Rojhani-Shirazi Zahra, Barzintaj Fatemeh, Salimifard Mohamad Reza
Department of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical, Sciences, Shiraz, Iran.
Department of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical, Sciences, Shiraz, Iran.
Diabetes Metab Syndr. 2017 Nov;11 Suppl 1:S29-S32. doi: 10.1016/j.dsx.2016.08.020. Epub 2016 Sep 15.
The number of diabetic patients is increasing in the world. Peripheral neuropathy is the most important problem of diabetes. Neuropathy eventually leads to balance impairment which is the main cause of falling down in these patients However, not sufficient evidences available to compare different protocols for improving balance in diabetic patients.
This study aimed to compare the effects of two therapeutic exercises on clinical balance measures in patients with type II diabetic peripheral neuropathy.
The study was performed on 60 patients with diabetes categorized randomly into three groups: an intervention group (N=20) that received ball training exercise, another intervention group (N=20) that received Frenkel exercise and a control group (N=20) that received no interventions. Exercise training session was performed for 3 weeks. Then, clinical balance measures were computed in the three groups. Paired t-test and one-way ANOVA were used to analyze the collected data.
Both types of therapeutic exercise programs significantly improved balance in single leg stance, star excursion test, and Berg balance scale test (P˂0.05) compared to the control group. Besides, this was more significant in the ball training group (P˂0.05).
To improve balance in diabetic neuropathy, Swiss ball exercise is preferred compared to Frenkel training.
全球糖尿病患者数量正在增加。周围神经病变是糖尿病最重要的问题。神经病变最终会导致平衡功能受损，这是这些患者跌倒的主要原因。然而，目前尚无足够证据可用于比较改善糖尿病患者平衡功能的不同方案。
本研究旨在比较两种治疗性锻炼对II型糖尿病周围神经病变患者临床平衡指标的影响。
对60例糖尿病患者进行研究，将其随机分为三组：接受球训练锻炼的干预组（N = 20）、接受弗伦克尔锻炼的另一干预组（N = 20）和不接受干预的对照组（N = 20）。锻炼训练课程持续3周。然后，计算三组患者的临床平衡指标。采用配对t检验和单因素方差分析对收集的数据进行分析。
与对照组相比，两种治疗性锻炼方案均能显著改善单腿站立、星形偏移试验和伯格平衡量表测试中的平衡功能（P＜0.05）。此外，球训练组的改善更为显著（P＜0.05）。
为改善糖尿病神经病变患者的平衡功能，与弗伦克尔训练相比，瑞士球锻炼更具优势。
