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Do diabetic neuropathy patients benefit from balance training? . Mohammad Akbari, PhD; Hassan Jafari, PhD, PT; Afsaneh Moshashaee, MSc; Bijan Forugh, MD. Aim Investigate effects of balance exercises on sway indices in diabetic patients with neuropathy. Relevance
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Do diabetic neuropathy patients benefit from balance training? Mohammad Akbari, PhD; Hassan Jafari, PhD, PT; Afsaneh Moshashaee, MSc; Bijan Forugh, MD
Aim • Investigate effects of balance exercises on sway indices in diabetic patients with neuropathy. • Relevance • Peripheral neuropathy is common complaint of diabetes. • Peripheral neural damage in turn will cause balance impairments in diabetic patients.
Methods • Examined 10 diabetic patients with peripheral neuropathy and 10 nondisabled age-matched subjects for balance abilities. • Used Biodex Balance System. • Experimental group • Performed 10 sessions of Biodex stability and rocker and wobble-board training with eyes open and closed. • Retested after intervention.
Results • Overall stability index and anterior-posterior stability index were significantly decreased after intervention in experimental group during different conditions. • Balance indices were significantly higher in experimental group than in control group before intervention. • No significant difference in indices between the two groups after intervention.
Conclusions • Balance training can improve stability indices in diabetic patients with neuropathy. • These patients rely more on visual inputs, so training should emphasize closed-eye exercises.