Effectiveness of Tele-Rehabilitation-Based Balance Training for Balance Dysfunction in Children With Juvenile Diabetes: A Randomized Controlled Trial

The thesis investigates the effectiveness of a tele-rehabilitation-based balance training program for children aged 10–18 years with juvenile (type 1) diabetes who have had the illness for at least five years. These children are at high risk for subclinical balance and vestibular dysfunctions due to chronic hyperglycemia-related neuropathic complications. In this randomized controlled trial, eligible participants are randomized into an intervention group—receiving supervised tele-rehabilitation balance exercises thrice weekly for 4 weeks—and a control group—receiving standard care and education only. Balance is assessed pre- and post-intervention primarily using the Balance subtest of the Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (BOT-2), a validated pediatric tool, and changes in glycemic control (HbA1c) are also monitored. The study aims to determine whether a structured, remotely delivered program can significantly improve balance and postural control compared to routine care, and to assess feasibility and acceptability in this pediatric cohort