Somatosensory Restoration and Postural Control Improvement in People With Diabetic Peripheral Neuropathy Applying Sensorimotor Training: a Multicentric Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Peripheral Neuropathy
- Sponsor
- Universidad Complutense de Madrid
- Enrollment
- 44
- Primary Endpoint
- Cumulative Somatosensory Impairment Index
- Status
- Completed
- Last Updated
- 3 years ago
Overview
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- •having peripheral neuropathy and history of falls or risk factors for it. Current ulcer -
Exclusion Criteria
- •amputation and cognitive or mental issues
Outcomes
Primary Outcomes
Cumulative Somatosensory Impairment Index
Time Frame: 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 Outcomes
- Four Square Step test(2 years)
- Up and Go test(2 years)
- SF-36 Health Survey questionnaire , 1.4 version.(2 years)
- Tinetti- Performance-Oriented Mobility Assessment (POMA-T)(2 years)
- Falls Efficacy Scale(2 years)
- Validated Spanish version of Short-Form Late-Life Function and Disability Instrument(2 years)