130801 Multisensory training balance and gait in persons with type 2 diabetes

Effects of Multisensory Training on Balance and Gait in Persons with Type 2 Diabetes: A Randomised Controlled Trial

Nizar Abdul Majeed Kutty, Nishad Abdul Latheef Majida
in DCID (Disability,CBR & Inclusive Development) Journal Vol 24, No 2 (2013)

Purpose: Progressive deterioration of physical function occurs in persons with Type 2 diabetes and peripheral neuropathy. This study assessed the effects of multisensory training on balance and gait in persons with diabetic neuropathies.

Method: Thirty two persons with peripheral neuropathies were enrolled, randomised, and subdivided into 2 groups. For 6 weeks, both groups were given health education on diabetes for 30 minutes a week. In addition, the experimental group practised a multisensory exercise programme for 30 minutes, 3 times a week over 6 weeks. Outcome measures used were ‘timed up and go’ test for assessing balance and ‘6-minute walk’ test for gait.

Results: By the end of the trial period, the intervention group showed a significant improvement in scores of the ‘timed up and go’ test, but there was no statistically significant difference in the ‘6-minute walk’ test scores.There was no difference for both measures in the control group.

Conclusion: The study showed that multisensory exercises could improve balance in persons with Type 2 diabetes and peripheral neuropathy. The findings suggest that along with physiological sensory factors, cognitive-behavioural factors and strengthening of the lower limb muscles should be considered when treating diabetic persons with gait alterations.