Effect of Sensorimotor Exercise Training to Improve Balance and Gait in Diabetic Peripheral Neuropathy - A Case Study

Peripheral neuropathy is one of the common complications in patients with diabetes Mellitus (DM) which leads to disrupting the peripheral nervous system resulting in reduce sensory inputs and motor outputs. Patients with diabetic peripheral neuropathy have weakness in lower limb and sensory loss due to disruption of small myelinated and unmyelinated nerve fibers. Sensory motor training (SMT) will facilitate sensory inputs, correcting muscle imbalance, and ensuring correct program at the level of central nervous system. Hence the purpose of the study to combine the effect of sensorimotor exercise training to improve balance and gait in diabetic peripheral neuropathy in patient with type II DM. The case report study of 68 year old female patient diagnosed with diabetic Peripheral neuropathy manifested by type II diabetes mellitus on medication. Intervention of patient received Sensory motor exercise training for 5 days a week for 4 weeks and outcome measures used were Berg balance scale (BBS), Time up and go test (TUG), Diabetic Neuropathy Examination (DNE) score for diabetic neuropathy which were taken on day one and after 4 weeks of intervention and results shown improved on the outcome measures which concluded that Sensori - motor exercise training have shown efficacy on improving balance, gait and sensation.