Ankle Proprioceptive Training In Patients With Diabetic Peripheral Neuropathy
- Conditions
- Diabetic Peripheral Neuropathy
- Interventions
- Other: Ankle proprioceptive training (APT)Other: Balance training (BT)
- Registration Number
- NCT05848180
- Lead Sponsor
- Riphah International University
- Brief Summary
Diabetes being a very prevalent condition results in various complications including neuropathy, which can impair various functional outcomes in patients including balance. Ankle proprioceptive training (APT) is an intervention that is used to tackle this problem. The study will compare APT with standard balance training in subjects with diabetic neuropathy.
- Detailed Description
The study will include the diagnosed diabetic subjects with score of 4 or more on Douleur neuropathique 4 questionnaire (DN4Q). The subjects will be randomly divided into 2 groups; interventional group and control group. Interventional group will receive APT 3 days a week for 8 weeks. Balance training exercises will be given to both groups 3 days a week for 8 weeks. The assessments will be done at baseline, after 4 weeks and after 8 weeks of interventions.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 62
- Known case of diabetic peripheral neuropathy (DPN),
- Patients who met the criteria of DN4 scored equal or greater than 4.
- Patients who have positive SHARPEND ROMBERG TEST
- Patients with DVT
- orthostatic hypotension
- Any recent surgery of lower limb
- Amputies
- Patients with crutches or walking aids
- Patients with gangrene
- Lower BMI
- Acute systemic illness
- Vestibular impairment
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Iinterventional group Ankle proprioceptive training (APT) Ankle proprioceptive and balance training 3 days a week for 8 weeks. control group Balance training (BT) Balance training 3 days a week for 8 weeks. Iinterventional group Balance training (BT) Ankle proprioceptive and balance training 3 days a week for 8 weeks.
- Primary Outcome Measures
Name Time Method Mini BESTest At 8 weeks Mini BESTest is a 27-item physical performance test that distributes the items among the six sub-systems of static and dynamic balance, including stability limits/verticality, biomechanical constraints, anticipatory postural adjustments, postural responses, sensory orientation and stability in gait.
Sharpened Romberg (SR) At 8 weeks The Sharpened Romberg (SR) has been proposed as a quick screening tool for balance. SR requires the client to stand in tandem, with the heel of one foot touching the toe of the other foot, for 30 or 60 seconds.
Douleur Neuropathique en 4 (DN4) Questionnaire At 8 weeks The Douleur Neuropathique 4 (DN4) Questionnaire is a screening tool for neuropathic pain that includes physical exams and 10 interview questions (DN4-interview). As referred in its original version scores lower than 4 were defined negative and 4 or more as positive.
Unilateral stance test At 8 weeks Unilateral stance test is used for postural stability. The participant must stand unsupported on one leg. Participants are more likely to fall hurt if they can't maintain the one-leg position for at least five seconds.
Douleur Neuropathique 4 (DN4) Questionnaire Baseline The Douleur Neuropathique 4 (DN4) Questionnaire is a screening tool for neuropathic pain that includes physical exams and 10 interview questions (DN4-interview). As referred in its original version scores lower than 4 were defined negative and 4 or more as positive.
The Falls Efficacy Scale International (FES-I) At 8 weeks The Falls Efficacy Scale International (FES-I) measures people's fear about falling. FES-I scores ranging from minimum 7 (no concern about falling) to maximum 28 could be used as a rapid screening tool to evaluate a person's self-reported fear of falling.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Capital developmental authority hospital
🇵🇰Islamabad, Islamabad Capital Territory, Pakistan