Clinical trial NCT06397209: Comparative Effects of Propioceptive Neuromascular Facilitation and Neural Flossing in Diabetic Neuropathy
Official title: Comparative Effects of Propioceptive Neuromascular Facilitation and Neural Flossing on Balance and Gait in Diabetic Peripheral Neuropathy
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Diabetic Peripheral Neuropathy
Keywords: Diabetic Peripheral Neuropathy
Michigan Neuropathy Screening Instrument
Neural Flossing
Propioceptive Neuromascular facilitation
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-05-02
Enrollment: 50
Sex: ALL
Minimum age (years): 45
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: To compare the effects of propioceptive neuromascular facilitation and neural flossing on balance and gait in diabetic peripheral neuropathy.

Detailed description: In 2023,conducted systematic review to evaluate the effects of Tai Chi on postural control in people with PN. The meta-analysis found that Tai Chi therapy for people with PN resulted in a smaller sway area, in the double-leg stance with eyes closed test , than that observed in the control group, greater distance covered in the six-minute walking test and faster performance in the timed-up-and-go test, than the baseline. Tai chi effectively enhanced dynamic postural control in people with PN. However, no better effects on postural control from Tai Chi than from other rehabilitation approaches were observed in this study.

In 2023,compare the effects of Functional strength training Versus Neurodynamic exercises on Balance and Gait of patients with Diabetic Peripheral Neuropathy. Both Functional Strength Training Exercises and Neurodynamic Exercises were found to improve the Balance and Gait in patients with Diabetic Peripheral Neuropathy. However, the Functional Strength Training showed more significantly improvement in Balance and Gait subsequently reducing fall and fall risk injury.

As per researcher knowledge, there is no comprehensive study comparing the effects of Proprioceptive Neuromuscular Facilitation (PNF) and Neural Flossing on balance and gait in individuals with diabetic neuropathy. While both methods have been studied independently, a direct head-to-head comparison is needed. Understanding the advantages and limitations of each approach in the context of diabetic neuropathy could provide valuable insights for clinicians and researchers.

Eligibility criteria: Inclusion Criteria:

* Clinically Diagnosed with type I and II diabetes
* Patients 45 to 65 years of age
* The participants who scored \<3 as per the Michigan Neuropathy Screening Instrument (MNSI) were included in the study.
* Able to stand and walk without assistance

Exclusion Criteria:

* Patients have other neurological or orthopedic impairments (such as stroke,cerebral palsy, poliomyelitis, rheumatoid arthritis, prosthesis, or moderate or severe osteoarthritis)
* Major vascular complications (venous or arterial ulcers).
* Severe retinopathy
* Severe nephropathy that causes edema or requires haemodialysis

Primary outcomes:
measure: Berg balance scale
timeFrame: 8th week
measure: Dynamic Gait Index
timeFrame: 8th week
Secondary outcomes:
Other outcomes:
Locations:
city: Burewala
country: Pakistan
facility: Dhillon Surgical Hospital
state: Punjab
Study officials:
affiliation: Riphah International University (Lahore)
name: Sana Akram, DPT
role: PRINCIPAL_INVESTIGATOR
References:
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