Original Research Article
Year: 2022 | Month: July | Volume: 12 | Issue: 7 | Pages: 80-87
DOI: https://doi.org/10.52403/ijhsr.20220711
Effect of Balance and Core Strengthening Exercise on Fall, Activities of Daily Living and Quality of Life in Patients with Diabetic Peripheral Neuropathy-An Experimental Study
Sumeet Chikkale1, Dr. Aakanksha Joshi2
1Intern, College of physiotherapy, MMC, WH, Miraj, Maharashtra, India
2Associate Professor, College of physiotherapy, MMC, WH, Miraj, Maharashtra, India
Corresponding Author: Sumeet Chikkale
ABSTRACT
Background: Diabetic peripheral neuropathy [DPN] is one of the long-term complications of diabetes caused by peripheral motor and sensory nerve disfunction. The estimated prevalence globally of DPN is 13-68%.[3] Around 50% of diabetic patients with type 2 diabetes mellitus suffer from neuropathy. DPN disturbs the sensory and motor control system which eventually generation and control of the gait. Gait mechanics may be affected as a result. Reduce ROM, muscle strength and changes in gait mechanics [gait cycle, reduced cadence and gait speed] can lead to reduce mobility and increase fall of risk. Sensory and motor deficit are affected due to somatosensory changes which lead to continuous falling during activities of daily living.
Aim: To study the effect of balance and core strengthening exercise on fall, activities of daily living and quality of life in patients with diabetic peripheral neuropathy.
Methodology: The nature of the study and the intervention were explained to the participants. Their informed written consent were taken. 51 participants were selected based on the selection criteria. Prior and after the treatment the outcome measures that is Fall efficacy scale, Instrumental activities of daily living and Nottingham health profile were taken. Intervention protocol was given for 1 hour, 3 times a week for 4 weeks.
Outcome measures: Prior and after the treatment both the outcome measures, Fall efficacy scale, Instrumental activities of daily living and Nottingham health profile were taken.
Results: In reference to the results of the Wilcoxon test analysis at 5% significance level, there is a significant statistical reliable difference between the pre & post treatment values with p-value is less than the 5% significance level (i.e., 0.001 < 0.05) in the study and therefore it justifies the improvements in health outcome post intervention.
Conclusion: The present study concluded that balance exercises and core strengthening exercises proved to be beneficial for fall prevention and improving activities of daily living and quality of life in patients with diabetic peripheral neuropathy.
Key words: Diabetic peripheral neuropathy, Core strengthening, Balance, Risk of fall, Activities of daily living, Quality of life.