Health Condition 1: E114- Type 2 diabetes mellitus with neurological complications
Conditions
Interventions
Intervention1: Sensory Motor Training with Foot Care Education: The exercise was conducted thrice a week for eight weeks (total 24 sessions).Each exercise session lasted approximately 65 70 minutes,
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Sponsors
Praveen D
Eligibility
Inclusion criteria
Inclusion criteria: (a) Male and female participants aged 45 to 75 years diagnosed with diabetic peripheral neuropathy by a physician and having diabetes mellitus for at least 5 years. (b) Participants with MNSI questionnaire scores between 3 and 8 and MNSI physical assessment scores between 2 and 6, indicating mild to moderate diabetic peripheral neuropathy. (c) Participants with Mini BESTest scores ranging from 15 to 26, indicating mild to moderate balance impairment. (d) Participants able to walk independently with or without an assistive device and capable of performing gait and balance assessments including Mini BESTest. (e) Participants with stable glycemic control for at least three months prior to enrollment. (f) Participants willing to participate in exercise sessions and provide written informed consent.
Exclusion criteria
Exclusion criteria: (a) Participants with foot ulcers. These conditions alter weight bearing and proprioceptive input and may cause pain or injury during training tasks, thereby compromising safety and data reliability. (b) Participants with orthopedic or surgical problems in the lower limb. (c) Participants with other neurological impairments. These disorders independently influence proprioception and movement control, which could obscure the specific effects of Sensorimotor Training or Multicomponent Physical Exercise interventions. (d) Participants with major vascular complications. (e) Participants with severe retinopathy. (f) Participants unable to walk independently with or without an assistive device. (g) Participants receiving any structured supervised physiotherapy intervention.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| MINI-BESTEST (MINI-BALANCE EVALUATION SYSTEMS TEST) Description :A clinical tool that assesses dynamic balance control through 14 items covering anticipatory, reactive, sensory orientation, and dynamic gait tasks. Purpose: Evaluates balance control across multiple systems anticipatory, reactive, sensory, and dynamic gait especially in diabetic peripheral neuropathy (DPN).Timepoint: Outcome will be assessed at Baseline and 8 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| MICHIGAN NEUROPATHY SCREENING INSTRUMENT PART-A QUESTIONAIRRE - symptom questionnaire consisting of 15 yes/no questions .Measure Neuropathy symptomsTimepoint: Outcome will be assessed at Baseline & 8 weeks;MICHIGAN NEUROPATHY SCREENING INSTRUMENT PART-B PHYSICAL ASSESSMENT-evaluates foot appearance, the presence of ulcers, ankle reflexes, & the sense of vibration.Timepoint: Outcome will be assessed at Baseline & 8 weeks;LOWER EXTREMITY FUNCTIONAL SCALE (LEFS) - Measures Functional MobilityTimepoint: Outcome will be assessed at Baseline & 8 weeks | — |
Countries
India
Contacts
Public ContactPraveen D
Chettinad Academy of Research and Education, Chettinad School of Physiotherapy
Outcome results
None listed