MOE and DNSE Effects on Balance and Activities of Daily Living Diabetic Peripheral Neuropathy

Effects of Modified Otago Exercises Versus Neuromuscular Dynamic Stabilization Exercises on Balance and Activities of Daily Living in Patients With Diabetic Peripheral Neuropathy

The purpose of this study is to compare the impact of Modified Otago Exercises and Dynamic Neuromuscular Stabilization Exercises on patients with diabetic peripheral neuropathy (DPN) using valid tools such as the Berg Balance Scale and the Katz Index of Independence in ADL. The results of our study will be helpful for clinical decision-making in terms of selecting specific physiotherapy treatment techniques in an attempt to improve their function, reduce their falls, and improve their independence specific to diabetes neuropathy.

Research into therapeutic exercise for patients with diabetic peripheral neuropathy (DPN) has grown over the past decade due to the increasing recognition of non-pharmacological strategies for reducing fall risk and restoring function. DPN is associated with altered gait, diminished proprioception, and increased postural sway, making balance-specific exercise programs a critical area of intervention.

Inclusion Criteria:

• 60 years of age and elderly.
• The Timed Up and Go score exceeds 10 seconds.
• Both men and women
• Individuals with type 2 diabetes and DPN.
• Patients diagnosed with diabetes from last 5 Years.
• Patients diagnosed with diabetic peripheral neuropathy with scores ≥ 4 on Michigan Neuropathy Screening Instrument (MNSI)
• Individuals with an ability to walk independently.

Exclusion Criteria:

• Individuals with neuropathies that are not caused by diabetes.
• Individuals with any neurological disorders that may affect their ability to balance.
• Participants suffering from any musculoskeletal disorders that result in discomfort and instability.
• A history of acute and chronic physiological, psychological, and mental disorders that may prevent exercise.
• Participants with unrelated orthopedics, surgical, or health conditions that impair physical movement and equilibrium, such as severe diabetic retinopathy were eliminated, as were those with active foot issues.
• Patients having serious complications of diabetes, such as amputation and patients who are unable to complete the entire program.