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Chulalongkorn Medical Journal

Abstract

Polyneuropathy, a condition affecting the peripheral nervous system, often results in sensory and motor dysfunction in older adults. Treatment options include medications and various physical therapy modalities including Peripheral Magnetic Stimulation (PMS). However, evidence supported treating nerve dysfunction with PMS is limited. In this case, an 84-year-old male with a history of diabetes mellitus and osteoarthritis presented with bilateral lower extremity sensory and motor polyneuropathy, experiencing weakness, sensory deficits, and gait instability. After limited success with conventional treatments, a comprehensive rehabilitation program was implemented over four weeks, integrating PMS, occupational therapy, and advanced gait training. Following the intervention, light touch sensitivity improved by up to 55%, and proprioception showed a 100% improvement. Balance assessments also demonstrated enhanced stability on unstable surfaces. However, nerve conduction studies revealed minimal changes in sensory and motor functions. The combination of PMS and comprehensive rehabilitation strategies showed promising benefits in improving sensory functions and balance, despite inconclusive results from nerve conduction studies. This case highlights the potential of a multifaceted rehabilitation approach in managing polyneuropathy. Future research with larger samples and longer treatment durations is necessary to confirm these findings and evaluate long-term efficacy.

DOI

10.56808/2673-060X.5541

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