This review presents a comprehensive analysis of physiotherapy interventions for Diabetic Peripheral Neuropathy (DPN), summarizing key findings derived from an examination of approximately 654 studies, including randomized controlled trials, systematic reviews, meta-analyses, conducted up to September 2021. Ultimately, 19 studies met the inclusion and exclusion criteria. The findings affirm the effectiveness of physiotherapy interventions in enhancing the quality of life for individuals with DPN. Notable discoveries encompass the positive impact of various interventions, such as aerobic and resistance exercises, electrical stimulation modalities (e.g., transcutaneous electrical nerve stimulation, percutaneous electrical nerve stimulation, and functional electrical stimulation), as well as manual therapies (e.g., massage and joint mobilization). These interventions have demonstrated their ability to reduce pain, enhance balance, and improve sensory function. While acknowledging certain limitations, this review underscores the potential of evidence-based physiotherapy interventions to optimize DPN management and enhance patient outcomes.
Key words: Diabetes mellitus, diabetic neuropathy, aerobic exercise, percutaneous electrical nerve stimulation, transcutaneous electrical nerve stimulation.
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