Movilizaciones neuromeníngeas en pacientes diabéticos con dolor neuropático crónico del Hospital General del Norte de Guayaquil Los Ceibos. En la ciudad en el año 2025.

Abstract

Diabetic neuropathy is one of the most common and disabling microvascular complications of type 2 diabetes mellitus, affecting approximately 50% of patients. It is characterized by the deterioration of peripheral nerves, causing symptoms such as persistent pain, burning, tingling, loss of sensitivity, and muscle weakness, severely limiting the autonomy and quality of life of older adults. The Objective: Determine the benefits of neuromeningeal mobilizations in elderly patients treated at the General Hospital of Northern Guayaquil Los Ceibos. The Methodology: Is based on physiotherapeutic intervention of neurodynamics thru nerve gliding and tension, along with the Rood method for sensory re-education. For data collection, the DN4 Questionnaire and functional tests such as the 2-Minute Walk Test and the Sit-to-Stand Test are used. The expected Results: 62% belong to the female sex, while 38% belong to the male sex. The predominant age range is 60-64 years with (46%). Regarding neuropathic pain evaluated by DN4, a general decrease in symptoms was observed between November and January, reducing pinprick hypoaesthesia (71.4%), tingling (29.2%), and numbness (24%), indicating an improvement in neuropathic pain. In altered thermal sensitivity, it predominated with (64%); after the intervention, preserved sensitivity increased to (40%) for cold and (36%) for heat, indicating sensory recovery. Tactile sensitivity with monofilaments, only (16%) perceived the stimulus before the intervention and then increased to (80%), showing an improvement in peripheral sensitivity. In Conclusion: Neurodynamic mobilization is reaffirmed as an effective tool to mitigate the symptoms of diabetic neuropathy. By integrating these techniques with family support, the functional autonomy of the elderly is enhanced, improving physical performance and their overall well-being in daily activities.