TY - JOUR
T1 - Effect of comprehensive rehabilitation on pressure pain threshold, functional disability, and plantar pressure among type 2 diabetes mellitus individuals with chronic low back pain
AU - Jaya, Shetty Shrija
AU - Bhat N, Shyamasunder
AU - Kadavigere, Rajagopal
AU - Pavan, Belehalli
AU - Rastogi, Ashu
AU - Shastry, B. Ananthakrishna
AU - Mayya, Shreemathi S.
AU - Maiya, G. Arun
N1 - Publisher Copyright:
© The Author(s) 2025. This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
PY - 2025
Y1 - 2025
N2 - Background: Chronic low back pain(CLBP) is the most prevalent musculoskeletal problem reported by individuals with Type 2 Diabetes Mellitus(T2DM). The effect of therapeutic intervention in this concomitant group of conditions has received limited scholarly attention. Objective: To evaluate the effect of a comprehensive rehabilitation on pressure pain threshold(PPT), functional disability, and plantar pressure in T2DM individuals with CLBP. Methods: In this study, 40 T2DM individuals with CLBP were included based on the pre-decided eligibility criteria. These participants received a comprehensive rehabilitation consisting of photobiomodulation, pain education, and exercise interventions for 12 weeks. The intervention's effect was evaluated on PPT, disability, and plantar pressure, which were assessed at baseline, the 12thweek, and the 24thweek. PPT was evaluated using an algometer. Oswestry disability index(ODI) and Win-Track system were used to assess disability and plantar pressure parameters, respectively. Results: A statistically significant improvement over the time points was noted in PPT (F(1.72,67.07) = 117.9), ODI (F(1.49,58.19) = 119), maximal plantar pressure (F(1.62,63.09) = 33.01), and average plantar pressure (F(1.41,55.11) = 19.87). No significant difference was observed in contact area of bilateral feet across different timepoints. Conclusion: A 12-week comprehensive rehabilitation program was effective in improving PPT, functional disability, and plantar pressure in T2DM individuals with CLBP.
AB - Background: Chronic low back pain(CLBP) is the most prevalent musculoskeletal problem reported by individuals with Type 2 Diabetes Mellitus(T2DM). The effect of therapeutic intervention in this concomitant group of conditions has received limited scholarly attention. Objective: To evaluate the effect of a comprehensive rehabilitation on pressure pain threshold(PPT), functional disability, and plantar pressure in T2DM individuals with CLBP. Methods: In this study, 40 T2DM individuals with CLBP were included based on the pre-decided eligibility criteria. These participants received a comprehensive rehabilitation consisting of photobiomodulation, pain education, and exercise interventions for 12 weeks. The intervention's effect was evaluated on PPT, disability, and plantar pressure, which were assessed at baseline, the 12thweek, and the 24thweek. PPT was evaluated using an algometer. Oswestry disability index(ODI) and Win-Track system were used to assess disability and plantar pressure parameters, respectively. Results: A statistically significant improvement over the time points was noted in PPT (F(1.72,67.07) = 117.9), ODI (F(1.49,58.19) = 119), maximal plantar pressure (F(1.62,63.09) = 33.01), and average plantar pressure (F(1.41,55.11) = 19.87). No significant difference was observed in contact area of bilateral feet across different timepoints. Conclusion: A 12-week comprehensive rehabilitation program was effective in improving PPT, functional disability, and plantar pressure in T2DM individuals with CLBP.
UR - https://www.scopus.com/pages/publications/105019358782
UR - https://www.scopus.com/pages/publications/105019358782#tab=citedBy
U2 - 10.1177/10538127251387831
DO - 10.1177/10538127251387831
M3 - Article
AN - SCOPUS:105019358782
SN - 1053-8127
JO - Journal of Back and Musculoskeletal Rehabilitation
JF - Journal of Back and Musculoskeletal Rehabilitation
M1 - 10538127251387831
ER -
