MOE and DNSE Effects on Balance and Activities of Daily Living Diabetic Peripheral Neuropathy
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Modified Otago Exercises, Dynamic neuromuscular stabilization exercises.
- Who it may be relevant to
- Registry conditions: Diabetes Mellitus Type 2. Basic parameters: from 60 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Pakistan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Effects of Modified Otago Exercises Versus Neuromuscular Dynamic Stabilization Exercises on Balance and Activities of Daily Living in Patients With Diabetic Peripheral Neuropathy
Overview
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.
Detailed description
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.
Interventions
- Other Modified Otago Exercises
The 30-minute Otago Exercise Program, involving both balance and strength training, followed by further 15 minutes of walking as part of the modified-OEP group intervention will be given. The 15-minute walk will be completed by walking continuously at an appropriate pace in the approximately 15-meter exercise room. Participants will be told to walk 15 meters, execute a U-turn to the left, walk 15 meters, and then execute a U-turn to the right at the next turning point to create the same effect o - Other Dynamic neuromuscular stabilization exercises
The Dynamic neuromuscular stabilization exercises (DNS) twice a week for 60 minutes each time for 12 weeks. A five-minute warm-up, a fifty-minute exercise plan, and a five-minute cool-down comprised the program. Static stretching was used for the cool-down and dynamic stretching for the warm-up. DNS training is conducted in three levels. Level 1 (1 to 4 weeks) includes: (1) dynamic stretching (2) baby rock (3) breathing (4) rolling. Level 2 (5 to 8 weeks) includes: (1) oblique sit (2) aqua bag t
Primary outcome measures
- Katz Index of Independence in Activities of Daily Living [Time frame: Baseline, after 6th week, after 12th week]
- Berg Balance Scale [Time frame: Baseline, After 6th week, After 12th week]
Eligibility criteria
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.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Triple blind
- Primary purpose
- Treatment
Study locations
Pakistan · 1 center
- imran idrees teaching hospital daska Road sialkot, Dar ul shifa hospital sialkot — Sialkot
Identifiers
NCT: NCT07293507 · 7424 ZUNAIRA SALEEM BUTT