Effects oF Resistive Exercise or Proprioceptive Exercise Training on Balance and Superficial Sense of Patients With Type 2 Diabetes Mellitus
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Type 2 Diabetes Mellitus
- Sponsor
- Yeditepe University
- Enrollment
- 33
- Primary Endpoint
- Dynamic balance assessment
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
The aim of the study is to investigate proprioceptive exercises training combined with aerobic exercises and resistive exercises training combined with aerobic exercises on dynamic balance and superficial sense. The patients were randomly divided into Proprioceptive Exercise Training Group (PG) (n=15) and Resistive Exercise Training Group (RG) (n=15). All subjects were included exercise education program and both groups had trained aerobic exercise program for walking on treadmill (2times/wk. 6 week duration).
Detailed Description
The aim of the study is to investigate proprioceptive exercises training combined with aerobic exercises and resistive exercises training combined with aerobic exercises on dynamic balance and superficial sense. The study included 30 volunteers with Type 2 Diabetes Mellitus(T2DM) who were referred to Fitness Center Arif Nihat Asya Kültür Merkezi Istanbul, Turkey by a medical doctor between December 2016- March 2017 and got diagnosed and followed up at least 6 month before. Glycemic control of all the participants were assessed according to fasting blood glucose and glycolated hemoglobin (HbA1c). Waist and hip circumference was recorded in centimeters. Six minute walking test (6MWT) was used to determine functional capacity of participants. We evaluated the dynamic balance of patients by Prokin PK200, Italy. Five parameters were obtained from Prokin as; Perimeter Length (PL), Area gap percentade (AGP) Medium Speed (MS), Anteroposterior equilibrium (AP) and Mediolateral equilibrium (ML). Proprioception assessment was done with angle reproduction test in direction of dorsiflexion and plantar flexion and deviations were recorded. Superficial sense was assessed with two point discrimination test and vibration threshold was evaluated by biothesiometer. Lower extremity muscles strength were assessed with handheld dynamometer (PowerTrack II commander, JTech Medical, Midvale, UT). The patients were randomly divided into Proprioceptive Exercise Training Group (PG) and Resistive Exercise Training Group (RG). All subjects were included exercise education program and both groups had trained aerobic exercise program for walking on treadmill (2times/wk. 6 week duration). The proprioceptive exercise program was applied in PG and the resistive exercise program was applied in RG twice a week and for duration 6 week.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Participating to the study in a voluntary basis
- •Patients with 30-60 years old
- •Getting diagnosed with Type 2 Diabetes Mellitus (DM) at least 6 months.
Exclusion Criteria
- •Unstable cardiac condition
- •Uncontrolled Diabetes Mellitus
- •Uncontrolled Hypertension
- •Symptomatic Heart Failure, unstable angina
- •Peripheral Arterial Occlusive Disease
- •Diabetic foot ulcers
- •Part/total foot amputation
- •Myocardial infarction within 3 months prior to study
- •Coronary Artery Bypass within 3 months prior to study
- •Cerebrovascular ischemia/stroke (including TIA) within 3 months of study
Outcomes
Primary Outcomes
Dynamic balance assessment
Time Frame: 6 weeks
Prokin PK 200 was used for dynamic balance assessment
Change in fasting blood glucose level
Time Frame: 6 weeks
It was evaluated for metabolic control with patient's routine controls in their clinics follow-up. At the end of the study, this metabolic variable was evaluated again in order to observe changes
Six minute walking test
Time Frame: 6 weeks
Functional capacity of the patients was evaluated through 6 minute walking test
Change in HbA1c level
Time Frame: 6 weeks
It was evaluated for metabolic control with patient's routine controls in their clinics follow-up. At the end of the study, this metabolic variable was evaluated again in order to observe changes
Waist and Hip Circumferences
Time Frame: 6 weeks
It represents risks for cardiovascular diseases.
Lower Extremity Muscle Strength
Time Frame: 6 weeks
Commander myometer was used for muscle strength assessment
Proprioception Assesment
Time Frame: 6 weeks
Angle reproduction test was used
Two Point Discrimination Test
Time Frame: 6 weeks
aesthesiometer was used to determine two point discrimination sensation
Vibration Perception Threshold Assessment
Time Frame: 6 weeks
Biothesiometer was used for determining vibration perception threshold