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Adults with diabetic peripheral neuropathy tend to fall more frequently than healthy population as a consequence of multiple sensorimotor and cognitive damages. In this protocol study, a randomized controlled trial is proposed using a sensorimotor intervention based on Feldenkrais method to improve somatosensory aspects and, therefore, postural control of participants.
Among all the systems suffering damage due to hyperglucemia toxicity in diabetes, somatosensory system, composed by proprioception and skin sensory receptors has a key role since it is in charge of the faster body reaction when a postural control response is needed. Despite of it, few studies have focused on this issue. This randomized controlled trial proposed a safe and easy training adapted to adults and old people with diabetic peripheral neuropathy. Pressure, touch, proprioception and graphesthesia sensibility were measured, as well as functionality in daily basis, quality of life and fear of falling.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| control | Active Comparator | control arm: usual care and foot care education. |
|
| experimental | Experimental | experimental arm: sensorimotor training, foot care education and usual care |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| sensorimotor training based on Feldenkrais method | Behavioral | 8 weeks of balance and sensorimotor training twice a week |
|
| Measure | Description | Time Frame |
|---|---|---|
| Cumulative Somatosensory Impairment Index | It measures proprioception, pressure and vibration sensitivity and graphesthesia to sum up somatosensory function in lower legs. Iti is ranging from 0 to 8 being 8 the worst result | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Up and Go test | postural control test | 2 years |
| Four Square Step test | ability walking in different directions | 2 years |
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Inclusion Criteria: having peripheral neuropathy and history of falls or risk factors for it. Current ulcer -
Exclusion Criteria: amputation and cognitive or mental issues
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| Name | Affiliation | Role |
|---|---|---|
| MARIA TERESA ANGULO CARRERA, DR | UNIVERSIDAD COMPLUTENSE MADRID | Study Director |
| NOEMI GONZALEZ PEREZ DE VILLAR, DR | HOSPITAL UNIVERSITARIO DE LA PAZ | Study Director |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39593566 | Derived | Jimenez-Mazuelas MJ, Gonzalez-Perez de Villar N, De Casas-Albendea S, Martinez-Gimeno L, Jimenez-Gonzalez S, Angulo-Carrere MT. Somatosensory and dynamic balance improvement in older adults with diabetic peripheral neuropathy through sensorimotor exercise: A multisite randomized controlled trial. J Bodyw Mov Ther. 2024 Oct;40:2062-2073. doi: 10.1016/j.jbmt.2024.10.041. Epub 2024 Oct 24. |
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| ID | Term |
|---|---|
| D010523 | Peripheral Nervous System Diseases |
| D020886 | Somatosensory Disorders |
| D020233 | Gait Disorders, Neurologic |
| D003920 | Diabetes Mellitus |
| ID | Term |
|---|---|
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
| D012678 | Sensation Disorders |
| D009461 | Neurologic Manifestations |
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2 arms and single blinded randomized controlled trial
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measurements and statistical analysis were made without knowing who participated in control or experimental group
| foot care education | Behavioral | Recommendations for preventing foot ulcers |
|
| usual care | Combination Product | drugs and diet usual care |
|
| Tinetti- Performance-Oriented Mobility Assessment (POMA-T) | static and dynamic postural control | 2 years |
| Falls Efficacy Scale | It measures the fear of falling, ranging from 0 to 64, being higher scores worst outcome results | 2 years |
| SF-36 Health Survey questionnaire , 1.4 version. | Quality of life health-related questionnaire | 2 years |
| Validated Spanish version of Short-Form Late-Life Function and Disability Instrument | It measures functional disabilities and frequency of daily life activities, ranging from 31 to 155 and being higher scores better outcome results. | 2 years |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |