International Journal of Healthcare Sciences ISSN 2348-5728 (Online) Vol. 9, Issue 2, pp: (251-256), Month: October 2021 - March 2022, Available at: www.researchpublish.com
EFFECT OF MULTISENSORY TRAINING ON BALANCE, GAIT AND QUALITY OF LIFE IN SUBJECTS WITH DIABETIC NEUROPATHY V. Manoja1, Sudheera Kunduru*2 1
MPT, Physiotherapist, Sishuvihar, Department of Women Development and Child Welfare, Hyderabad, Telangana, India. Email id: manoja.physio@gmail.com 2
Associate Professor, Padmashree Institute of Physiotherapy, Bangalore, Karnataka, India.
*Corresponding Author: Sudheera Kunduru, Associate Professor, Padmashree Institute of Physiotherapy, Sulikere Post, Kommaghatta, Kengeri, Bangalore – 560060, Karnataka, India. Email id: sudheera.physio@gmail.com Source of Data: Padmashree Physiotherapy Clinic, Padmashree Diagnostics and ESIC Model Hospital, Bangalore. Ethical Clearance: Obtained from the Institutional Ethical Committee of Padmashree Institute of Physiotherapy.
Abstract: Background: Diabetic Neuropathy causes superficial and deep sensitivity of the lower limbs, resulting in deficient balance and postural control. Mobility of the foot and ankle joints is often affected and altered plantar pressure is observed in these individuals. Objective: To determine the effect of multisensory training on balance, gait and quality of life in subjects with diabetic neuropathy. Methodology: 30 subjects with Diabetic Neuropathy were recruited and divided into two groups. Experimental group received multisensory training and while the control group received conventional exercises for 6 weeks. Both the groups received health education on diabetes for 30 min each week during the 6 week intervention duration. Balance, gait and quality of life were assessed prior and post-intervention using Timed Up and Go test, Dynamic Gait Index and Generic Quality Of Life Measure: Health Status Questionnaire (SF36). Results: It was observed that all the scores improved in both the groups, post-intervention (p<0.001). When the scores were compared between the groups, the TUG scores improved better in the experimental group than the control group (p<005). DGI and SF36-PF (Physical Function), SF36-RP (Physical Role Function) scores did not show any statistical difference between the groups (p>0.05). Conclusion: Multisensory training is effective in improving balance, gait and quality of life in subjects with diabetic neuropathy and can be an integral part of rehabilitation. Keywords: Diabetic Neuropathy, Multisensory training, Balance, Gait, Quality of life.
1. INTRODUCTION Diabetes Mellitus (DM) is a metabolic disorder characterized by chronic hyperglycemia caused by defect in insulin secretion, its action or both.1 It is a public health concern, with great social and economic cost.2 While Type 1 Diabetes is caused due to lack of insulin secretion, decreased sensitivity of tissues to insulin is the cause for Type 2 Diabetes.1 One of
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