Peripheral Neuropathy, Sensorimotor Gait Disorder, Somatosensory Disorders
Conditions
Keywords
gait, diabetes, sensorimotor training, peripheral neuropathy, somatosensory system, postural control, quality of life, fear of falling, Feldenkrais method
Brief summary
Adults with diabetic peripheral neuropathy tend to fall more frequently than healthy population as a consequence of multiple sensorimotor and cognitive damages. In this protocol study, a randomized controlled trial is proposed using a sensorimotor intervention based on Feldenkrais method to improve somatosensory aspects and, therefore, postural control of participants.
Detailed description
Among all the systems suffering damage due to hyperglucemia toxicity in diabetes, somatosensory system, composed by proprioception and skin sensory receptors has a key role since it is in charge of the faster body reaction when a postural control response is needed. Despite of it, few studies have focused on this issue. This randomized controlled trial proposed a safe and easy training adapted to adults and old people with diabetic peripheral neuropathy. Pressure, touch, proprioception and graphesthesia sensibility were measured, as well as functionality in daily basis, quality of life and fear of falling.
Interventions
BEHAVIORALsensorimotor training based on Feldenkrais method
8 weeks of balance and sensorimotor training twice a week
BEHAVIORALfoot care education
Recommendations for preventing foot ulcers
COMBINATION_PRODUCTusual care
drugs and diet usual care
Sponsors
Universidad Complutense de Madrid
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Masking description
measurements and statistical analysis were made without knowing who participated in control or experimental group
Intervention model description
2 arms and single blinded randomized controlled trial
Eligibility
Sex/Gender
ALL
Age
55 Years to No maximum
Healthy volunteers
No
Inclusion criteria
having peripheral neuropathy and history of falls or risk factors for it. Current ulcer -
Exclusion criteria
amputation and cognitive or mental issues \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cumulative Somatosensory Impairment Index | 2 years | It measures proprioception, pressure and vibration sensitivity and graphesthesia to sum up somatosensory function in lower legs. Iti is ranging from 0 to 8 being 8 the worst result |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Four Square Step test | 2 years | ability walking in different directions |
| Tinetti- Performance-Oriented Mobility Assessment (POMA-T) | 2 years | static and dynamic postural control |
| Up and Go test | 2 years | postural control test |
| SF-36 Health Survey questionnaire , 1.4 version. | 2 years | Quality of life health-related questionnaire |
| Validated Spanish version of Short-Form Late-Life Function and Disability Instrument | 2 years | It measures functional disabilities and frequency of daily life activities, ranging from 31 to 155 and being higher scores better outcome results. |
| Falls Efficacy Scale | 2 years | It measures the fear of falling, ranging from 0 to 64, being higher scores worst outcome results |
Outcome results
None listed