Ankle Proprioceptive Training In Patients With Diabetic Peripheral Neuropathy

Effect Of Ankle Proprioceptive Training On Balance And Risk Of Fall In Patients With Diabetic Peripheral Neuropathy

Diabetes being a very prevalent condition results in various complications including neuropathy, which can impair various functional outcomes in patients including balance. Ankle proprioceptive training (APT) is an intervention that is used to tackle this problem. The study will compare APT with standard balance training in subjects with diabetic neuropathy.

The study will include the diagnosed diabetic subjects with score of 4 or more on Douleur neuropathique 4 questionnaire (DN4Q). The subjects will be randomly divided into 2 groups; interventional group and control group. Interventional group will receive APT 3 days a week for 8 weeks. Balance training exercises will be given to both groups 3 days a week for 8 weeks. The assessments will be done at baseline, after 4 weeks and after 8 weeks of interventions.

Inclusion Criteria:

• Known case of diabetic peripheral neuropathy (DPN),
• Patients who met the criteria of DN4 scored equal or greater than 4.
• Patients who have positive SHARPEND ROMBERG TEST

Exclusion Criteria:

• Patients with DVT
• orthostatic hypotension
• Any recent surgery of lower limb
• Amputies
• Patients with crutches or walking aids
• Patients with gangrene
• Lower BMI
• Acute systemic illness
• Vestibular impairment