J K Richardson1, D Sandman, S Vela. 1. Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI 48109-0718, USA. jkrich@umich.edu
Abstract
OBJECTIVE: To determine the effect of a specific exercise regimen on clinical measures of postural stability and confidence in a population with peripheral neuropathy (PN). DESIGN: Prospective, controlled, single blind study. SETTING:Outpatient clinic of a university hospital. PARTICIPANTS: Twenty subjects with diabetes mellitus and electrodiagnostically confirmed PN. INTERVENTION: Ten subjects underwent a 3-week intervention exercise regimen designed to increase rapidly available distal strength and balance. The other 10 subjects performed a control exercise regimen. MAIN OUTCOME MEASURES: Unipedal stance time, functional reach, tandem stance time, and score on the activities-specific balance and confidence (ABC) scale. RESULTS: The intervention subjects, but not the control subjects, showed significant improvement in all 3 clinical measures of balance and nonsignificant improvement on the ABC scale. CONCLUSION: A brief, specific exercise regimen improved clinical measures of balance in patients with diabetic PN. Further studies are needed to determine if this result translates into a lower fall frequency in this high-risk population.
RCT Entities:
OBJECTIVE: To determine the effect of a specific exercise regimen on clinical measures of postural stability and confidence in a population with peripheral neuropathy (PN). DESIGN: Prospective, controlled, single blind study. SETTING:Outpatient clinic of a university hospital. PARTICIPANTS: Twenty subjects with diabetes mellitus and electrodiagnostically confirmed PN. INTERVENTION: Ten subjects underwent a 3-week intervention exercise regimen designed to increase rapidly available distal strength and balance. The other 10 subjects performed a control exercise regimen. MAIN OUTCOME MEASURES: Unipedal stance time, functional reach, tandem stance time, and score on the activities-specific balance and confidence (ABC) scale. RESULTS: The intervention subjects, but not the control subjects, showed significant improvement in all 3 clinical measures of balance and nonsignificant improvement on the ABC scale. CONCLUSION: A brief, specific exercise regimen improved clinical measures of balance in patients with diabetic PN. Further studies are needed to determine if this result translates into a lower fall frequency in this high-risk population.
Authors: Patricia M Kluding; J Robinson Singleton; Mamatha Pasnoor; Mazen M Dimachkie; Richard J Barohn; A Gordon Smith; Robin L Marcus Journal: Phys Ther Date: 2017-01-01
Authors: L Allet; S Armand; R A de Bie; A Golay; D Monnin; K Aminian; J B Staal; E D de Bruin Journal: Diabetologia Date: 2009-11-17 Impact factor: 10.122