Efficacy of Dynamic Neuromuscular Stabilization Exercises on Balance and Fall Risk in Subjects with Diabetic Peripheral Neuropathy among Geriatrics—A Pilot Study.

Background: Diabetic peripheral neuropathy (DPN) impairs proprioception, increases fall risk, and affects balance in older adults, necessitating effective interventions to improve stability and quality of life. Objective: This study evaluated dynamic neuromuscular stabilization (DNS) exercises in ba...

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Publicado en:Physical & Occupational Therapy in Geriatrics Vol. 43; no. 4; pp. 285 - 300
Autores principales: Sri Lekha, M., Vishnuram, Surya, K., Ramana, Abathsagayam, Kumaresan, Suganthirababu, Prathap
Formato: pictorial research tables/charts randomized controlled trial Journal Article
Publicado: Taylor & Francis Ltd Dec2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2025
      vid: 43
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/02703181.2025.2467803
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        atl: Efficacy of Dynamic Neuromuscular Stabilization Exercises on Balance and Fall Risk in Subjects with Diabetic Peripheral Neuropathy among Geriatrics—A Pilot Study.
      aug:
        au:
          Sri Lekha, M.
          Vishnuram, Surya
          K., Ramana
          Abathsagayam, Kumaresan
          Suganthirababu, Prathap
        affil: Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences (SIMATS), Chennai, Tamil Nadu, India
      sug:
        subj:
          Therapeutic Exercise Methods
          Neuromuscular Control
          Balance, Postural Evaluation
          Accidental Falls Prevention and Control
          Diabetic Neuropathies Rehabilitation
          Treatment Outcomes
          Human
          Pilot Studies
          Randomized Controlled Trials
          Random Assignment
          Comparative Studies
          Aged
          Male
          Female
          Pretest-Posttest Control Group Design
          Balance Training, Physical
          Scales
          Accidental Falls Risk Factors
          Risk Assessment
          Academic Medical Centers
          India
          Power Analysis
          Descriptive Statistics
          Nonparametric Statistics
          Wilcoxon Signed Rank Test
          Mann-Whitney U Test
          Data Analysis Software
          Intrarater Reliability
          Rehabilitation, Geriatric
          Aged: 65+ years
          Male
          Female
      ab: Background: Diabetic peripheral neuropathy (DPN) impairs proprioception, increases fall risk, and affects balance in older adults, necessitating effective interventions to improve stability and quality of life. Objective: This study evaluated dynamic neuromuscular stabilization (DNS) exercises in balance and fall risk in older adults with DPN. Methods: Sixty participants with DPN were randomly assigned to DNS (group A) or conventional balance training (CBT) (group B) for a 4-week intervention. Balance and fall risk were assessed pre- and post-intervention using the Generalized Berg Balance Scale (BBS) and the Falls Efficacy Scale-International (FES-I). Results: Group A's median BBS score improved significantly from 30.000 to 47.000 (p < 0.001), with group B showing smaller improvements. Group A also demonstrated a significantly greater reduction in fall risk, with post-intervention FES-I scores lower than group B's (p < 0.001). Conclusion: DNS is more effective than CBT for improving balance and reducing fall risk in DPN.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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