Title:Effect of Novel Laser Shoe Photobiomodulation on Neuropathic Pain and Plantar Pressure Profile in Type 2 Diabetes Mellitus with Peripheral Neuropathy
Volume: 21
Issue: 3
Author(s): G. Arun Maiya*, Radhika Aditya Jadhav, Hrishikesh Yadav K., Manjunatha Hande H., Harishchandra Hebbar and Karthik Mohan
Affiliation:
- Department of Physiotherapy, Centre for Diabetic Foot Care and Research, Manipal College of Health Professions,
Manipal Academy of Higher Education, Karnataka, Manipal, 576 104, India
Keywords:
Low-level laser therapy, neuropathy, spatiotemporal gait parameters, diabetes, photobiomodulation, neuropathic pain.
Abstract:
Background: Photobiomodulation (PBM) or Low-level laser is used to treat diabetic
foot complications. The existing method of laser application to the foot did not cover the foot's
entire area to improve the foot's microcirculation. Therefore, we have developed a cost-effective
Special LASER Shoe device, focusing exclusively on the entire foot region to manage neuropathic
pain and other symptoms in individuals with type 2 diabetes mellitus.
Objective: The main objective of the present study was to evaluate the effect of this newly developed
special laser shoe PBM on neuropathic pain and plantar pressure profile in individuals
with type 2 diabetes mellitus with neuropathy.
Methods: We included 60 participants with diabetic peripheral neuropathy of both genders and
age more than 20 years. Participants were treated with PBM by a specially designed novel Laser
Shoe. Outcomes were clinical variables like Vibration Perception Threshold (VPT), Visual Analogue
Scale (VAS), Michigan neuropathy screening instrument A&B, Ankle-Brachial Index
(ABI), and Static dynamic gait parameters.
Results: Participants were with an average age of 62, and the average duration of diabetes was
11 years. Analysis showed a significant difference in VPT, VAS, Michigan neuropathic screening
inventory, and ankle-brachial index (P < 0.05).
Conclusion: We conclude that Novel laser shoe photobiomodulation using 'Laser Shoe' effectively
reduces peripheral neuropathic pain. It is also effective in reducing average and maximum
plantar pressure. Reduction in neuropathic pain and improvement in plantar pressure distribution
can reduce further complications.
