Adults with diabetic peripheral neuropathy tend to fall more frequently than healthy population as a consequence of multiple sensorimotor and cognitive damages. In this protocol study, a randomized controlled trial is proposed using a sensorimotor intervention based on Feldenkrais method to improve somatosensory aspects and, therefore, postural control of participants.
Among all the systems suffering damage due to hyperglucemia toxicity in diabetes, somatosensory system, composed by proprioception and skin sensory receptors has a key role since it is in charge of the faster body reaction when a postural control response is needed. Despite of it, few studies have focused on this issue. This randomized controlled trial proposed a safe and easy training adapted to adults and old people with diabetic peripheral neuropathy. Pressure, touch, proprioception and graphesthesia sensibility were measured, as well as functionality in daily basis, quality of life and fear of falling.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
44
8 weeks of balance and sensorimotor training twice a week
Recommendations for preventing foot ulcers
drugs and diet usual care
Cumulative Somatosensory Impairment Index
It measures proprioception, pressure and vibration sensitivity and graphesthesia to sum up somatosensory function in lower legs. Iti is ranging from 0 to 8 being 8 the worst result
Time frame: 2 years
Up and Go test
postural control test
Time frame: 2 years
Four Square Step test
ability walking in different directions
Time frame: 2 years
Tinetti- Performance-Oriented Mobility Assessment (POMA-T)
static and dynamic postural control
Time frame: 2 years
Falls Efficacy Scale
It measures the fear of falling, ranging from 0 to 64, being higher scores worst outcome results
Time frame: 2 years
SF-36 Health Survey questionnaire , 1.4 version.
Quality of life health-related questionnaire
Time frame: 2 years
Validated Spanish version of Short-Form Late-Life Function and Disability Instrument
It measures functional disabilities and frequency of daily life activities, ranging from 31 to 155 and being higher scores better outcome results.
Time frame: 2 years
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