Involvement of distal regions of limbs in type 2 diabetic patients with peripheral neuropathy. Type 2 diabetes mellitus with neurological complications
Conditions
Interventions
Ankle proprioception exercise composed of training on the rocker and wobble boards and on both feet. Rocker board exercise will perform in both plantar & dorsi, right & left directions. Each exercise
Sponsors
Shahid Beheshti University of Medical Sciences
Eligibility
Sex/Gender
All
Age
40 Years to 65 Years
Inclusion criteria
Inclusion criteria: Patients aged 40 to 65 years old with type 2 diabetes and neuropathy Patients with ability to walk at least 10 meters without assistance Fasting Blood Sugar=126 mg/dl or 7 mmol/l A1c between 7 to 9 Manual muscle test with degree = 3 in plantars, dorsi flexors, evertors, and invertors Minimum Visual test scale should be 20/40 at dominant eye Vibratory perception test with diapason (difference in absence vibratory perception between assessors and patients > 10 seconds) Skin pressure perception test with monofilament Body Mass Index between 25- 29.9 The absence of diabetic ulcers in either foot or ankle during the study The absence of severe pain in the lower extremities during the study The patients should not be involved in regular physical training during the previous 3 months
Exclusion criteria
Exclusion criteria: Lower extremity fracture Lower extremity dislocation Surgery or Lower extremity amputation Cardiac autonomic neuropathy ( drop in systolic blood pressure of 20 mmHg or diastolic blood pressure of 10mmHg within three minutes after changing the body position from supine to standing.) Non-diabetic neuropathies Vestibular system disease Internal ear infections Other neurological pathologies Sever vascular disease (palpation of the posterior of tibial artery and dorsalis pedis )
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Blood sugar. Timepoint: At the begining of the research. Method of measurement: Glucometer.;Stability Index " Anterior Posterior(AP), Medial Lateral ( ML) and Overall ". Timepoint: At the begining of the research , After 2 weeks, After intervention (After 10 Sessions ), After 2 weeks follow up. Method of measurement: Biodex Balance System.;Physical performance. Timepoint: At the begining of the research , After 2 weeks, After intervention (After 10 Sessions ), After 2 weeks follow up. Method of measurement: Functinal performance tests ( Functional Reach Test, Time Up and Go Test test ).;Vibratory perception, Skin pressure perception, Achilles tendon reflex. Timepoint: At the begining of the research , After 2 weeks, After intervention (After 10 Sessions ), After 2 weeks follow up. Method of measurement: 128 Hz diapason, Monofilament, Hammer Reflex. | — |
Secondary
| Measure | Time frame |
|---|---|
| Neuropathy assessment. Timepoint: At the begining of the research, After 2 weeks, After intervention ( After 10 sessions), After 2 weeks follow up. Method of measurement: Valk questionnaire (10 questions ).;Neuropathy assessment. Timepoint: At the begining of the research, After 2 weeks, After intervention ( After 10 sessions), After 2 weeks follow up. Method of measurement: Michigan questionnaire ( includs two parts of the history and physical assessment ).;Light Touch Sense. Timepoint: At the begining of the research, After 2 weeks, After intervention ( After 10 sessions), After 2 weeks follow up. Method of measurement: Brushing. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMahdieh Ravand
Shahid Beheshti University of Medical Sciences
Outcome results
None listed