Effect of Multisensory Exercise Training on Sensation and Balance in Patients with Diabetic Neuropathy – A Pilot Study

Background: Diabetic peripheral neuropathy, is a common manifestation of peripheral nervous system in diabetes due to elevated glucose level. Symptoms include painful lower limbs, altered sensation, reduce reflexes and weakness of lower limb resulting in impairment in balance and gait. As treatment various interventions are used such as balance training, strength training, aerobic exercise, sensory motor training. Aim of study: This study was to assess the effect of multisensory exercise training on sensation and balance in patients with diabetic neuropathy. Methodology: This study was conducted in various OPDs and diabetic center of Surat. 10 diabetic neuropathic patients were randomly assigned in to 2 groups; 5 patients were allocated in group A (conventional & multisensory training) and 5 patients were allocated in group B (conventional therapy). Patients in both groups were treated for 3 days per week for 4 weeks. Conventional physiotherapy was given for 3 days in a week at home for 4 weeks. Sensation and balance were assessed by using Semmes-Weinstein Monofilaments and berg balance scale respectively. Data were recorded at baseline and after 4 weeks of training. Result: The result showed there was no significant difference in effect of multisensory exercise on sensation and there was significant improvement in balance in patients with diabetic neuropathy. Conclusion: The result of study indicate that 4 weeks of multisensory exercise program was improving balance in patients with diabetic neuropathy as compare to conventional therapy. Key words: Multisensory exercise, Sensation, Balance, Diabetic neuropathy