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A Study on The Combined Effectiveness of Cognitive Training and Multisensory Approaches on Improving Balance and Gait in Type II Diabetic Neuropathy

Chayarani Bora

Abstract


Aim: The aim of the present study was to determine the combined effectiveness of Cognitive Training (CT) and Multisensory (MS) Approaches on improving balance and gait in type II diabetic neuropathy. Purpose: One of the most prevalent consequences of diabetes mellitus is neuropathy. Intrinsic foot muscle weakness may cause a change in gait, loss of balance, and the potential to fall due to diabetic polyneuropathy, which affects the nervous system's sensory, motor, and autonomic components. The presence of cognitive deficits reduces the availability of cognitive resources to compensate for diabetic gait disturbances by compromising motor planning in complex everyday environments. Therefore, this study attempts to find out the combined effectiveness of cognitive training and Multisensory approaches on improving balance and gait in Type II diabetic neuropathy. Method: An experimental study was undertaken with 40 diabetic neuropathy subjects by simple random sampling. DN was screened out through MNSI and cognitive function was screened out by MMSE. The subjects were assigned into two groups having 20 in each group. MS Approaches were placed in one group and combined CT and MS training in the other group for a period of 6 weeks of intervention. TUG and FGA were the outcome measures employed in the study for gait and balance, respectively. Results: After analyzing the data, the results were found to be significantly different in both TUG and FGA after receiving MS Approaches alone as well Combined CT and MS Approaches. With a p<0.001 highly significant level, a substantial difference between the pre-post scores for TUG and FGA was found. Conclusion: The balance and gait were found to be improved after both interventions. But combined CT and MS approaches were found to be more effective on improving balance and gait in Type II DN.

Keywords


Type II diabetic neuropathy, balance, gait, cognitive training, multisensory approaches, Time Up and Go Test, functional gait assessment

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References


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