High Tone Power Therapy Versus Transcutanuoselectrical Nerve Stimulation on Polyneuropathic Pain in Diabetic Patients

This study will be carried out on sixty diabetic male patients with polyneuropathy with ages 50-60 years . Patient will be randomly assigned to two grouos. group A will include 30 type 2 diabetic patients with diabetic polyneuropathy. Theses patients will receive High tone power therapy with Frequencies continuously will be scanned from 4096 Hz to 31768 Hz, allowing for a much higher power of up to 5000 mW to be introduced for 3 times per week, for 3 months for 30 minutes every session.

Group B :

This group will include 30 type 2 diabetic patients with diabetic neuropathy. These patients will receive TENS with applied frequencies range from 2 to 120 Hz. for 3 times per week for 30 minutes every session during 3 months of intervention.

Inclusion criteria

• The patient selection will be according to the following criteria:

• Sixty male patients are diagnosed with diabetic polyneuropathy their ages will be ranged from 50-60 years old.
• All patients are ambulant independently.
• All patients are under full medical control
• HbA1c is ranged from 6.5 : 7 %.
• Patients has diabetes more than 10 years.

Exclusion criteria

• The participants will be excluded if they meet one of the following criteria:

• Psychiatric disorders or seizures.
• Visual and auditory impairment or tremors influencing balance.
• Other neuromuscular disorders.
• Foot deformities and ulcers.
• Lower limb operations.
• Feverish systemic infection
• cardiac pacemaker.