IMEMR
66.92
Volume 2, Issue 4 (2021)                   J Clinic Care Skill 2021, 2(4): 201-205 | Back to browse issues page
Article Type:
Original Research |

Print XML PDF HTML


History

How to cite this article
Ghazavi N, Sadat S J, Rostaei N. Effect of Proprioceptive Exercises on Lower Extremity Proprioception in Patients with Diabetic Neuropathy. J Clinic Care Skill 2021; 2 (4) :201-205
URL: http://jccs.yums.ac.ir/article-1-115-en.html
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Rights and permissions
1- Medical Surgical Department, School of Nursing, Yasuj University of Medical Sciences, Yasuj, Iran
2- Department of Biostatistics and Epidemiology, School of Health, Yasuj University of Medical Sciences, Yasuj, Iran
* Corresponding Author Address: Nursing school, Nursing Faculty, Yasuj University of Medical Sciences, Yasuj, Iran. Postal Code: 7591947901. (sadatsaiedjavad@gmail.com)
Abstract   (1776 Views)
Aims: Exercise is a unique therapeutic strategy for improving metabolic disorders and risk factors for diabetes and may directly enhance nerve regeneration and function. This study was conducted to determine the effect of proprioception practice on lower extremity proprioception in patients with diabetic neuropathy.
Materials & Methods: This study was an interventional and clinical trial. The population of this study was all patients with diabetic neuropathy who were referred to Abol Abbas and Kourosh clinics in Isfahan in 2020. The sample size in each of the two control groups and proprioceptive exercises group were considered 23 people. Data collection tools included the Michigan Neuropathy Assessment Tool, the Toronto Clinical Rating System, and the goniometer. The proprioceptive exercise was performed for six weeks. Forty-eight hours after the interventions, the goniometer test was performed again. Chi-square, Independent t-test, and Mann-Whitney tests compared the groups using SPSS 21 software.
Findings: After the intervention, there was a statistically significant difference between the two groups of proprioception practice with the control group (p<0.0001). Before and after proprioceptive exercises, there was a statistically significant difference in the proprioceptive exercises group (p<0001). However, before and after the proprioceptive exercises, there was no statistically significant difference in the control group (p>0.05).
Conclusion: proprioceptive exercises could improve the sense of depth in patients with diabetic neuropathy.
Keywords:

References
1. Castelli G, Desai KM, Cantone RE. Peripheral neuropathy: evaluation and differential diagnosis. Am Fam Phys. 2020;102(12):732-9. [LINK]
2. Hernández-Secorún M, Vidal-Peracho C, Márquez-Gonzalvo S, Corral-de-Toro J, Müller-Thyssen-Uriarte J, Rodríguez-Sanz J, et al. Exercise and Manual Therapy for Diabetic Peripheral Neuropathy: A Systematic Review. Appl Sci. 2021;11(12):5665. [DOI:10.3390/app11125665]
3. San Miguel FV, Puente DM, Julià JV. Diabetic neuropathy and diabetic foot. Enfermedades endocrinológicas y metabólicas. 2016;12:971-81. [Spanish] [DOI:10.1016/j.med.2016.09.004]
4. Wong MC, Chung JW, Wong TK. Effects of treatments for symptoms of painful diabetic neuropathy: systematic review. BMJ. 2007;335(7610):87. [DOI:10.1136/bmj.39213.565972.AE] [PMID] [PMCID]
5. Yammine K, Wehbe R, Assi C. A systematic review on the efficacy of vitamin D supplementation on diabetic peripheral neuropathy. Clin Nutr. 2020;39(10):2970-4. [DOI:10.1016/j.clnu.2020.01.022] [PMID]
6. Kluding PM, Bareiss SK, Hastings M, Marcus RL, Sinacore DR, Mueller MJ. Physical training and activity in people with diabetic peripheral neuropathy: paradigm shift. Phys Ther. 2017;97(1):31-43. [DOI:10.2522/ptj.20160124]
7. Singleton JR, Smith AG, Marcus RL. Exercise as therapy for diabetic and prediabetic neuropathy. Curr Diab Rep. 2015;15(12):1-8. [DOI:10.1007/s11892-015-0682-6] [PMID]
8. Moeini A, Nazemzadegan GH, Rostami R. The effect of 8 weeks of proprioceptive training on motor coordination in children with autism spectrum disorders. J Motor Learn Mov. 2019;10(4):505-17. [Persian] [LINK]
9. Ashoury H, Raeisi Z, Khodabakhshi M. The effect of 6 weeks of training on dynamic balance and proprioceptive function of lower extremity chronic ankle sprain with basketball players. Journal of Research in Sport Rehabilitation. 2016;4(7):55-63. [Persian] [LINK]
10. Balducci S, Iacobellis G, Parisi L, Di Biase N, Calandriello E, Leonetti F, et al. Exercise training can modify the natural history of diabetic peripheral neuropathy. J Diabetes Complications. 2006;20(4):216-23. [DOI:10.1016/j.jdiacomp.2005.07.005] [PMID]
11. Smith AG, Russell J, Feldman EL, Goldstein J, Peltier A, Smith S, et al. Lifestyle intervention for pre-diabetic neuropathy. Diabetes Care. 2006;29(6):1294-9. [DOI:10.2337/dc06-0224] [PMID]
12. Sadeghidehcheshmeh H, Tasoujian E, Omidi Ar. The effect of eight weeks foot reflexology massage on balance and ankle joint proprioception error in elderly men. J Pract StudBiosci Sport. 2016;4(8):123-35. [Persian] [LINK]
13. Khosravan S, Ahrari Z, Najafi M, Alami A. Self care ability of women with diabetes who suffered from peripheral neuropathy and its related needs based on Orem's self-care model. Med Surg Nurs J. 2015;4(3):44-51. [Persian] [LINK]
14. Rahmani Z, Sadeghi H. A gender-based study of proprioception in the lower limbs of patients with Multiple Sclerosis. Iranian J Rehabil Res. 2017;3(4):35-42. [Persian] [DOI:10.21859/ijrn-03045]
15. Zamani S, Okhovatian F, Naemi SS, Baghban AA. Intra-examiner reliability of goniometer instrument for all active movements of cervical spine in asymptomatic young women. J Rehab Med. 2016;4(4):57-64. [LINK]
16. Ghiasi F, Akbari A, Shoroei H. The effect of PNF-stretching and strengthening exercises on improvement of Function in subjects with tibial stress syndrome. Pars J Med Sci. 2010;8(1):19-27. [Persian] [DOI:10.29252/jmj.8.1.19]
17. Arami J, Rezasoltani A, Khalkhali Zm, Rahnama L. The effect of two exercise therapy programs (proprioceptive and endurance training) to treat patients with chronic non-specific neck pain. J Babol Univ Med ScI. 2012;14:77-84. [Persian] [LINK]
18. Duman I, Taskaynatan MA, Mohur H, Tan AK. Assessment of the impact of proprioceptive exercises on balance and proprioception in patients with advanced knee osteoarthritis. Rheumatol Int. 2012;32(12):3793-8. [DOI:10.1007/s00296-011-2272-5] [PMID]
19. Ahmad I, Verma S, Noohu MM, Shareef MY, Hussain ME. Sensorimotor and gait training improves proprioception, nerve function, and muscular activation in patients with diabetic peripheral neuropathy: a randomized control trial. J Musculoskelet Neuronal Interact. 2020;20(2):234-48. [LINK]
20. Liu J, Wang XQ, Zheng JJ, Pan YJ, Hua YH, Zhao SM, et al. Effects of Tai Chi versus proprioception exercise program on neuromuscular function of the ankle in elderly people: a randomized controlled trial. Evid Based Complement Alternat Med. 2012;2012:265486. [DOI:10.1155/2012/265486] [PMID] [PMCID]
21. Espejo-Antúnez L, Pérez-Mármol JM, de los Ángeles Cardero-Durán M, Toledo-Marhuenda JV, Albornoz-Cabello M. The effect of proprioceptive exercises on balance and physical function in institutionalized older adults: a randomized controlled trial. Arch Phys Med Rehabil. 2020;101(10):1780-8. [DOI:10.1016/j.apmr.2020.06.010] [PMID]