EFFECT OF TASK ORIENTED TRAINING ON POSTURAL STABILITY IN PATIENTS WITH TYPE (II) DIABETIC NEUROPATHY

Shendy W.1, Abou-Shady N.1, El Gohary A.2, Metwally A.M.3, Mourad H.S.4
1Faculty of Physical Therapy Cairo University, Neurology, Cairo, Egypt, 2Faculty of Medicine Cairo University, Neurology, Cairo, Egypt, 3Faculty of Physical Therapy October 6 University, Neurology, Cairo, Egypt, 4Faculty of Medicine,Cairo university, Neurology, Cairo, Egypt

Background: Diabetic peripheral neuropathy (DPN), the most common complication, is present in up to half of the people with diabetes, leading to sensory and autonomic motor impairment, and possibly increasing the risk of falling. Sensorimotor cortex is responsive to peripheral and central stimulation by mechanisms that are important for learning motor tasks.

Purpose: To investigate the effect of task oriented training on postural stability in patients with type (II) diabetic neuropathy.

Methods: Thirty diabetic neuropathic patients were assigned into two equal groups (group I and II): group (I) received task oriented training in addition to selected physical therapy program (Wobble board training, range of motion, stretching exercises and gait training) while group (II) received selected physical therapy program only. Patients were assessed using Biodex stability system including postural stability test and clinical tests (berg balance scale, functional reach test, and time up and go test).

Results: This study revealed that there was significant difference of the mean values of the "post" treatment between both groups with (p=0.0001*) and this significant improvement in favor of group (I) than group (II).

Conclusion(s): Task oriented training could be considered a valuable and non-invasive method for improving postural stability in patients with type II diabetic neuropathy.

Implications: Among diabetic neuropathy patients risk of falling is most common problem. Task oriented training can improve balance which reduce falling.

Funding acknowledgements: None

Topic: Neurology

Ethics approval: This study was approved by the Ethics Committee of Cairo University, Egypt.


All authors, affiliations and abstracts have been published as submitted.

Back to the listing