Effects of Aerobic Training and Neurodynamics to Prevent Fall and Improve Balance in Patients With Diabetic Neuropathy
1 other identifier
interventional
32
1 country
2
Brief Summary
Diabetes is a group of metabolic diseases, characterized by hyperglycemia resulting from defects in insulin secretion, actionor both. The chronic hyperglycemia of diabetes is associated with long-term damage, dysfunction, and failure of differentorgans, especially the eyes, kidneys, nerves, heart, and blood vessels. In long standing cases of both diabetes type 1 and 2, about 60 % individuals had diabetic neuropathy. Patients suffering from diabetes are more prone to fall, possibly due to balance issues and sensory ataxia.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jul 2023
Shorter than P25 for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 17, 2023
CompletedFirst Submitted
Initial submission to the registry
January 28, 2024
CompletedFirst Posted
Study publicly available on registry
February 5, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 12, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
February 12, 2024
CompletedFebruary 5, 2024
January 1, 2024
7 months
January 28, 2024
January 28, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Berge balance scale
The Berg Balance Scale (BBS) is used to objectively determine a patient's ability (or inability) to safely balance during a series of predetermined tasks.
6 weeks
Secondary Outcomes (1)
Functional reach test
6 weeks
Other Outcomes (3)
Morse scale
6 weeks
Romberg test
6 weeks
Michigan neuropathy screening instrument questionnaire
6 weeks
Study Arms (2)
Neurodynamics
EXPERIMENTALNeuro dynamics involving Stretching and gliding of the Sciatic nerve (performing each exercise for 30 s at a slow and comfortable pace of 1 repetition per \~3-4 s. The participants rested for 60 s between each exercise. The total duration of the interventions was approximately 10 min.).The whole treatment session on a single day will be of 40-60 minutes of duration (involving both aerobic exercise + neurodynamics) 3. times a week for 6 weeks according to the American diabetes association, accumulating a minimum of 150 minutes/week.
Aerobic training
EXPERIMENTALAerobic exercise will involve warm-up by stretching and flexibility exercises for 5 minutes, Treadmill walking for 6 minutes, and Stationary bicycle for 6 minutes
Interventions
Neuro dynamics involving Stretching and gliding of the Sciatic nerve (performing each exercise for 30 s at a slow and comfortable pace of 1 repetition per \~3-4 s. The participants rested for 60 s between each exercise.
Aerobic exercise will involve warm-up by stretching and flexibility exercises for 5 minutes, Treadmill walking for 6 minutes, and Stationary bicycle for 6 minutes
Eligibility Criteria
You may qualify if:
- Age ranged between 45-67 years.
- Both male and female genders
- DM for the past 7 years.
- Scored \>2/13 on Michigan neuropathy screening instrument (MNSI) questionnaire including at least two DPN symptoms.
You may not qualify if:
- fracture(s) in the lower limb.
- Any participant who suffered from foot ulcers.
- Unstable heart disease, co- Morbid conditions limiting exercise
- inability of subjects to understand and/or co-operate during quantitative sensory testing or manual/nerve mobility testing and/or treatment.
- Any level of physical activity i.e 150 minutes/week
- Receiving any structured supervised physiotherapy interventions.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Ripha international university
Lahore, Punjab Province, 5433, Pakistan
Riphah international university
Lahore, Punjab Province, 5433, Pakistan
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Muhammad Asrar Yousaf
Riphah International University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 28, 2024
First Posted
February 5, 2024
Study Start
July 17, 2023
Primary Completion
February 12, 2024
Study Completion
February 12, 2024
Last Updated
February 5, 2024
Record last verified: 2024-01
Data Sharing
- IPD Sharing
- Will not share