Effectiveness of Upper Limb Exercises in Patients with Type 2 Diabetes Mellitus

Not yet recruiting

Conditions: Type 2 diabetes mellitus with unspecified complications,

Registration Number: CTRI/2021/06/034188

Lead Sponsor: Guru Jambheshwar University of Science and Technology Hisar

Brief Summary: Diabetes Mellitus is one of the most prevalent metabolic health disease characterized by chronic and persistent hyperglycemia which affects approximately 425 million adults worldwide and its incidence is rising at very high pace in low and middle income countries .Currently, it has become an important health condition and increasing prevalence globally, particularly in Asia.Upper limb is one of the important target for musculoskeletal complications in patients with T2DM and these musculoskeletal complications also contribute to loss in quality of life in these patients .Hand complications in patients with T2DM may affect activities of daily living and lead to disabilities in self-care activities, reduced interpersonal interactions, loss of independence overall reduced quality of life. Therefore, the present study intends to find out the effect of strength training and sensorimotor training on various parameters in patients with T2DM.

**Aim of the study**

To determine the effect of strength training and sensorimotor training on strength , muscular activation , nerve conduction velocity , and functional disability of upper limb in patients with Type 2 Diabetes mellitus

**Need of the study**

Diabetes Mellitus is one of the largest global public health emergencies of 21st century and India being the diabetes capital as per WHO. Diabetic foot has always been a point of worry for treatment by physicians but complications like shoulder disability and diabetic hand syndrome has not have gained enough recognition . The functioning of hands and the patientâ€™s ability to self-care affects coping with the disease, performing everyday activities, preparing and eating meals, administering insulin injections, measuring blood glucose levels, as well as overall quality of life .

**Procedure:**

All participants will be allocated into three groups through computer generated random number tables. Participants will divided into three groups . Group A will be asked to perform Upper limb Strengthening exercises , Group B will receive Sensorimotor intervention ,and GroupC will be Control group and do only warm up exercises. Pre and Post intervention data will include analysis of Strength by hand held dynamometer , muscle activation by EMG, nerve conduction by NCV and functional disability by SPADI Questionnaire of all three groups .

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 90

Inclusion Criteria

Patients with Type 2 diabetes mellitus 2.
Age group: 35-65 years 4.
Both male and females.

Exclusion Criteria

Patients with any neurological or musculoskeletal disorders that may interfere with collection of data.
Patients with other type of neuropathy.
Trauma in the course of nerve in upper limb 4.
Uncontrolled hypertension 5.
Visual impairments 6.
Vestibular dysfunction 7.
Severe anxiety, depression and mental retardation.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Muscle activation	Baseline , 6th and 10th week
Nerve conduction velocity	Baseline , 6th and 10th week
Shoulder pain and Functional disability	Baseline , 6th and 10th week
Strength	Baseline , 6th and 10th week

Secondary Outcome Measures

Name	Time	Method
Manual dexterity	Baseline , 6th and 10th week

Trial Locations

Locations (1): Room No 1, OPD Deparment of Physiotherapy
🇮🇳
Hisar, HARYANA, India
Room No 1, OPD Deparment of Physiotherapy
🇮🇳Hisar, HARYANA, India
Mamta Boora
Principal investigator
8683810061
mamtaboora50@gmail.com