Dr. Aditya Waje, Dr. Jayashri Kale


Background- Diabetic peripheral neuropathy (DPN) is a common complication and quality-of-life damaging factor in
diabetic patients. Some exercise interventions with balance and muscle strengthening components have been shown to
reduce falls it is not known which elements or a combination of elements, of exercise interventions are most effective for improving balance in
Diabetic peripheral neuropathy.
Objective – To compare the improvement in balance with balance training exercise versus Proprioceptive Neuromuscular Facilitation exercise
& balance training exercise
Method- Subject was screened using the Michigan Neuropathy Screening Instrument. Forty (40) individuals of both the sexes in the age group
of 40-60 years were included & randomly allocated in two groups ( Control & Experiment). Each participant underwent a clinical evaluation on
Berg Balance Scale (BBS) at 1st day, 4th week and at 8th week. Exercises were performed daily for 8 weeks under supervision of therapist and
advised at home. Each exercise session lasted for 45mins to 60mins.
Result – Balance was signicant to improve by balance training exercise group but the combined effect of PNF exercise and balance training
appeared to have a greater effect on balance control.
Conclusion – PNF exercises should be emphasized along with balance training exercises in the daily exercise regime of diabetic peripheral
neuropathy subjects to improve their mobility and functional status.

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Singh, K. (2016). Effect of Proprioceptive Neuromuscular Facilitation (PNF) in Improving Sensorimotor Function in Patients with Diabetic Neuropathy Affecting Lower Limbs. International Journal of Physiotherapy, 3(3).

Londhe A, Ferzandi Z( 2012). Comparison of balance and resistive exercises versus balance exercises alone in patients with diabetic peripheral neuropathy. The Indian Journal of Occupational Therapy: Vol. 44: No. 2.

Pinto ,M. Pereira (2012).Proprioceptive Neuromuscular Facilitation Improves Balance and Knee Extensors Strength of Older Fallers‖.( International Scholarly Research Network ISRN Rehabilitation Volume , Article ID 402612, 7 pages doi:10.5402/2012/402612)

Akbari, M., Jafari, H., Moshashaee, A. and Forugh, B. (2012). Do diabetic neuropathy patients benefit from balance training?. The Journal of Rehabilitation Research and Development, 49(2), p.333.

Moghtaderi, A., Bakhshipour, A., & Rashidi, H. (2006). Validation of Michigan neuropathy screening instrument for diabetic peripheral neuropathy. Clinical Neurology And Neurosurgery, 108(5), 477-481. doi: 10.1016/j.clineuro.2005.08.003

Morrison, S., Colberg, S., Mariano, M., Parson, H., & Vinik, A. (2010). Balance Training Reduces Falls Risk in Older Individuals With Type 2 Diabetes. Diabetes Care, 33(4), 748-750. doi: 10.2337/dc09-1699

Kim, N., Kim, E., Kim, H., Kim, H., Park, S., & Park, S. et al. (2016). The Effectiveness of the Direct and Indirect Contract-Relax Technique in PNF. Journal Of The Korean Proprioceptive Neuromuscular Facilitation Association, 14(1), 7-14. doi: 10.21598/jkpnfa.2016.14.1.7

Pan, X., & Bai, J. (2014). Balance training in the intervention of fall risk in elderly with diabetic peripheral neuropathy: A review. International Journal Of Nursing Sciences, 1(4), 441-445. doi: 10.1016/j.ijnss.2014.09.001

Ghanavati, T., Shaterzadeh Yazdi, M., Goharpey, S., & Arastoo, A. (2012). Functional balance in elderly with diabetic neuropathy. Diabetes Research And Clinical Practice, 96(1), 24-28. doi: 10.1016/j.diabres.2011.10.041


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