scholarly journals Effect of balance training with Biodex Balance System to improve balance in patients with diabetic neuropathy: A quasi experimental study

2021 ◽  
Vol 37 (2) ◽  
Author(s):  
Syeda Afsheen Hasnain Daud ◽  
Mujeeb Ur Rahman ◽  
Aatik Arsh ◽  
Muhammad Junaid

Objective: To determine the effect of balance training with Biodex Balance System in improving balance function in patients with diabetic neuropathy. Methods: A quasi experimental study was conducted at physiotherapy department of Rehman Medical Institute Peshawar from January to June 2018. Thirty-eight Diabetes Mellitus Type-II patients with diagnosis of diabetic neuropathy participated in the study. Those patients were included who were able to stand independently and who scored moderate or severe neuropathy on Toronto Scale. Participants received 12 sessions (two sessions per week) of balance training on Biodex stability system in six weeks. Berg Balance Scale and Time Up and Go test were used to collect pre and post treatment data. Paired sample T-test was used to compare pre and post treatment data because data was normally distributed. Results: The mean age of the participants was 63.08 ± 3.3 years. Pretreatment Berg Balance Scale score was 42.68 ± 3.7 which improved to 48.89 ±3.7 after the treatment (P<0.001). Similarly, pretreatment Time Up and Go test score was 17.47 ± 2.0 while post treatment score was 13.57 ±1.5 (P<0.001). Conclusion: Balance training with Biodex Balance System can significantly improve balance function in Diabetes Mellitus Type-II patients with diabetic neuropathy. doi: https://doi.org/10.12669/pjms.37.2.2336 How to cite this:Daud SAH, Mujeeb-Ur-Rahman, Arsh A, Junaid M. Effect of balance training with Biodex Balance System to improve balance in patients with diabetic neuropathy: A quasi experimental study. Pak J Med Sci. 2021;37(2):---------.  doi: https://doi.org/10.12669/pjms.37.2.2336 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

2021 ◽  
pp. 1-9
Author(s):  
Nour Zughbor ◽  
Aisha Alwahshi ◽  
Rahaf Abdelrahman ◽  
Zeina Elnekiti ◽  
Hoda Elkareish ◽  
...  

<b><i>Introduction:</i></b> Stroke is defined as the lack of blood supply to the brain, leading to rapid loss of brain function presenting with impairments such as muscle weakness, spasticity, lack of coordination, and proprioception loss. Both hydrotherapy and land-based therapy aim to target these aspects in the process of rehabilitation. The study aims to determine the effectiveness of water-based therapy on balance and gait of patients with stroke compared to land-based therapy. <b><i>Methods:</i></b> Data for this review were extracted from databases such as CINAHL, OTseeker, Ovid, PEDro, and PubMed (MEDLINE) and other sources such as Google Scholar. PRISMA guidelines were followed to exclude irrelevant studies. Only randomized controlled trials (RCTs) were included, and methodological quality was assessed using the PEDro scale. A meta-analysis of extracted data was conducted. <b><i>Results:</i></b> A total of 16 relevant RCTs were included for the review (<i>n</i> = 412 participants). All RCTs investigated the effect of water-based therapy compared to land-based therapy on balance and gait of patients with stroke. Meta-analysis of studies that used the Berg Balance Scale (BBS) as a primary outcome measure favored land-based therapy. Studies that used the Good Balance System (GBS) and the Biodex Balance System (BioBS) to measure the changes in anteroposterior sway and mediolateral sway favored water-based therapy. The overall pooled effect favored land-based therapy in improving gait parameters. <b><i>Conclusion:</i></b> Findings from meta-analysis support the effectiveness of land-based therapy in the improvement of balance and gait parameters of patients with stroke. However, the evidence for water-based therapy continues to be limited, and higher quality studies are required to determine the effectiveness of water-based therapy on patients with stroke, particularly on balance and gait.


Author(s):  
Humaira Iram ◽  
Muhammad Kashif ◽  
Hafiz Muhammad Junaid Hassan ◽  
Salma Bunyad ◽  
Samra Asghar

Abstract Objective: To determine the effects of proprioception training in improving balance in patients with diabetic neuropathy. Methods: A quasi-experimental design study was conducted at the Safi Hospital Faisalabad for eight weeks from August to December 2019. Out of, 38, 19 patients were placed in exercise group (10 males, 9 females; mean age 64 ± 7.7 years; range 60 to 83 years) and 19 patients were placed in controls group (12 males, 7 females; mean age 63 ± 8.2 years) were included in this study through consecutive sampling technique. Proprioception Training was given to exercise group twice a week for eight weeks and the diabetes awareness campaign was given once a week to the control group. Static and dynamic balance were assessed by using One Leg Standing (OLS) Test with eyes open and closed, Berg Balance Scale (BBS), Functional Reach Test (FRT), Timed Up and Go Test (TUGT) and 10-M Walk Test (10-MWT). The data was collected before and after treatment and was compared using independent sample t-test. Results: The finding of the study showed that OLS score with eyes open improved significantly with p<0.05 and does not show improvement with eyes closed p =.073. The dynamic balance from the Berg Balance Scale, Functional Reach Test, Timed Up and Go Test and 10-M Walk Test revealed significant improvement after the balance exercises with p<0.05 Conclusion: It is concluded that proprioception training exercises are effective in improving balance among patients with Diabetic neuropathy. Continuous...


2018 ◽  
Vol 08 (03) ◽  
pp. 163-167
Author(s):  
Abida Arif ◽  
Ghousia Shahid ◽  
Muhammad Arif Siddique ◽  
Khalid Aziz ◽  
Muhammad Faisal Fahim

Objective: To evaluate the effect of therapeutic exercises on pregnancy related low back pain in a tertiary care hospital of Karachi. Material & Methods: This was a quasi-experimental study with non-probability convenience sampling technique. Study was carried out at Liaquat National Hospital Karachi. Patients were divided into two groups (Experimental and Control). Inclusion criteria were age <30 years, 2nd and 3rd trimester, stable medical status and those who gave the informed consent. Exclusion were pregnancy induced hypertension (>140/90mmHg), Cardiac disease, diabetes mellitus, persistent vaginal bleeding, history of miscarriages, decreased foetal movement. Data was collected through assessment Modified Oswestry Low back pain disability questionnaire. SPSS version 23.0 was used to analyze the data. Results: A total of 30 samples were selected for the study. There were 15 respondents in experimental while 15 in control group. Disability levels were found to be significantly decreased after post treatment in experimental group with P-value= 0.002. It was seen that number of patients was increased from 1(6.7%) to 6(40%) in minimal disability group whereas crippled back pain group in pre-treatment group was totally shifted towards minimal or moderate pain 3(20.0%) and no case was seen in post-treatment. Conclusion: Low back pain in pregnancy can disturb daily life routine but exercise therapy and proper counselling will lead stress free life to female in gestation. After post treatment in experimental group showed decrease in pain as compare to control group who were not provided any exercise therapy. Working women in experimental group also showed decrease by crippled back pain to moderate pain after exercise. So in the end researcher suggest that physiotherapy exercises play a vital role in reducing Low Back Pelvic Pain (LBPP) during pregnancy.


Author(s):  
Putri Dyah Utami Ryadi ◽  
Tertianto Prabowo ◽  
Irma Ruslina Defi

Background: Half of people with Type 2 Diabetes Mellitus (Type 2 DM) developed diabetic neuropathyat 25 years after being diagnosed and around 75% of the neuropathy were diabetic peripheral neuropathy(DPN), that associated with balance disturbance. This study aimed to know the effect of combining Indonesiandiabetic exercise (Senam Diabetes Indonesia/SDI) and Indonesian diabetic foot exercise (Senam Kaki DiabetesIndonesia/SKDI) on improvement of diabetic neuropathy and balance score in people with Type 2 diabeticperipheral neuropathy.Methods: Design study was a quasi-experimental study with pre-posttest design. The participants were Type 2DM patients aged 40-65 years old, with DPN confirmed based on Indonesian version of Diabetic NeuropathySymptom (DNS-INA) >1 or Indones ian version of Diabetic Neuropathy Exmination (DNE-INA) >3, who didnot do exercise regularly. All participants had Berg Balance Scale (BBS) score within 41-55, and the randomperipheral blood glucose within 100-250mg/dL. The BBS, DNE-INA, and DNS-INA score were evaluatedbefore and after 12 weeks of excercise.Results: There were 6 women aged 52-65 years. The mean of BBS, DNS-INA, and DNE-INA scores beforeand after intervention were 54.33±1.032 and 55.16±1.329 (p=0.025), 2.50±1.048 and 1.50±0.836 (p=0.063),3.66±1.505 and 1.33±0.816 (p=0.041), respectively.Conclusion: There were improvement of Berg Balance Score and Diabetic Neuropathy Score after thecombination of Diabetic exercises.Keywords: Berg Balance Score, diabetic neuropathy score, Indonesian Diabetic Exercise, Indonesian FootDiabetic Exercise


Biomedicine ◽  
2021 ◽  
Vol 41 (4) ◽  
pp. 830-836
Author(s):  
K Kotteeswaran ◽  
V Meena ◽  
B Sathish Kumar ◽  
R Tamil Selvi ◽  
S.K Pavithira

Introduction and Aim: Pelvic girdle pain is one of major pregnancy discomforts affecting about 50% of pregnant women. There is no evidence that standard treatment is completely effective for pelvic girdle pain in pregnant women. Hence there is a requirement for newer safer therapies such as craniosacral therapy. The aim of this study is to evaluate effectiveness of craniosacral therapy in reducing pain and improving daily life activities which is restricted in pregnant women with pelvic girdle pain.   Materials and Methods: In this quasi-experimental study, we recruited 30 pregnant women who were clinically diagnosed with pelvic girdle pain using convenient sampling technique. They were divided into control and craniosacral therapy treated group. Using NPRS and PGQ, their pain intensity and disability values were recorded and compared pre and post treatment using mean and standard deviation. The paired ‘t’ test was used for statistical analysis.   Results: Group A post treatment NPRS value range was mean = 3.00, SD = 0.85 and PGQ post treatment was mean = 36.87, SD = 4.91. Group B post treatment NPRS value mean = 1.87, SD = 0.83 and PGQ post treatment value was mean = 26.53, SD = 4.42. Since between group significant difference was p<0.0001 it was statistically significant.   Conclusion: Craniosacral therapy was found to be effective than standard treatment for pelvic girdle pain during pregnancy


2020 ◽  
Vol 10 (12) ◽  
pp. 4100
Author(s):  
Vanesa Abuín-Porras ◽  
Carmen Jiménez Antona ◽  
María Blanco-Morales ◽  
Antonio Palacios ◽  
Carlos Romero-Morales ◽  
...  

This prospective quasi-experimental study investigated the efficacy of a multitask balance training program to improve the balancing ability of healthy preschool children. A total of 85 (51.8% boys) healthy preschool children aged 4–6 years were randomly divided into an intervention group and a control group. The intervention group received a multitask balance training program, while the control group received a placebo training program. Outcomes were collected at baseline and immediately following the intervention. Independent members of the research team recorded balance skill measurements in the cohort at pre- and post-training using the Pediatric Balance Scale (PBS). Balance-related outcomes were recorded using the Battelle Development Inventory in Spanish using the second edition (BDI-II). A significant effect of time interaction (F = 7.27, p = 0.015; F = 6.16, p = 0.02 and F = 7.41, p = 0.014) existed for the PBS and BDI-II over balance immediately after the intervention (p < 0.001 for each). A significant group-by-time interaction was detected for the PBS and BDI-II (p < 0.001 and p = 0.006, respectively). This study supports the efficacy of multitask-based balance training programs to improve balance in children aged 4–6 years.


2016 ◽  
Vol 10 (1) ◽  
pp. 103-109
Author(s):  
Daniel Gurín ◽  
Jan Novotný

In the pilot experimental study eight men with an average age of 33.5 ± 3.64 years were tested. The probands were tested on the Biodex Balance System before and after the exercise of the abdominal muscles. Exercise was carried out to the subjectively perceived maximum. The file was deliberately composed of mentally and physically trained individuals. Evaluated was the stability index, the smaller the nominal value, the better the stability. After the workout stability parameters were significantly worse than before the exercise (p = 0.025). The fatigue of the abdominal muscles thus negatively affects the stability of the stand.


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