Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Effects of Customized Proprioceptive Training and Balance Exercises among Diabetic Patients


Affiliations
1 MPT Neurology, India
2 KLE University’s Institute of Physiotherapy, Belgaum-10, Karnataka, India
     

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Background and Objectives

Diabetes mellitus (DM) is a prevalent disease considered to be a Public Health problem, with high social and economic costs1. Among the clinical complications of DM there are blindness, renal insufficiency, peripheral neuropathy2,3 and many more. Peripheral neuropathy seems to develop as an autonomic and sensorial disturbance and as a progressive and irreversible motor disease4. It can interrupt the afferent and efferent functions of the lower extremities that are responsible for maintaining normal posture and normal walking5. As a consequence, proprioception is lost hence balance is lost. Little is known about possible treatment strategies. This study evaluates the effects of a customised training programme on proprioception and balance in diabetic patients.

Methodology

The present clinical trial was conducted among 20 patients (n=20) referred to K.L.E'S Institute of Physiotherapy who were clinically diagnosed with diabetes and fulfilling the inclusion criteria. Ethical clearance was obtained from the institution. Written informed consent was taken from the participants. The intervention consisted of physiotherapeutic training including proprioceptive and balance exercises (daily over 1 month). Outcome measures used in the study was Berg Balance scale, Falls Efficacy Scale International & was measured before and after completion of therapy.

Results

After intervention, the subjects showed improved balance (p=0.000) and the FES-I score (p=0.000) which were highly significant. Results of the study are highly significant and confirmed that approach to balance in diabetes mellitus patients should be customised. Customised Proprioception&Balance training is effective in diabetic patients which (BBS score, p =.0000) reduced risk of falls (FES, p= .000) in diabetics. Findings are being well co related with previous findings of balance and proprioceptive trainings which proved to be effective1-6.

Conclusion

A customized proprioceptive and balance training programme based on a individual needs and functional limitations can improve proprioception and balance and also decrease the risk of falls.


Keywords

Diabetes Mellitus, Proprioceptive Training, Balance Exercises, Berg Balance Scale, Fall Efficacy Scale
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  • Effects of Customized Proprioceptive Training and Balance Exercises among Diabetic Patients

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Authors

Nandini B. Kadabi
MPT Neurology, India
Sanjiv Kumar
KLE University’s Institute of Physiotherapy, Belgaum-10, Karnataka, India

Abstract


Background and Objectives

Diabetes mellitus (DM) is a prevalent disease considered to be a Public Health problem, with high social and economic costs1. Among the clinical complications of DM there are blindness, renal insufficiency, peripheral neuropathy2,3 and many more. Peripheral neuropathy seems to develop as an autonomic and sensorial disturbance and as a progressive and irreversible motor disease4. It can interrupt the afferent and efferent functions of the lower extremities that are responsible for maintaining normal posture and normal walking5. As a consequence, proprioception is lost hence balance is lost. Little is known about possible treatment strategies. This study evaluates the effects of a customised training programme on proprioception and balance in diabetic patients.

Methodology

The present clinical trial was conducted among 20 patients (n=20) referred to K.L.E'S Institute of Physiotherapy who were clinically diagnosed with diabetes and fulfilling the inclusion criteria. Ethical clearance was obtained from the institution. Written informed consent was taken from the participants. The intervention consisted of physiotherapeutic training including proprioceptive and balance exercises (daily over 1 month). Outcome measures used in the study was Berg Balance scale, Falls Efficacy Scale International & was measured before and after completion of therapy.

Results

After intervention, the subjects showed improved balance (p=0.000) and the FES-I score (p=0.000) which were highly significant. Results of the study are highly significant and confirmed that approach to balance in diabetes mellitus patients should be customised. Customised Proprioception&Balance training is effective in diabetic patients which (BBS score, p =.0000) reduced risk of falls (FES, p= .000) in diabetics. Findings are being well co related with previous findings of balance and proprioceptive trainings which proved to be effective1-6.

Conclusion

A customized proprioceptive and balance training programme based on a individual needs and functional limitations can improve proprioception and balance and also decrease the risk of falls.


Keywords


Diabetes Mellitus, Proprioceptive Training, Balance Exercises, Berg Balance Scale, Fall Efficacy Scale

References