Effect of Feldenkrais Method in Enhancing Postural Control for Patients with Diabetic Polyneuropathy

Condition(s) studied

Investigational drug(s) / intervention(s)

The Feldenkrais-based intervention: The Feldenkrais-based intervention consisted of guided awareness exercises aimed at improving movement patterns, proprioception, and postural control. Sessions were conducted twice weekly for 12 weeks, with each session lasting approximately 45 minutes

conventional balance training program: a conventional balance training program consisting of static and dynamic balance exercises, gait training, and strength-building activities, matched for session frequency and duration

Study summary

Background: Postural Control is a major complication of polyneuropathy, affecting patients suffering from diabetes mellitus. Purpose: To examine the effect of the Feldenkrais Method on dynamic balance, limits of stability and fear of falling in adults aged 45 to 60 years with diabetic polyneuropathy in the short and mid-term. Methods: A single-blinded, parallel, multicentric randomized control trial was conducted in two health centers. Adults aged 45 to 60 years with diabetic polyneuropathy and a history of falls or dynamic balance dysfunction were recruited from hospital databases and randomly assigned to either the study or control group. The study group received 16 sessions of Feldenkrais-based sensorimotor training. Both groups received diabetic foot care instructions and traditional balance exercises. Outcomes were measured at 3 and 6-month follow-up intervals. Dynamic balance was assessed using the Timed Up and Go (TUG) Test, limits of stability using Biodex and fear of falling with the Falls Efficacy Scale (FES).

Eligibility

Primary outcome measure(s)

• Dynamic Balance — From enrollment to the end of treatment at 12 weeks
  Assessed using the Timed Up and Go Test, which measures the time taken to stand from a seated position, walk three meters, turn around, walk back, and sit down.
• Postural Control — From enrollment to the end of treatment at 12 weeks
  Evaluated using the Biodex Balance System, which measures limits of stability and sway index
• Fear of Falling — From enrollment to the end of treatment at 12 weeks
  Assessed using the Falls Efficacy Scale, a self-reported measure of confidence in performing daily activities without falling.

Trial sites (1)

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