Comparing Foot and Ankle Exercise Effects on Balance and Walking in Adults with Diabetic Nerve Damage

What this Trial Is About

Researchers are evaluating the effects of two different exercise programs on balance, walking ability, and risk of falling in patients with diabetic peripheral neuropathy DPN. DPN is a common complication of diabetes that affects nerves, causing sensory loss, muscle weakness, and difficulties with movement and coordination. This study aims to compare plantar intrinsic muscle exercises and three-dimensional ankle foot exercises to see how each impacts these issues. Participants will be randomly assigned to one of two groups. Group A will perform plantar intrinsic foot exercises targeting small stabilizing muscles in the foot, while Group B will do three-dimensional ankle foot exercises focusing on joint mobility and lower limb strength. Both exercise programs include warm-up, conventional therapy, and cool-down, and are done for 40 minutes, three times a week, over eight weeks. During the study, participants will be assessed at the start and after eight weeks using tools like the Michigan Neuropathy Screening Instrument and the Tinetti Performance Oriented Mobility Assessment to evaluate neuropathy symptoms, balance, gait, and fall risk. Data will be analyzed to understand the comparative effects of these exercise interventions on improving mobility and safety in daily life for people with DPN.

Plantar Intrinsic Muscles Exercises and Three-dimensional Ankle Foot Exercises Comparative Effect in DPN