Ahmad Alipour; Roghayeh Mohammadi
Abstract
Objective: Painful diabetic neuropathy is a major complication of chronic diabetes with a significant negative impacton the quality of sleep and quality of life in diabetic patients. This study was conducted to determine the single andcombined effect of the primary motor cortex (M1) and left Dorsolateral ...
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Objective: Painful diabetic neuropathy is a major complication of chronic diabetes with a significant negative impacton the quality of sleep and quality of life in diabetic patients. This study was conducted to determine the single andcombined effect of the primary motor cortex (M1) and left Dorsolateral prefrontal cortex (L- DLPFC/ F3) anodictranscranial direct current stimulation (tDCS) in improving sleep quality and quality of life in type 2 diabetes patientswith neuropathic pain.Method: The current study was a four-group double-blind randomized clinical trial. The statistical population consistedof all patients with type 2 diabetes aged 45 to 65 years, who were members of the Bonab Diabetes Association in2022 and identified as having neuropathic pain by specialists. The research sample was 48 people selected throughthe purposeful sampling method and randomly assigned into three experimental groups and one sham control group.Patients in four groups received their respective interventions for 12 sessions, three times a week. The data collectionwas done using the Pittsburgh Sleep Quality Index (PSQI) and the 36-Item Short Form Quality of Life questionnaire(SF-36).Results: According to the findings, only the stimulation of M1 and F3 areas was effective in improving the sleepquality of diabetic patients. In terms of increasing quality of life, the effect of combined treatment (stimulation ofboth M1 and F3 areas) was significantly higher than the F3 area stimulation and sham stimulation groups. Also, theobserved effect remained stable until the 3-month follow-up stage.Conclusion: According to the results of this research, neuropsychological rehabilitation through electrical stimulationof the M1 and F3 areas of the brain was supported to improve the sleep quality and the quality of life of diabeticneuropathy patients.
parisa moradikelardeh; vahid sadeghi firoozabadi; mahmood heidari; mohsen dehghani
Abstract
Objective: Chronic pain is one of the most important medical problems that affect many people every year. The highest prevalence of chronic pain is in adulthood. Sleep problems are one of common symptoms of chronic pain. The aim of this study was to compare sleep quality in mothers with chronic pain ...
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Objective: Chronic pain is one of the most important medical problems that affect many people every year. The highest prevalence of chronic pain is in adulthood. Sleep problems are one of common symptoms of chronic pain. The aim of this study was to compare sleep quality in mothers with chronic pain and healthy mothers. Methods: This study was comparative and its statistical population was included all women referred to the Pain Clinic of Imam Hossein Hospital, Tehran, Iran. Among them, 159 persons were selected using convenience sampling method. Pittsburgh Sleep Quality Index, Von korff Pain Intensity Scale and demographic information Form were used to collect data. Data analysis was done using t-test and one way analysis of variance. Results: The results showed that sleep quality in mothers with chronic pain was significantly different from healthy mothers, and with increase in pain intensity, sleep quality decreased. Conclusions: Results of this study have implications on need pay attention to quality of sleep in mothers with chronic pain and its impact on daily routine and their duties as a parent.