Lakshmanan, M (2012) Effectiveness of balance and strength training in reducing the fall risk in subjects with diabetic neuropathy. Doctoral thesis, K.G. College of Physiotherapy, Coimbatore.
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Abstract
INTRODUCTION : Diabetes has many serious complications including diabetic neuropathy, which presents clinically in many different ways. The Diabetic neuropathies can be classified into 3 different categories: 1) focal neuropathies, 2) diffuse neuropathies, and 3) autonomic neuropathies. The proposed study addresses one of the diffuse neuropathies, distal symmetric polyneuropathy, which is the "most common and widely recognized form of diabetic neuropathy" Prevalence rates are as high as 50% in people with diabetes. This type of diabetic neuropathy is often referred to as diabetic peripheral neuropathy (DPN). Diabetic Peripheral Neuropathy is defined as "the presence of symptoms and/or signs of peripheral nerve dysfunction in people with diabetes after the exclusion of other causes". OBJECTIVES : 1. To determine the balance impairment in diabetes subjects with peripheral neuropathy. 2. To determine the prevalence of fall risk in diabetic subjects with peripheral neuropathy. 3. To determine the effectiveness of balance and strength training in reducing the fall risk in subjects with diabetic neuropathy. METHODS : Study Design - An experimental study with 2 groups pre test and post test study design. Study Setting - Study was conducted at Physiotherapy Outpatient department - K.G Hospital, K.G college of Physiotherapy, Community center – Chinnavedampatti, Coimbatore. Study Duration - The study was conducted for a period of one year. Subjects - A total of 30 diabetic subjects were selected and divided into two groups of 15 diabetic subjects each based on selection criteria using convenience sampling. RESULTS : Experimental group subjects underwent Balance and Strength training and Control group underwent general mobility exercise along with regular walking. Based on Statistical analysis (student ‘t’ test) at 5% level of significance, the P value is less than 0.05 and calculated value is greater than tabulated value, there by showing significant improvement in reducing fall risk on Group A compared to Group B. CONCLUSION : This study therefore rejects null hypothesis and supports alternate hypothesis. There is a significant difference between Balance with Strength training and general mobility exercise with walking in reducing the fall risk in subjects with Diabetic Peripheral Neuropathy. This concludes that the Balance and Strength training will reduce the fall risk in subjects with Diabetic Peripheral Neuropathy.
| Item Type: | Thesis (Doctoral) |
|---|---|
| Uncontrolled Keywords: | balance and strength training ; fall risk ; diabetic neuropathy. |
| Subjects: | PHYSIOTHERAPY > Physiotherapy in Neurology |
| Depositing User: | Subramani R |
| Date Deposited: | 04 Sep 2017 00:53 |
| Last Modified: | 04 Sep 2017 00:53 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/2898 |
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