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419 Effect of monochromatic near infrared energy on neuropathy, plantar pressure distribution and balance in patients with diabetic neuropathy
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Poster Presentations / Clinical – Other Treatments / European Journal of Pain 11(S1) (2007) S59–S207
Moreover, he described reduced use of medications, and ‘‘100%’’ improvement in quality of life. Case 3: Three months after SCS system replacement, the patient reported complete discontinuation of pain medications, a dramatic increase in quality of life, and stimulation perceived as ‘‘smoother and softer’’. SCS technologies of different manufacturers may produce differences in pain coverage and sensations of paresthesia in the same patients. Selecting the ‘best’ system for each individual can have implications for quality of life and concomitant health care utilization, such as medication use. We suggest judicious consideration of technical capabilities when selecting an SCS system. doi:10.1016/j.ejpain.2007.03.433
study and pedography. All collected data were statistically analyzed by SPSS 10 software. Results. There was a statistically significant improvement in UK score (P = 0.016), MNSI (P = 0.007), DNS (P = 0.001), and VAS (P = 0.024) and monofilament perception (P = 0.02). Neuropathy score with electrodiagnostic criteria was significantly improved (P = 0.003). Balance improvement by Tinetti score was significant (P = 0.04). There was an apparent, but not statistically significant (P = 0.07) improvement in dynamic balance parameters evaluated by biodex system (Model945320). Static forefoot plantar pressure distribution also improved (P = 0.02), but there was no significant change in other aspects of plantar pressure distribution. We conclude that the use of MIRE is associated with significant improvement in diabetic neuropathy and this is apparent and significant within six weeks of treatment. This can be expected to reduce complications from diabetic neuropathy including foot ulceration and amputation. doi:10.1016/j.ejpain.2007.03.434
419 EFFECT OF MONOCHROMATIC NEAR INFRARED ENERGY ON NEUROPATHY, PLANTAR PRESSURE DISTRIBUTION AND BALANCE IN PATIENTS WITH DIABETIC NEUROPATHY S.P Madani *,a,b, N. Lessan b, M. Akbari c, S. Amirimoghaddam b, R. Heshmat b, B. Larijani b a
Physical Medicine and Rehabilitation, Iran University of Medical Sciences, Shafayahyaian Rehabilitation Hospital, Iran b Endocrine and Metabolism Research Center, Tehran University of Medical Sciences, Doctor Shariati Hospital, Iran c Physical Therapy Department, Iran University of Medical Sciences, Rehabilitation Faculty, Tehran, Iran Background and aims. This study investigates whether treatment with monochromatic near infrared energy (MIRE, Anodyne Therapy LLC) for six weeks is associated with an improvement of peripheral neuropathy, plantar pressure distribution and balance indices in patients with diabetic polyneuropathy. Methods. Fifteen consecutive subjects with diabetic peripheral neuropathy were recruited from Diabettic Clinic and treated with MIRE at the frequency of three sessions per week. Assessment at baseline and six weeks included: United Kingdom screening score, Michigan neuropathy screening index (MNSI), Michigan diabetic neuropathy score (DNS), Tinetti balance score, visual analog scale (VAS), Semmes–Weinstein monofilament examination by 10-g monofilament in five standard points of each foot, vibration perception with 128 Hz tuning fork, electrodiagnostic study, biodex balance
420 DEVELOPMENT AND IMPLEMENTATION OF AN INTERDISCIPLINARY PAIN COURSE E.L. Manning *,a, H. Martin b, J. Baisden a, A. Smith b a
Medical College of Wisconsin, Froedtert Hospital, Milwaukee, WI, USA b Medical University of South Carolina, MUSC Hospital, Charleston, SC, USA Background. Research has shown that pain is not adequately addressed in health care education, including medicine, pharmacy, and nursing, occupational therapy and physical therapy. Pain education is only minimally addressed in these programs, particularly at the undergraduate level. Given this lack of education, concerns are reasonable, regarding levels of preparedness for working with this challenging population. Methods. This course was designed as a one semester program (36 class hours), based on the International Association for the Study of Pain guidelines for pain education, offered as an elective at the Medical University of South Carolina. This program was designed to facilitate: (1) basic pain education, (2) pain assessment techniques, (3) interdisciplinary pain education (guest speakers) and (4) implementation of multidisciplinary case studies/practicals to assist students in learning to work collaboratively. The pilot course employed 10 students, five medical students, three nursing students, and two physician assistants. The second implementation involved 45 students, including 12 physical and occupational therapy students, eight medical students, 13 nurs-
Poster Presentations / Clinical – Other Treatments / European Journal of Pain 11(S1) (2007) S59–S207
Moreover, he described reduced use of medications, and ‘‘100%’’ improvement in quality of life. Case 3: Three months after SCS system replacement, the patient reported complete discontinuation of pain medications, a dramatic increase in quality of life, and stimulation perceived as ‘‘smoother and softer’’. SCS technologies of different manufacturers may produce differences in pain coverage and sensations of paresthesia in the same patients. Selecting the ‘best’ system for each individual can have implications for quality of life and concomitant health care utilization, such as medication use. We suggest judicious consideration of technical capabilities when selecting an SCS system. doi:10.1016/j.ejpain.2007.03.433
study and pedography. All collected data were statistically analyzed by SPSS 10 software. Results. There was a statistically significant improvement in UK score (P = 0.016), MNSI (P = 0.007), DNS (P = 0.001), and VAS (P = 0.024) and monofilament perception (P = 0.02). Neuropathy score with electrodiagnostic criteria was significantly improved (P = 0.003). Balance improvement by Tinetti score was significant (P = 0.04). There was an apparent, but not statistically significant (P = 0.07) improvement in dynamic balance parameters evaluated by biodex system (Model945320). Static forefoot plantar pressure distribution also improved (P = 0.02), but there was no significant change in other aspects of plantar pressure distribution. We conclude that the use of MIRE is associated with significant improvement in diabetic neuropathy and this is apparent and significant within six weeks of treatment. This can be expected to reduce complications from diabetic neuropathy including foot ulceration and amputation. doi:10.1016/j.ejpain.2007.03.434
419 EFFECT OF MONOCHROMATIC NEAR INFRARED ENERGY ON NEUROPATHY, PLANTAR PRESSURE DISTRIBUTION AND BALANCE IN PATIENTS WITH DIABETIC NEUROPATHY S.P Madani *,a,b, N. Lessan b, M. Akbari c, S. Amirimoghaddam b, R. Heshmat b, B. Larijani b a
Physical Medicine and Rehabilitation, Iran University of Medical Sciences, Shafayahyaian Rehabilitation Hospital, Iran b Endocrine and Metabolism Research Center, Tehran University of Medical Sciences, Doctor Shariati Hospital, Iran c Physical Therapy Department, Iran University of Medical Sciences, Rehabilitation Faculty, Tehran, Iran Background and aims. This study investigates whether treatment with monochromatic near infrared energy (MIRE, Anodyne Therapy LLC) for six weeks is associated with an improvement of peripheral neuropathy, plantar pressure distribution and balance indices in patients with diabetic polyneuropathy. Methods. Fifteen consecutive subjects with diabetic peripheral neuropathy were recruited from Diabettic Clinic and treated with MIRE at the frequency of three sessions per week. Assessment at baseline and six weeks included: United Kingdom screening score, Michigan neuropathy screening index (MNSI), Michigan diabetic neuropathy score (DNS), Tinetti balance score, visual analog scale (VAS), Semmes–Weinstein monofilament examination by 10-g monofilament in five standard points of each foot, vibration perception with 128 Hz tuning fork, electrodiagnostic study, biodex balance
420 DEVELOPMENT AND IMPLEMENTATION OF AN INTERDISCIPLINARY PAIN COURSE E.L. Manning *,a, H. Martin b, J. Baisden a, A. Smith b a
Medical College of Wisconsin, Froedtert Hospital, Milwaukee, WI, USA b Medical University of South Carolina, MUSC Hospital, Charleston, SC, USA Background. Research has shown that pain is not adequately addressed in health care education, including medicine, pharmacy, and nursing, occupational therapy and physical therapy. Pain education is only minimally addressed in these programs, particularly at the undergraduate level. Given this lack of education, concerns are reasonable, regarding levels of preparedness for working with this challenging population. Methods. This course was designed as a one semester program (36 class hours), based on the International Association for the Study of Pain guidelines for pain education, offered as an elective at the Medical University of South Carolina. This program was designed to facilitate: (1) basic pain education, (2) pain assessment techniques, (3) interdisciplinary pain education (guest speakers) and (4) implementation of multidisciplinary case studies/practicals to assist students in learning to work collaboratively. The pilot course employed 10 students, five medical students, three nursing students, and two physician assistants. The second implementation involved 45 students, including 12 physical and occupational therapy students, eight medical students, 13 nurs-