Effectiveness of Strategy-Specific Balance Training with Sensory Feedback in Diabetic Neuropathy Patients

Abstract

Introduction: Diabetic neuropathy causes illness, pain, and sensory loss, mainly in the lower limbs. It affects 50% of
diabetic patients and causes functional imbalance. Impaired foot sensation, proprioception, and joint position percep
tion contribute to imbalance in chronic neuropathic patients, causing postural instability and reduced balance. Balance
disorders affect 16% of diabetics and worsen with disease severity. Addressing imbalance is crucial for individuals with
DPN, impacting reflexes, coordination, and gait control.
Methods: A study on 30 subjects aged 30-60 examined balance disturbances and fall risk. It was conducted at Sri Ra
machandra Institute, Department of Endocrinology, and old age homes in Chennai. Subjects were divided into inter
vention (n=15) and control groups (n=15) based on inclusion criteria. A DNS score of 1+ was included in the mini-best
outcome measures assessment.
Results: Statistical significance was found in both groups (p<0.001) using strategy-specific balance and conventional
training. The post-test score increased from 15.3 to 19.4, showing significant differences between the groups.
Conclusion: Strategy-specific Balance Training and Conventional exercise are efficacious in improving balance and re
ducing the risk of falls in Diabetic Neuropathy patients.