Effectiveness of Functional Balance Exercises on Dynamic Balance in Individuals with Diabetic Peripheral Neuropathy: A Systematic Review and Meta-Analysis
Balancing Exercises in Diabetic Neuropathy
Keywords:
Balance, Diabetes Mellitus, Exercises, NeuropathyAbstract
Background: Diabetes Mellitus is among the diseases that have confronted an entire generation; its complication, Diabetic Peripheral Neuropathy (DPN), has impacted many people. DPN has been connected with severe outcomes such as falls and other injuries. Consequently, it is crucial to maintain equilibrium and mobility among the affected people. This review aimed to determine the influence of functional balance exercises on dynamic balance in DPN patients.
Methods: This review focused on randomized controlled trials between 2010 and 2024 wherein functional balance exercises were compared with conventional or a control group regarding outcomes. The BBS, the TUG, and the 6MWT measured these outcomes. A robust search across many databases was conducted. Two reviewers independently extracted the data, rigorously evaluated the quality of all included studies, and performed a random-effects meta-analysis to establish the pooled SMD in balance outcomes.
Results: Ten studies with DPN participants aged 40 to 85 were included. The outcome was a fair BBS score: SMD = 0.458, 95% CI = -0.0179 to 0.933, I² = 55.87%. The Timed Up and Go test was significantly improved (SMD = -0.815, 95% CI: -1.458 to -0.172, I² = 79.13%), whereas outcomes of the 6-Minute Walk Test were only positive with a small SMD (SMD = 0.341, 95% CI: -0.699 to 1.380, I² = 82.65%).
Conclusion: Functional balance exercises are good in improving dynamic balance among patients with DPN, and there is a need for a rehabilitation program tailored to the individual’s specific condition in managing complications of diabetes, such as proper exercise regimens
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Copyright (c) 2024 Unaiza Abdul Hameed, Abid Mehdi Kazmi, Dr. Fasiha Sohail
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