# Assessing the Impact of Neuromuscular Taping on Thrombocyte Indices in Diabetic Neuropathy Patients With Peripheral Artery Disease: A Cross‐Sectional Study

**Authors:** Nurul Aktifah, Firman Faradisi, Muhammad Ghilang Maulud Setyawan, Nuniek Nizmah Fajriyah, Eko Mugiyanto, Umi Budi Rahayu

PMC · DOI: 10.1002/hsr2.70919 · 2025-07-20

## TL;DR

This study shows that neuromuscular taping improves blood platelet measures and reduces symptoms in diabetic neuropathy patients with artery disease.

## Contribution

The study introduces neuromuscular taping as a novel non-pharmacological intervention for improving thrombocyte indices in diabetic neuropathy patients with PAD.

## Key findings

- NMT significantly improved platelet distribution width, platelet count, and mean platelet volume (p < 0.05).
- NMT led to reduced TCNSS and DNE scores, indicating improved diabetic neuropathy symptoms.
- Nine genes were identified as potentially involved in the development of diabetic neuropathy.

## Abstract

Peripheral artery disease (PAD) is a common complication among diabetic neuropathy patients, often associated with abnormalities in thrombocyte indices. This study aimed to assess the impact of neuromuscular taping (NMT) on thrombocyte indices in diabetic neuropathy patients with PAD.

A total of 23 patients diagnosed with DN using the Toronto Clinical Neuropathy Scoring System (TCNSS) and Diabetic Neuropathy Examination (DNE) were enrolled in the study. Participants underwent NMT decompression intervention sessions over a period of 24 days. Further, the genomic analysis utilized public databases derived from diabetes studies that investigated the development of diabetic neuropathy.

The result revealed, pre‐ and post‐intervention measurements demonstrated significant improvements in thrombocyte indices, particularly in platelet distribution width, platelet count, and mean platelet volume, among patients undergoing NMT (p < 0.05). Additionally, there was a notable decrease in TCNSS and DNE scores post‐intervention, indicating an improvement in DN symptoms. Moreover, genomic analysis identified 9 genes, including SLC30A1, TRBJ2‐7, OLFM1, TCF7L2, MCF2L, CEP295NL, CEACAM22P, TSHZ2, and PDZD4, involved in DN development.

These findings suggest that NMT holds promise as a therapeutic intervention for improving thrombocyte indices and managing DN symptoms in patients with PAD. Further research is warranted to elucidate the underlying mechanisms and long‐term effects of NMT in this population.

## Linked entities

- **Genes:** SLC30A1 (solute carrier family 30 member 1) [NCBI Gene 7779], TRBJ2-7 (T cell receptor beta joining 2-7) [NCBI Gene 28622], OLFM1 (olfactomedin 1) [NCBI Gene 10439], TCF7L2 (transcription factor 7 like 2) [NCBI Gene 6934], MCF2L (MCF.2 cell line derived transforming sequence like) [NCBI Gene 23263], CEP295NL (CEP295 N-terminal like) [NCBI Gene 100653515], CEACAM22P (CEA cell adhesion molecule 22, pseudogene) [NCBI Gene 388550], TSHZ2 (teashirt zinc finger homeobox 2) [NCBI Gene 128553], PDZD4 (PDZ domain containing 4) [NCBI Gene 57595]
- **Diseases:** diabetic neuropathy (MONDO:0006626)

## Full-text entities

- **Genes:** TRBJ2-7 (T cell receptor beta joining 2-7) [NCBI Gene 28622] {aka TCRBJ2S7, TRBJ27}, PDZD4 (PDZ domain containing 4) [NCBI Gene 57595] {aka LNX5, LU1, PDZK4, PDZRN4L}, TCF7L2 (transcription factor 7 like 2) [NCBI Gene 6934] {aka TCF-4, TCF4}, CEP295NL (CEP295 N-terminal like) [NCBI Gene 100653515] {aka DDC8, KIAA1731NL}, SLC30A1 (solute carrier family 30 member 1) [NCBI Gene 7779] {aka ZNT1, ZRC1}, MCF2L (MCF.2 cell line derived transforming sequence like) [NCBI Gene 23263] {aka ARHGEF14, DBS, OST}, CEACAM22P (CEA cell adhesion molecule 22, pseudogene) [NCBI Gene 388550], TSHZ2 (teashirt zinc finger homeobox 2) [NCBI Gene 128553] {aka C20orf17, OVC10-2, TSH2, ZABC2, ZNF218}, OLFM1 (olfactomedin 1) [NCBI Gene 10439] {aka AMY, NOE1, NOELIN1, OlfA}
- **Diseases:** diabetes (MESH:D003920), Diabetic Neuropathy (MESH:D003929), PAD (MESH:D058729)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12277234/full.md

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Source: https://tomesphere.com/paper/PMC12277234