Effect of Combined Trainings (Rom improvement, Muscle Strengthening, Balance Training, and Gait Training) on Balance and Risk for Falling in Older Women with Diabetic Peripheral Neuropathy

Document Type : Original article

Authors

1 Department of Sport Biomechanics, School of Physical Education and Sports Science, University of Kharazmi, Tehran, Iran

2 Assistant Professor, Department of Sport Biomechanics, Faculty of Physical Education and Sports Science, University of Kharazmi, Tehran, Iran

3 Associate Professor, Department of Ergonomics, University of Social Welfare and Rehabilitation Sciences, Iran

4 Assistant Professor of Faculty of Physical Education and Sport Sciences, Kharazmi University, Teheran, Iran

5 Department of Physical Education and Sport Science, Faculty of Education and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran

Abstract

Background and Aim: Direct and indirect complications of diabetic peripheral neuropathy can lead to imbalance and falls, and it may increase the risk for plantar ulcer. Therefore, performing effective trainings to increase balance probably reduces the risk of falling in these patients. Thus, the aim of the present study was to investigate the effect of combined training on the balance and chance of falling in elderly women with diabetic neuropathy.
 
Materials and Methods: A total of 23 patients with diabetic peripheral neuropathy were randomly allocated to experimental (n=11) and control (n=10) groups in the present study. Before and after training, balance and risk for falling were measured using Berg balance score and fear of falling tests, respectively. Experimental group was involved with combined exercise for 8 weeks, 3 sessions per week, and 1 hour per session; the control group did not participate in any exercise program. Data were analyzed running independent and paired- sample t tests at the significance level of α  
Results: The results showed that there were significant differences in balance and risk for falling scores in the experimental group after combined training, while there were no significant differences in these scores in the control group.
Conclusion: Combined trainings improve balance and reduce the possibility of falling elderly women with diabetic peripheral neuropathy. Therefore, it is a beneficial therapeutic intervention in order to improve the balance and reduce the risk of falling in these patients.

Keywords

Main Subjects

References

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The Scientific Journal of Rehabilitation Medicine
Volume 8, Issue 2
July 2019
Pages 97-105

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History

  • Receive Date: 13 July 2018
  • Revise Date: 02 September 2018
  • Accept Date: 29 September 2018
  • First Publish Date: 22 June 2019

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