INFLUENCE OF KINESITHERAPY ON PATIENTS WITH DIABETIC POLYNEUROPATHY
Authors: Jakimovska Antonija , Vasileva Danche 
Published: December 2021

Diabetes tends to increase steadily, and is one of the most common endocrinological diseases. This disease has a high prevalence, and the incidence is increasing every year both in the world and in our country. There are several risk factors for DMD, but the main risk factor is low glycemic control (chronic hyperglycaemia). With each increase in glycated hemoglobin by 1%, the chances of developing DMD are increased. Age is also one of the major factors (the longer the DM lasts, the greater the chances of developing diabetic polyneuropathy).The causes of diabetic polyneuropathy may be known, hereditary or non-hereditary, but sometimes the causes remain unknown. The aim is to study the effectiveness of a kinesiotherapy method, based on modern principles of neurorehabilitation in improving the functional status of patients with diabetic polyneuropathy. Patients were selected according to several criteria in order to have homogeneity of the study: to be between 40 and 60 years of age; have type 2 diabetes diagnosed; have diagnosed diabetic polyneuropathy - distal symmetric sensory motor neuropathy of the lower extremities; not have severe cardiovascular and respiratory insufficiency as well as severe cognitive impairment; have stable hemodynamics, and arterial pressure is below 160/95; to move without auxiliary means. The subjects were treated with a specialized kinesiotherapy method based on the modern principles of neurorehabilitation in DPN. For the purposes of the study, a complex set of diagnostic methods is applied, and the results from which are evaluated on day 1, day 10, and month 1 of treatment are shown in a worksheet. For the purpose of the study, a complex set of diagnostic methods is applied, and the results from which are evaluated on day 1, day 10 and month 1 of treatment are shown in a worksheet.Assessed: sensory capabilities with peripheral sensitivity test (pain) and deep sensitivity (discriminatory and vibrational sensitivity) motor capabilities with manual muscle test (MMT) and centimeter and equilibrium abilities with single leg test. Results and Discussion: The presented results provide an opportunity to analyze the effect of applied kinesiotherapy. For this purpose, follow-up of various evaluated parameters was performed at baseline, on day 10 and on month 1 of treatment. This design is respected in all patients with PDD included in the study. The specialized kinesiology method stabilizes the permanently functional motor revascularization and equilibration potential of patients with PDD. Conclusion: This is a complex study of the potential of kinesiotherapy to overcome sensory, motor, and balance deficits in continued outpatient treatment of patients with PDD. It has been carried out with modern test methods, which give the opportunity to evaluate the changes in the parameters examined, in terms of sensory, motor and equilibrium possibilities after specialized kinesiotherapy. The presence of positive change in all functional parameters was observed after the administration of specialized kinesiotherapy in all subjects.