Wii Fit Based Exercises and Proprioceptive Exercises in Diabetic Neuropathy Patients
Condition: Diabetic Neuropathies
MeSH terms: Peripheral Nervous System Diseases; Diabetic Neuropathies
Study type: Interventional

Summary: 
      This project is a Randomized clinical trial that will be conducted to check the effects of
      Wii Fit Based Exercises and Proprioceptive training on Balance and Fall Risk in patients with
      Diabetic Neuropathy, duration of study will be of 6months, convenient sampling will be used,
      subject following eligibility criteria from Riphah Rehabilitation Centre, Patients will be
      randomly allocated into two groups; Group A will be treated with Wii Fit based exercises (40
      mins session, 3 days/week, Penguin slide, soccer heading, tilt table, tightrope walking) &
      Group B will be treated with Proprioceptive training (40 min session, 3 days/week, toe
      walking, heel walking, cross-body leg swings right and left sides, partial squat, ). In both
      groups pre and post-test measurements of Balance and Fall of risk will be assessed through
      Berg Balance scale, STAR excursion, Modified Fall Efficacy scale, and Timed Up and Go (TUG).
      Evaluation will be done before the session start and at the end of 6th Week.
    

Detailed description: 
      Diabetes mellitus is a disorder in which the body does not produce enough or respond normally
      to insulin, causing blood sugar (glucose) levels to be abnormally high. Diabetic neuropathy
      is a serious diabetes complication that may affect as many as 50% of people with diabetes.
      The nerve damage associated with diabetic peripheral neuropathy (DPN) may reduce the
      proprioceptive inputs that contribute to decreased balance and an increased risk of falling.
      Wii Fit Balance Board improves balance in older adults through training. Wii Fit balance
      board showed significant improvement in balance and decrease the risk of fall. Proprioceptive
      training is an intervention that targets the improvement of proprioceptive function in
      patients. The aim of the current study is to determine the effects of Wii Fit Based exercises
      and proprioception training on balance and fall of risk in patients with Diabetic Neuropathy
    

Intervention name(s): baseline physical therapy treatment along with Wii Fit based exercises; Proprioceptive exercises
Intervention type(s): Other; Other
Intervention description(s): Group A performed Wii Fit based exercises for 6 weeks. Group A will be treated with Wii Fit based exercises (40 mins session, 3 days/week, Penguin slide, soccer heading, tilt table, tightrope walking); Group B will be treated with Proprioceptive training (40 min session, 3 days/week, toe walking, heel walking, cross-body leg swings right and left sides, partial squat, ). In both groups pre and post-test measurements of Balance and Fall of risk will be assessed through Berg Balance scale, STAR excursion, Modified Fall Efficacy scale, and Timed Up and Go (TUG). Evaluation will be done before session start and at the end of 6th Week.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: Wii Fit; Proprioceptive; Fall; Balance; Diabetic Neuropathy