Effectiveness of monochromatic infrared photo energy [MIRE] in improving balance of diabetic peripheral neuropathy

Patients with long standing diabetic peripheral Neuropathy suffers marked affection of lower limb proprioception and often develop balance problems that can significantly increase fall risk. The purpose of this study was to determine whether the application of Monochromatic infrared photo energy [MIRE] to the lower extremities of patients with diabetic peripheral Neuropathy would improve balance and gait patterns. The study conducted on 40 diabetic patients with peripheral neuropathy divided equally into two groups [20 patients each]. Group I received exercise program only, Group II received in addition to exercise program 30 minutes Monochromatic Infrared Photo Energy [MIRE] three times a week for one month. Tandem walk [TW] test was used to assess mean step width, speed and end sway pre and post therapy in both groups of patients. Both groups were selected to have identical clinical characteristics, mean of age, duration of both diabetes and peripheral Neuropathy, Blood sugar control. Highly statistical significant difference [p<0.0001] between the two groups regarding speed post therapy implicating the beneficial effect of Monochromatic infrared photo energy [MIRE] on balance parameters. As deducted from the observed data as well as from the reviewed literature we could recommend that the application of 12 photo therapy sessions induced improvement in balance and consequently decrease the incidence of falls in diabetic peripheral neuropathy

Geometric, kinematics and CT-study of low back pain in correlation with perivertebral ligament calcification

The role of the perivertebral ligaments in the precipitation of low back pain was studied in 27 dry bone specimens, 8 post mortem models., 40 CT films of the thoraco-lumbar vertebrae were examined [20 of them were complaining of low back pain] and sixty patient were subjected to physiotherapy subdivided into three subgroups. Each group was subjected to specific line of physiotherapeutic procedure [ultrasound, manipulation or exercise]. Schober test was used to evaluate the influence of physiotherapy on low back pain and the degree of spinal mobility. The results of the current study revealed that there were numerous subjects with detectable lesion of perivertebral ligament and/or the vertebral column itself without feeling low back pain. There were many cases of patients suffering from low back pain without observable lesion in their CT films. The best physiotherapeutic influence in reducing back pain and inducing painless mobility of the spine were the combination of ultrasound, manipulation and exercise. The broadest segment of the anterior longitudinaly ligament was opposite the lower thoracic vertebrae [T9- 12]. A routine annual CT check up of individuals is an advisable suitable medical procedure to detect symptomless spine lesion and to assure successful early management