Balance Training in Diabetic Neuropathy

Study Overview
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Brief Summary
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This study evaluates the efficacy of balance training in Diabetic Neuropathy. Control group will receive general exercises while Eperimental/ Interventional group will receive Balance exercises along with general exercises.

Official Title
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Efficacy of Balance Training in Comparison to General Exercises Alone in Diabetic Neuropathy

Conditions
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Diabetic Neuropathy With Neurologic Complication

Intervention / Treatment
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* Other: Balance Training
* Other: General Exercises


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age group: 30-60 years Diabetes type II patients diagnosed with peripheral neuropathy by medical doctor for at least 5 years Neuropathy present (on the basis of Michigan Neuropathy Screening Instrument Have balance impairment ( evaluation on Berg Balance Scale) Exclusion Criteria: Neuropathy due to other medical conditions like Vitamin deficiency, Hypothyroidism, Auto-immune/ demyelinating diseases Foot ulcers Lower limb amputee Vestibular diseases Retinopathy Cardiac problems Hemiplegia/ Stroke

Ages Eligible for Study
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Minimum Age: 30 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental Group<br>Balance training by 9 positions with 1 min hold, repeated twice Stand with feet together, eyes remain open Stand with together, eyes closed & 4) Tandem Standing with Right and Left in front alternately 5) Forward Reaching 6) & 7) Single Leg Standing, with Right and Left foot alternately 8) & 9) Step up, with Right and Left foot alternately General Exercises for 25 min Active Range of Motion Exercises and Foot Care Education-5 min Treadmill- 15 min Cycling -5 min No. Of Sessions 24, thrice a week for 8 weeks | Other: Balance Training<br>* Balance enhancing exercises<br>Other: General Exercises<br>* General Exercises<br>|
| Active Comparator: Control Group<br>General Exercises for 25 min Active Range of Motion Exercises and Foot Care Education-5 min Treadmill- 15 min Cycling -5 min No. Of Sessions 24, thrice a week for 8 weeks | Other: General Exercises<br>* General Exercises<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Berg Balance Scale | The Berg Balance Scale (BBS) is a 56-point scale that evaluates 14 tasks. Katherine Berg developed this test to assess the level of function and balance in various patient populations. Minimum score is 0 (means severe balance deficit) and Maximum score is 56 (means No balance deficit) | Baseline (Pre treatment) | 
| Berg Balance Scale | The Berg Balance Scale (BBS) is a 56-point scale that evaluates 14 tasks. Katherine Berg developed this test to assess the level of function and balance in various patient populations. Minimum score is 0 (means severe balance deficit) and Maximum score is 56 (means No balance deficit) | At 4th week of treatment | 
| Berg Balance Scale | The Berg Balance Scale (BBS) is a 56-point scale that evaluates 14 tasks. Katherine Berg developed this test to assess the level of function and balance in various patient populations. Minimum score is 0 (means severe balance deficit) and Maximum score is 56 (means No balance deficit) | At 8th week of treatment (Post treatment ) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Diabetes Mellitus type 2, Diabetic neuropathy, Rehabilitation, Balance exercises, Berg Balance Scale