The Effectiveness of Toe Flexor Strengthening on Balance and Risk of Fall in Patients with Diabetic Polyneuropathy- A Pilot Study

Abstract

Background:Diabetic polyneuropathy (DPN) is relatively common complication of long-term diabetes and isthought to be progressive and irreversible. The loss of sensations associated with Diabetic polyneuropathy isthought to contribute to impaired balance and increased risk of falling. Reduced toe flexor strength is an independentpredictor of falls. However, it is unknown whether strengthening programs can restore toe flexorstrength in patients with DPN.The aim of this study was to investigate whether a progressive resistance training program, focused specifically on the foot & toe flexor muscles, could improve toe flexor strength in patients with DPN.Methods: A total of 20 patients were allocated into two groups of 10 each. Group A receive 12 sessions of (Conventional physiotherapy & Modified toe training programme) and Group B (Conventional physiotherapy & General toe exercise). Berg balance score (BBS), Fall efficacy scale international (FES-I) & Time up and go test (TUG) were measured on first day (Week 1) and last day (Week 4) of intervention. Pre-test and post-test scores were compared and results were tabulated.Result: Both groups showed significant improvement in balance performance. The Group A showed statistically significant improvement in static & functional balance when compared to Group B.Conclusion: The study demonstrated a significant improvement in balance and functional mobility was seenamong Group A.