Effect of sensorimotor training on balance measures and proprioception among middle and older age adults with diabetic peripheral neuropathy

Ahmad, Irshad; Noohu, Majumi M.; Verma, Shalini; Singla, Deepika; Hussain, M. Ejaz

doi:10.1016/j.gaitpost.2019.08.018

Cited by 63 publications

(74 citation statements)

References 43 publications

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“…The achieved results indicated that the explored patients' pain intensity was decreased after conducting 12 weeks of SME; thus, it supports our first hypothesis and is consistent with the study of Ahmed et al [26] and inconsistent with the study of McCaskey et al [29]; this inconsistency may be due to the short duration of the intervention (4 weeks). Pain relief could be related to two mechanisms The firs: the mechanism is due to muscle balance created after SME in the vastus medialis and lateralis muscles.…”

Section: Discussionsupporting

confidence: 84%

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The Effects of 12-Weeks of Sensorimotor Exercise on Pain, Strength, Pelvic Drop, and Dynamic Knee Valgus in Males With Patellofemoral Pain Syndrome

Yalfani

Ahmadi

Gandomi

2020

PTJ

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Purpose: Patellofemoral Pain Syndrome (PFPS) is among the most prevalent complaints observed in healthcare clinics. This group of patients encounters Pelvic Drop (PD) and Dynamic Knee Valgus (DNV); its’ causes have been reported as pain and decreased muscle strength. The current study aimed to explore the effects of a 12-week Sensorimotor Exercise (SME) on pain, strength, PD, and DNV in males with PFPS. Methods: This randomized double-blind clinical trial involved 32 patients with PFPS. The study samples were randomly divided into the experimental (n=16) and control (n=16) groups. To assess pain, the Visual Analogue Scale (VAS) was used. Moreover, quadriceps muscle strength was measured by the hip abductor hand dynamometer. To analyze PD and DNV, camera and Kinova software were used during stairs descent. The experimental group performed 12 weeks of SME for 3 one-hour weekly sessions. However, the control group received no therapeutic intervention during this time. The obtained data were analyzed in SPSS using Analysis of Covariance (ANCOVA). Results: The data analysis results suggested that pain significantly reduced in the experimental group, compared to the control group, after twelve weeks of SME (P<0.001). Besides, quadriceps muscle strength (P<0.002) and hip abductor muscle strength (P<0.001) improved, and PD angle (P<0.002) and DNV (P<0.003) were reduced. Conclusion: SME reduced pain and facilitated the frequency and time of muscle activation. It also increased the strength of the gluteus medius muscle as the main stabilizer of the pelvis chain and led to a reduction in PD and DNV. Thus, SME could be used as a comprehensive protocol treatment to improve various disorders in patients with PFPS.

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Section: Discussionsupporting

confidence: 84%

“…The control group received no treatment program and did not use analgesics. SME was selected based on a previous study [24] and all designed movements were extracted from valid studies and sources [24][25][26][27][28]. This treatment protocol included three stages; static, dynamic, and functional.…”

Section: Plain Language Summarymentioning

confidence: 99%

The Effects of 12-Weeks of Sensorimotor Exercise on Pain, Strength, Pelvic Drop, and Dynamic Knee Valgus in Males With Patellofemoral Pain Syndrome

Yalfani

Ahmadi

Gandomi

2020

PTJ

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“…On this basis, it seems that the effect of exercise intervention on TUGT might be better in T2DM patients than T2DM patients with DPN. However, several recent trials 27 , 45 , 46 concluded that exercise interventions (sensorimotor training, strength and balance training, video game-base exercise) exerted positive differences on TUGT performance in T2DM patients with DPN. This reminds the future analysis could conduct subgroup analysis based on different participants (T2DM with or without DPN) if there are enough studies.…”

Section: Discussionmentioning

confidence: 99%

The Effects of Exercise Interventions on Balance Capacity in Patients with Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis

Qin

Zhao²,

Chen

et al. 2021

INQUIRY

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The effect of exercise intervention on balance capacity among type 2 diabetes mellitus (T2DM) patients has not been evaluated. The objective of this systematic review and meta-analysis is to investigate the effect of exercise intervention on balance capacity among T2DM patients compared to the control group (usual care, waitlist, no-treatment, education). We conducted a comprehensive literature search through PubMed, EMBASE, Physiotherapy Evidence Database (PEDro), Cochrane library, Web of Science (WOS) from inception to August 2020. The literature language was limited to English. Randomized controlled trials (RCTs) or quasi-experimental (Q-E) trials that examined the effect of exercise intervention on balance capacity among T2DM patients were included. We used the standard methods of meta-analysis to evaluate the outcomes of exercise intervention for balance capacity of T2DM patients. A total of 14 trials (11 RCTs and 3 Q-E trials) involving 883 participants were eligible. The meta-analysis of some studies demonstrated that exercise intervention could significantly improve Berg Balance Scale (BBS) (MD = 2.56; 95%CI [0.35, 4.77]; P = .02), SLST (Single Leg Stance Test) under the eyes-open (EO) condition (MD = 3.63; 95%CI [1.79, 5.47]; P = .0001) and eyes-close (EC) condition (MD = 0.41; 95%CI [0.10, 0.72]; P = .01) compared to control group. There was no significant difference in Time Up and Go Test (TUGT) (MD = −0.75; 95%CI [−1.69, 0.19]; P = .12) and fall efficacy (SMD = −0.44; 95%CI [−0.86, −0.01]; P = .05). Narrative review of some studies indicated that exercise intervention could improve postural stability measured by Sensory Organization Test (SOT) and Center of Pressure (COP) variables, etc. This systematic review and meta-analysis summarized that exercise intervention could improve balance capacity in T2DM patients. However, further studies with high quality are required to evaluate its effect.

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“…Most of the articles included patients from 45 to 65 years old. There were 16 articles that included patients aged over 40 years [22,[24][25][26]28,29,[33][34][35][36][37][38][39][40][41][42]. In addition, six articles included patients older than 18 [23,[43][44][45][46][47], while seven did not specify the age for the selection of their sample [27,[30][31][32][48][49][50].…”

Section: Samplementioning

confidence: 99%

Exercise and Manual Therapy for Diabetic Peripheral Neuropathy: A Systematic Review

et al. 2021

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(1) Background: Diabetic peripheral neuropathy (DPN) is one of the most common complications of diabetes mellitus (DM). Control of hyperglycaemia as well as surgical decompression are effective treatments for these patients. However, surgery is not indicated for all candidates. Manual therapy and physical exercise have been shown to be effective for peripheral neuropathies, and exercise for DM. The aim is to review the effectiveness of manual therapy and/or exercise in patients with DPN. (2) Methods: Randomised controlled clinical trials comparing the effects of manual therapy and/or exercise on pain, function and/or balance were selected. The search strategy was performed in PubMed, PEDro, Scopus, Cochrane and Web of Science databases. The PRISMA statement was followed. (3) Results: A total of 656 articles were registered, and 29 were selected. There was little consensus on DPN criteria selection. Aerobic, strength and balance exercises are beneficial for DPN. Sessions of 30–60 min, three times per week for 8 weeks seems to be the most used dose. Manual therapy is effective in the short term. A combination of both modalities was more beneficial than alone in one study. (4) Conclusions: Exercise and manual therapy are beneficial for patients with DPN. More studies should be carried out for analysing the potential effect of combining manual therapy and exercise.

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Effect of sensorimotor training on balance measures and proprioception among middle and older age adults with diabetic peripheral neuropathy

Cited by 63 publications

References 43 publications

The Effects of 12-Weeks of Sensorimotor Exercise on Pain, Strength, Pelvic Drop, and Dynamic Knee Valgus in Males With Patellofemoral Pain Syndrome

The Effects of 12-Weeks of Sensorimotor Exercise on Pain, Strength, Pelvic Drop, and Dynamic Knee Valgus in Males With Patellofemoral Pain Syndrome

The Effects of Exercise Interventions on Balance Capacity in Patients with Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis

Exercise and Manual Therapy for Diabetic Peripheral Neuropathy: A Systematic Review

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