Abstract
Purpose. This study evaluated the effects of interactive video game-based (IVGB) exercise on balance in diabetic patients with peripheral neuropathy. Materials and Methods. Twenty-four patients were randomly assigned to two groups (12 participants per group). Group A received IVGB training for the first 6 weeks, with no exercise in the subsequent 6 weeks. Group B had no exercise for the first 6 weeks and then underwent IVGB training in the subsequent 6 weeks. For all participants, the Modified Falls Efficacy Scale (MFES), Time Up and Go (TUG) test, Berg Balance Scale (BBS), and Unipedal Stance Test (UST) were employed at weeks 0, 6, and 12 of the experiment. Results. BBS, right-leg UST, and TUG test scores significantly improved after IVGB intervention, whereas MFES and left-leg UST tended to improve after IVGB intervention. Conclusions. This study revealed that 6-week balance-based exercise training using the IVGB system exerted positive effects on functional balance in patients with diabetic peripheral neuropathy (DPN).
Highlights
Diabetes is a chronic metabolic disease that develops when either the pancreas does not produce enough insulin or body cells do not respond properly to the insulin produced
Scores of Berg Balance Scale (BBS) and Unipedal Stance Test (UST) performed under the eyes open condition improved significantly after interactive video game-based (IVGB) balance exercise (0–6 weeks)
The mean BBS score at the week6 assessment was 52.33 ± 3.77 and increased in comparison with the score of 48.92 ± 4.81 at week 0 (P = 0.009)
Summary
Diabetes is a chronic metabolic disease that develops when either the pancreas does not produce enough insulin or body cells do not respond properly to the insulin produced. Diabetic peripheral neuropathy (DPN) is one of the most common complications of diabetes, and it results in impaired peripheral sensation, poor proprioception, slower walking speed, decreased step length [2], reduced ankle motion [3], declined muscle strength [4], and deficits in static and dynamic balance control [5, 6]. Falls are often accompanied by traumatic injuries and fractures and are associated with nursing home and hospital admission costs, a decreased range of physical activity in daily life, and reduced selfefficacy as well as the psychological fear of falling again [7, 8]. Balance training exercises play a key role in reducing the frequency of falls and preventing further fall-related injuries [10]
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