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Набор скоро начнётся NCT07293507

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

Без фазы С лечением Diabetes Mellitus Type 2

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: Modified Otago Exercises, Dynamic neuromuscular stabilization exercises.
Кому может быть актуально
Состояния в реестре: Diabetes Mellitus Type 2. Базовые параметры: от 60 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Пакистан
Следующий шаг
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Официальное название

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

Обзор

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.

Подробное описание

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.

Вмешательства

  • Другое 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
  • Другое 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

Первичные конечные точки

  • Katz Index of Independence in Activities of Daily Living [Срок оценки: Baseline, after 6th week, after 12th week]
  • Berg Balance Scale [Срок оценки: Baseline, After 6th week, After 12th week]

Критерии участия

Критерии включения

  • 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.

Критерии исключения

  • 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.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение
Рандомизированное
Модель
Параллельные группы
Маскирование
Тройное слепое
Основная цель
Лечение

Центры проведения

Пакистан · 1 центр
  • imran idrees teaching hospital daska Road sialkot, Dar ul shifa hospital sialkot — Sialkot

Идентификаторы

NCT: NCT07293507 · 7424 ZUNAIRA SALEEM BUTT

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗