Akbari Mohammad, Jafari Hassan, Moshashaee Afsaneh, Forugh Bijan
Department of Physical Therapy, Tehran University of Medical Sciences, Tehran, Iran.
J Rehabil Res Dev. 2012;49(2):333-8. doi: 10.1682/jrrd.2010.10.0197.
Peripheral neuropathy is a common complaint of diabetes. Peripheral neural damage in turn will cause balance impairments in diabetic patients. The purpose of this study was to investigate the effects of balance exercises on sway indices in diabetic patients with neuropathy. In this clinical trial study, 10 diabetic patients with peripheral neuropathy were recruited through simple nonprobability sampling along with 10 nondisabled aged-matched subjects. Participants in both groups were examined for balance abilities with the Biodex Balance System before intervention. The experimental group was tested again after intervention. Intervention consisted of progressive Biodex stability and rocker and wobble-board training for 10 sessions. All tests were done in eyes open and closed conditions with bilateral standing. After intervention, the experimental group was re-examined in the same way. Student and paired t-tests were used for data analysis. The overall stability index and anterior-posterior stability index were significantly decreased after treatment in the experimental group during different conditions. Balance indices in the experimental group were significantly higher than the control group before treatment. There was no significant difference in indices between the two groups after treatment. The results show that balance training can improve stability indices in diabetic patients with neuropathy.
周围神经病变是糖尿病患者常见的主诉。周围神经损伤反过来又会导致糖尿病患者的平衡障碍。本研究的目的是调查平衡训练对患有神经病变的糖尿病患者摇摆指数的影响。在这项临床试验研究中，通过简单的非概率抽样招募了10名患有周围神经病变的糖尿病患者以及10名年龄匹配的非残疾受试者。两组参与者在干预前均使用Biodex平衡系统进行平衡能力检查。干预后对实验组再次进行测试。干预包括进行10次渐进式Biodex稳定性、摇椅和摇摆板训练。所有测试均在双眼睁开和闭合的条件下进行双侧站立测试。干预后，以相同方式对实验组进行复查。采用学生t检验和配对t检验进行数据分析。在不同条件下，治疗后实验组的整体稳定性指数和前后稳定性指数显著降低。治疗前实验组的平衡指数显著高于对照组。治疗后两组之间的指数没有显著差异。结果表明平衡训练可以改善患有神经病变的糖尿病患者的稳定性指数。
