ Diabetic neuropathy
/ Feet
/ Female
/ Fractures
/ Health problems
/ Humans
/ Limbs
/ Lower Extremity - innervation
/ Lower Extremity - surgery
/ Lower limbs
/ Male
/ Medical research
/ Middle Aged
/ Nerve Compression Syndromes - etiology
/ Nerve Compression Syndromes - surgery
/ Nerves
/ Netherlands
/ Outcome Assessment (Health Care)
/ Pain
/ Patients
/ Peripheral neuropathy
/ Plastic surgery
/ Postural Balance - physiology
/ Stability
/ Surgery
/ Ulcers
/ Unilateralism
/ Variables
/ Weight bearing
2015
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Effect of surgical decompression of nerves in the lower extremity in patients with painful diabetic polyneuropathy on stability: a randomized controlled trial
by
Kon, Moshe
, van Hal, Mireille
, Peters, Edgar JG
, ter Horst, Britt
, Macaré van Maurik, Joanne FM
in
Ankle
/ Body mass index
/ Body weight
/ Clinical trials
/ Criteria
/ Decompression, Surgical
/ Diabetes
/ Diabetic Neuropathies - surgery
/ Diabetic neuropathy
/ Feet
/ Female
/ Fractures
/ Health problems
/ Humans
/ Limbs
/ Lower Extremity - innervation
/ Lower Extremity - surgery
/ Lower limbs
/ Male
/ Medical research
/ Middle Aged
/ Nerve Compression Syndromes - etiology
/ Nerve Compression Syndromes - surgery
/ Nerves
/ Netherlands
/ Outcome Assessment (Health Care)
/ Pain
/ Patients
/ Peripheral neuropathy
/ Plastic surgery
/ Postural Balance - physiology
/ Stability
/ Surgery
/ Ulcers
/ Unilateralism
/ Variables
/ Weight bearing
2015
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Effect of surgical decompression of nerves in the lower extremity in patients with painful diabetic polyneuropathy on stability: a randomized controlled trial
Journal Article
Effect of surgical decompression of nerves in the lower extremity in patients with painful diabetic polyneuropathy on stability: a randomized controlled trial
2015
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Overview
Objective:
To investigate the effect of decompression of nerves in the lower extremity in patients with painful diabetic polyneuropathy on static balance using a sensitive pressure mat system.
Design:
Non-blinded randomized controlled trial.
Setting:
Single center study performed at the University Medical Center Utrecht between 2010-2013.
Subjects:
Patients with painful diabetic polyneuropathy assessed with the Diabetic Neuropathy Symptom score and Diabetic Neuropathy Examination between 18-90 years. Exclusion criteria were: physical problems leading to instability, BMI>35 kg/m2, ankle fractures in history, amputations proximal to the tarsometatarsal joints, active foot ulcer(s), severe occlusive peripheral vascular diseases.
Intervention:
Unilateral surgical nerve decompression at four sites in the lower extremity, the contralateral limb was used as control (within-patient comparison), with one year follow-up.
Main measures:
Preoperatively and 6 and 12 months postoperatively, weight bearing and five variables of sway of the center of pressure were measured with a pressure mat with eyes open and eyes closed. T-test was used for evaluation of postoperative results.
Results:
Thirty-nine Patients met inclusion criteria and were enrolled for stability testing. Postoperatively no significant differences for sway variables and weight bearing were seen compared to preoperatively measurements.
Conclusions:
There is no evidence that surgical decompression of nerves of the lower extremity influences stability within one year after surgery in patients with painful diabetic polyneuropathy.
Publisher
SAGE Publications,Sage Publications Ltd
Subject
/ Criteria
/ Diabetes
/ Diabetic Neuropathies - surgery
/ Feet
/ Female
/ Humans
/ Limbs
/ Lower Extremity - innervation
/ Male
/ Nerve Compression Syndromes - etiology
/ Nerve Compression Syndromes - surgery
/ Nerves
/ Outcome Assessment (Health Care)
/ Pain
/ Patients
/ Postural Balance - physiology
/ Surgery
/ Ulcers
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