Peripheral neuropathy interventions: Difference between revisions

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==Overview==
==Overview==
Intervention which may be helpful in treatment and prevention of sign and symptoms of peripheral neuropathy include: [[Exercise]], [[Acupuncture]], [[Massage]] and foot bath. Overall, balance training appears to be the most effective [[exercise]] intervention. Studies focusing exclusively on strength, or a combination of endurance and strength, appear to have a lower impact. For metabolically-induced [[Neuropathy|neuropathies]], endurance training also plays an important role. Further research with high methodological quality needs to be conducted in order to establish evidence-based clinical recommendations for neuropathic patients. [[Aerobic]] and [[strengthening]] activity such as [[Tai chi chuan|Tai Chi]] may promote a relatively broad range of benefits to those with peripheral neuropathy.


==Indications==
==Interventio==
 
* Intervention which may be helpful in treatment and prevention of sign and symptoms of peripheral neuropathy include:<ref name="pmid24927670">{{cite journal| author=Streckmann F, Zopf EM, Lehmann HC, May K, Rizza J, Zimmer P et al.| title=Exercise intervention studies in patients with peripheral neuropathy: a systematic review. | journal=Sports Med | year= 2014 | volume= 44 | issue= 9 | pages= 1289-304 | pmid=24927670 | doi=10.1007/s40279-014-0207-5 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24927670  }} </ref><ref name="pmid29735874">{{cite journal| author=Oh PJ, Kim YL| title=[Effectiveness of Non-Pharmacologic Interventions in Chemotherapy Induced Peripheral Neuropathy: A Systematic Review and Meta-Analysis]. | journal=J Korean Acad Nurs | year= 2018 | volume= 48 | issue= 2 | pages= 123-142 | pmid=29735874 | doi=10.4040/jkan.2018.48.2.123 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29735874  }} </ref><ref name="pmid24772065">{{cite journal| author=Dobson JL, McMillan J, Li L| title=Benefits of exercise intervention in reducing neuropathic pain. | journal=Front Cell Neurosci | year= 2014 | volume= 8 | issue=  | pages= 102 | pmid=24772065 | doi=10.3389/fncel.2014.00102 | pmc=3983517 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24772065  }} </ref>
*Overall, balance training appears to be the most effective exercise intervention.
**[[Exercise]]
**[[Acupuncture]]
**[[Massage]]
**Foot bath
*Overall, balance training appears to be the most effective [[exercise]] intervention.<ref name="pmid24927670">{{cite journal| author=Streckmann F, Zopf EM, Lehmann HC, May K, Rizza J, Zimmer P et al.| title=Exercise intervention studies in patients with peripheral neuropathy: a systematic review. | journal=Sports Med | year= 2014 | volume= 44 | issue= 9 | pages= 1289-304 | pmid=24927670 | doi=10.1007/s40279-014-0207-5 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24927670  }} </ref>
*Studies focusing exclusively on strength, or a combination of endurance and strength, appear to have a lower impact.
*Studies focusing exclusively on strength, or a combination of endurance and strength, appear to have a lower impact.
*For metabolically-induced neuropathies, endurance training also plays an important role.
*For metabolically-induced [[Neuropathy|neuropathies]], endurance training also plays an important role.<ref name="pmid24927670">{{cite journal| author=Streckmann F, Zopf EM, Lehmann HC, May K, Rizza J, Zimmer P et al.| title=Exercise intervention studies in patients with peripheral neuropathy: a systematic review. | journal=Sports Med | year= 2014 | volume= 44 | issue= 9 | pages= 1289-304 | pmid=24927670 | doi=10.1007/s40279-014-0207-5 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24927670  }} </ref>
*Further research with high methodological quality needs to be conducted in order to establish evidence-based clinical recommendations for neuropathic patients.
*Further research with high methodological quality needs to be conducted in order to establish evidence-based clinical recommendations for neuropathic patients.<ref name="pmid24927670">{{cite journal| author=Streckmann F, Zopf EM, Lehmann HC, May K, Rizza J, Zimmer P et al.| title=Exercise intervention studies in patients with peripheral neuropathy: a systematic review. | journal=Sports Med | year= 2014 | volume= 44 | issue= 9 | pages= 1289-304 | pmid=24927670 | doi=10.1007/s40279-014-0207-5 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24927670  }} </ref>
 
[Name of intervention]  is not the first-line treatment option for patients with [disease name]. [Name of intervention] is usually reserved for patients with either:
*[Indication 1]
*[Indication 2]
*[Indication 3]
 
OR
 
The mainstay of treatment for [disease name] is medical therapy/surgery. [Name of intervention] is usually reserved for patients with either:
*[Indication 1]
*[Indication 2]
*[Indication 3]
 
==Name of Intervention==
 
The feasibility of [name of intervention] depends on the stage of [disease or malignancy] at the time of diagnosis.
 
OR
 
[Name of intervention] is the mainstay of treatment for [disease or malignancy].
 
OR


The mechanism of [name of intervention] is as follows:
*[[Aerobic]] and [[strengthening]] activity such as [[Tai chi chuan|Tai Chi]] may promote a relatively broad range of benefits to those with peripheral neuropathy.<ref name="pmid24772065">{{cite journal| author=Dobson JL, McMillan J, Li L| title=Benefits of exercise intervention in reducing neuropathic pain. | journal=Front Cell Neurosci | year= 2014 | volume= 8 | issue=  | pages= 102 | pmid=24772065 | doi=10.3389/fncel.2014.00102 | pmc=3983517 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24772065  }} </ref>


==Contraindications==


==References==
==References==

Latest revision as of 16:14, 7 September 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]

Overview

Intervention which may be helpful in treatment and prevention of sign and symptoms of peripheral neuropathy include: Exercise, Acupuncture, Massage and foot bath. Overall, balance training appears to be the most effective exercise intervention. Studies focusing exclusively on strength, or a combination of endurance and strength, appear to have a lower impact. For metabolically-induced neuropathies, endurance training also plays an important role. Further research with high methodological quality needs to be conducted in order to establish evidence-based clinical recommendations for neuropathic patients. Aerobic and strengthening activity such as Tai Chi may promote a relatively broad range of benefits to those with peripheral neuropathy.

Interventio

  • Intervention which may be helpful in treatment and prevention of sign and symptoms of peripheral neuropathy include:[1][2][3]
  • Overall, balance training appears to be the most effective exercise intervention.[1]
  • Studies focusing exclusively on strength, or a combination of endurance and strength, appear to have a lower impact.
  • For metabolically-induced neuropathies, endurance training also plays an important role.[1]
  • Further research with high methodological quality needs to be conducted in order to establish evidence-based clinical recommendations for neuropathic patients.[1]


References

  1. 1.0 1.1 1.2 1.3 Streckmann F, Zopf EM, Lehmann HC, May K, Rizza J, Zimmer P; et al. (2014). "Exercise intervention studies in patients with peripheral neuropathy: a systematic review". Sports Med. 44 (9): 1289–304. doi:10.1007/s40279-014-0207-5. PMID 24927670.
  2. Oh PJ, Kim YL (2018). "[Effectiveness of Non-Pharmacologic Interventions in Chemotherapy Induced Peripheral Neuropathy: A Systematic Review and Meta-Analysis]". J Korean Acad Nurs. 48 (2): 123–142. doi:10.4040/jkan.2018.48.2.123. PMID 29735874.
  3. 3.0 3.1 Dobson JL, McMillan J, Li L (2014). "Benefits of exercise intervention in reducing neuropathic pain". Front Cell Neurosci. 8: 102. doi:10.3389/fncel.2014.00102. PMC 3983517. PMID 24772065.

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