Effect of Russian Current with Exercise Vs Exercise Alone on Chronic Inflammatory Demylinating Polyneuropathy
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- Category: Vol. 89, December 2021
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Effect of Russian Current with Exercise Vs Exercise Alone on Chronic Inflammatory Demylinating Polyneuropathy, YARA A. ABDEL AZIZ, HUSSEIN A. ABDULRAHMAN and SANDRA M. AHMED
Abstract
Background: Chronic inflammatory demyelinating polyr-adiculoneuropathy (CIDP) is aperipheral nervous system autoimmune condition in which the myelin sheath surround-ing nerves is attacked, resulting in improper nerve impulse conduction toperipheral nerves. Aim of Study: To identify the difference between effect of combined exercises and Russian current stimulation and exercises alone on muscle strength and function in chronic inflammatory demyelinating polyneuropathy. Material and Methods: Twenty-four patients from both sexes diagnosed with chronic inflammatory demyelinating polyneuropathy with average age from 30-50 years participated in the study. Patients were assessed by a blinded independent assessor before and after the treatment. The patients were randomly allocated into two groups: The control group (GI): Included 8 males and 4 females, with mean age of 42 years, treated by the selected physical therapy program. The study group (GII): Included 7 males and 5 females, with mean age of 42.5 years, treated by the selected physical therapy program in addition to Russian current. All patients were assessed by Barthel Index of Activities of Daily Living and isometric strength of Quadriceps using Lafayette Manual Muscle Test System (dynamometer) before and after the treatment. Results: There were significant difference between groups in right Quadriceps isometric strength (p-value=0.05) post-treatment, in favor of experimental group (Russian current plus exercise) and non-significant differences in other side and in function. In addition to that, there were significant difference within both groups in all of these outcomes, with more clinical improvement in function in experimental group. Conclusion: Addition of Russian current stimulation to exercises led to statistical significant increase in Quadriceps strength and clinical improvement in function compared to exercise alone.