The Effect of Sensorial Biodex Balance Balance System Exercises in Diabetic Neuropathy

Study Overview
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Brief Summary
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This study examined the effects of balance exercises performed with the Biodex Balance System (BBS) on nerve conduction, sensory symptoms, and muscle strength in patients with diabetes-related neuropathy.

Detailed Description
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We enrolled twenty-seven patients in this study. Patients in the intervention group (n=14) performed exercises using the computerized BBS. The control group (n=13) was just informed about diabetes self-management. All patients underwent pretest and posttest peripheral nerve conduction studies. Sensory examination performed by using 5.07 Semmes-Weinstein monofilaments and 128-Hz tuning fork. Muscle strength measurements obtained with manual dynamometer

Official Title
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Effects of Balance Exercises in Diabetic Peripheral Neuropathy

Conditions
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Exercise Training, Diabetic Neuropathies, Diabetes Mellitus

Intervention / Treatment
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* Device: Biodex Balance Exercise System


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: diabetes-related neuropathy based on laboratory tests, clinical findings, and nerve conduction study Exclusion Criteria: increased risk of non-diabetes related neuropathy: history of autoimmune, cerebrovascular, or chronic infectious disease, cancer, chemotherapy and/or radiotherapy, radicular neuropathy, chronic kidney and liver failure, alcoholism or other substance abuse, and mental or physical disabilities (including blindness). We also excluded patients who didn't speak Turkish

Ages Eligible for Study
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Minimum Age: 45 Years
Maximum Age: 76 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Biodex Balance Group<br>This group performed exercises using the biodex balance system | Device: Biodex Balance Exercise System<br>* Patients in the intervention group (n=14) performed exercises using the computerized BBS. The control group (n=13) was just informed about diabetes self-management.<br>|
| No Intervention: Control Group<br>This group was informed about diabetes self-management. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The effect of biodex balance training on muscle strength was evaluated. | Muscle test was evaluated with a manual dynamometer. The measurements of both groups before and after the training were compared. | Change from baseline to 8 weeks | 
| The effect of biodex balance training on protective senses | Protective senses was assessed with monofilament and 128 Hz tuning fork | Change from baseline to 8 weeks | 
| The effect of biodex balance training on motor nerves | Nerve conduction test was assessed with electromyograph | Change from baseline to 8 weeks |