The efficacy of Blood Flow Restriction Training (BFRT) and home exercise program enhancing hand grip strength in patients with diabetic neuropathy - A case study

Background: Diabetic neuropathy is a prevalent complication among patients with diabetes, characterized by nerve damage, particularly in the peripheral nerves. This may lead to muscle weakness, diminished hand grasp quality, and impeded movement of everyday living, essentially influencing quality of life Recent studies suggest that Blood Flow Restriction Training (BFRT), a technique involving low-load resistance exercises combined with partial occlusion of blood flow, can improve muscle strength effectively with lighter loads, making it a possibly secure elective for those with diabetic neuropathy Aim of the study: To evaluate the efficacy of Blood Flow Restriction (BFR) training in enhancing hand grip strength in patients with diabetic neuropathy and to explore its potential as a possible therapeutic approach for improving functional hand performance and overall quality of life in this population. Methodology- A 65 years old male with a 15 years history of Type-2 diabetes and a 5 months history of Diabetic Neuropathy. Patient Complaints difficulty in holding objects, feeling tingling and numbness in both hands, pain, limiting his ability to perform Activities of Daily Living (ADLs) last 5 month. At base line score were hand function score 60/80, hand grip strength (measured by hand dynamometer) 18 kg in Dominant hand and 15 kg in non-dominant hand, NPRS 50 /100 and CAP-PRI 15/30 underwent 12 sessions of BFRT over one month (4 weeks) combined with Low Load Resistance Training targeted the hand grip strength in diabetic neuropathy patient including home exercises program. Result-After 4 weeks of BFRT and low-load resistance training, the following outcomes were observed: hand function score 76/80, hand grip strength (measured hand dynamometer) 27 kg in Dominant hand and 19 kg in non-dominant hand, NPRS 9 /100 and CAP-PRI 3/30. The patient noted better hand control, improved grip stability, and increased confidence in daily activities such as carrying groceries, holding utensils, and butting. Conclusion: This case study highlights the potential of BFR training as an effective intervention for patients with diabetic neuropathy. Further research with larger sample sizes is recommended to confirm these findings and establish standardized protocols for clinical use.