Effect of Sensory Training on Functional Performance, Balance, Gait in Type 2 Diabetic Individuals With Neuropathy

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A vizsgálat 35-65 éves, 2-es típusú cukorbetegségben szenvedő, lábán idegkárosodással élő felnőtteket keres. Egy 6 hetes lábérzékelő tréninget vizsgál.

Életkor

35 és 65 év között

Nem

Mindkét nemű személy részt vehet.

A betegség stádiuma

2-es típusú cukorbetegség a láb idegkárosodásával (neuropátia): a Semmes-Weinstein monofilament teszten (5.07-es monofilamenttel) kevesebb mint 8 helyes válasz, és legalább 3 pontos Neuropathy Disability Score.

A részvétel fő kizáró okai

• Neurológiai vagy ortopédiai társbetegség
• Aktív fekély az alsó végtagon
• Az egyensúlyt befolyásoló gyógyszer szedése, például benzodiazepinek
• Járássegédeszköz használata
• 30 feletti testtömegindex

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• 35 és 65 év között vagy?IgenNem

Mit akar kideríteni a vizsgálat

Diabetic peripheral neuropathy (DPN) is a common complication of both type 1 and type 2 diabetes. DPN is characterized by significant axonal degeneration and segmental demyelination that affect sensory and motor nerves. While various studies in the literature have examined the impact of plantar sensation on gait and balance parameters, no research has yet investigated the effects of foot sensory training on plantar sensation, functional performance, balance, gait, and kinesiophobia in individuals with type 2 diabetes and neuropathy. To contribute to the existing literature, 40 individuals with type 2 diabetes and neuropathy-recruited from the Endocrinology and Metabolism Diseases Outpatient Clinic at Dursun Odabaş Medical Center-will be enrolled in this randomized controlled trial. Following the provision of diabetic foot education to all participants, they will be assigned to either an experimental group (n=20) or a control group (n=20) using a sequential randomization method. The experimental group will receive foot sensory training, while the control group will receive no intervention; however, upon completion of the study, sensory training will be offered to any participants in the control group who request it. All participants will be assessed at the beginning and end of the training period in terms of foot sensation, functional performance, balance, gait, and kinesiophobia. Foot sensation will be evaluated using light touch, two-point discrimination, and vibration tests. Functional performance will be assessed via the "Timed Up and Go" (TUG) test and a timed stair-climbing (ascending and descending) test. Kinesiophobia will be measured using the Tampa Scale for Kinesiophobia. Balance will be assessed using the single-leg stance test and the Y-balance test, while gait will be analyzed via software based on the Kinect V2 camera. Physical activity levels will be evaluated using the International Physical Activity Questionnaire-Short Form (IPAQ-SF). Data obtained from the study will be analyzed using SPSS (Statistical Package for the Social Sciences) software. Data values will be expressed as percentages, means, and standard deviations; for comparison tests, the significance level (p) will be set at 0.05.

A vizsgálat 2 csoportja

• interventionA vizsgált kezelés

  After obtaining informed consent to participate in the study, all participants will be evaluated by an experienced physiotherapist before group allocation. All participants will receive diabetic foot training. Then, the intervention group and the control group will be formed by a sequential random method. Foot sensory training will be applied to the intervention group and no intervention will be made to the control group. However, after the study is completed, sensory training will be provided to the participants in the control group who wish to do so. Foot sensory training will be performed by the researcher physiotherapist. Foot sensory training sessions will be planned for 6 weeks, 3 days a week. An initial assessment will be made before the sessions begin and a final assessment will be made after the 6-week foot sensory training program.

  Kezelés: Exercise

• ControlNincs vizsgálati kezelés, összehasonlításként

  Individuals who agree to participate in the study and meet the inclusion criteria will be asked for written consent with a consent form. The researcher will meet with the participants one-on-one and provide information about the purpose of the study. The pre-test data of the study will be collected by an experienced physiotherapist before group allocation. All participants will receive diabetic foot training. Then, the intervention group and the control group will be formed with a sequential random method. Individuals in the control group will not receive any intervention and will continue their standard drug treatments for diabetes. Post-test data will be collected after the 6-week sensory training given to the intervention group. They will only complete the pre-test and post-test and will not participate in sensory training. Their data will be used for comparison purposes to evaluate the effectiveness of the intervention.