Hyposalivation response to transcutaneous electrical nerve stimulation in diabetic type 2 patients / Ali Mohamed Ali Ismail ; Supervised Hala M. Ezz Eldeen , Mona Mohamed Morsy , Mariam Elsayed Mohamed Abdelaal

Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Cardiomonary and Geriatrics Disorder

The aim of this study was to find out hyposalivation response to transcutaneous electrical nerve stimulation (TENS) in diabetes mellitus type 2 (DM) patients.The study was done on 100 hyposalivated diabetic type 2 patients from both sexes with whole resting salivary flow rate {u2264} 0.16 milliliters per five minute (ml/minute). Their age ranged from 44 to 74 years and selected from the outpatient clinic of internal medicine (Cairo University Hospitals). All patients were assigned randomly into one study group receiving only one extraoral 5-minutes TENS session applied bilaterally on skin over parotid gland with frequency 50 Hz and pulse duration 250æs and intensity of TENS was gradually increased to the maximum intensity tolerated to every patient. Measurement of whole resting saliva using low forced spitting method for 5 minutes done before the study and TENS stimulating saliva collected during 5 minutes stimulation in graduated test tube. Pre and post study measurement of eight-item visual analogue scale xerostomia (subjective mouth dryness) questionnaire (8-item VAS-XQ) were done for each patient. Results revealed that 90 out of 100 patients responded positively to TENS by increased both salivary volume and flow rate with mean 0.68 ± 0.26 ml, 0.15 ± 0.09 ml/minute respectively with improvement percentage 80.65%, 50.00% respectively, compared to mean whole resting salivary volume and flow rate 0.43 ± 0.29 ml, 0.10 ± 0.10 ml/minute respectively. Improved saliva production and xerostomia symptoms by adding TENS to mainstream therapy course of hyposalivation may be a hopeful device for preventing oral complications DM

Issued also as CD