Core stability training anddesensitization therapy inpatients with type (II) diabetic neuropathy / Hanan Hosny Mohamed Hassan Battesha ; Supervised Gehan Mousa Ahmed , Hanan Abdallah Amer , Amira Mohamed Elgohary

Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Neuromuscularand Neurosurgery

Background/Aims:The ability to maintain a standing and dynamic posture is a problem in patients with diabetic peripheral neuropathy.The purpose of this study was to investigate the effect of core stability exercises, desensitization therapy and the combination of them on posture stability, ankle dorsiflexors muscle power and painin patients with typeII diabetic peripheral neuropathy. Methods: A total of sixty adult patients from both sexes diagnosed as diabetic peripheral sensorimotor neuropathy with average age ranged from 55{u2013}70 years participated in this study. The patients assessed for power of ankle dorsiflexors by using hand held dynamometer, pain intensity by using Patient Reported Outcomes Measurement Information System (PROMIS) pain intensity instrument and limit of stability by using Biodex Balance System before and after treatment program.The patients were randomly divided into four equal groups. Group 1 (the control group) received a selected physical therapy program for diabetic peripheral neuropathy patients (proprioceptive training, active ankle ROM and foot care).Group 2received core stability exercises in addition to the same selected physical therapy program for group one. Group 3 received desensitization therapy in addition to the same selected physical therapy program for group one. Group 4 received core stability exercises combined with desensitization therapy in addition to the same selected physical therapy program for group one. The intervention took place three times a week for total six weeks (every other day)

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