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A focused exercise regimen improves clinical measures of balance in patients with peripheral neuropathy
J K Richardson1, D Sandman, S Vela
1Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI 48109-0718, USA. jkrich@umich.edu
Objective:
To determine the effect of a specific exercise regimen on clinical measures of postural stability and confidence in a population with peripheral neuropathy (PN).
Design:
Prospective, controlled, single blind study.
Setting:
Outpatient clinic of a university hospital.
Participants:
Twenty subjects with diabetes mellitus and electrodiagnostically confirmed PN.
Intervention:
Ten subjects underwent a 3-week intervention exercise regimen designed to increase rapidly available distal strength and balance. The other 10 subjects performed a control exercise regimen.
Main Outcome Measures:
Unipedal stance time, functional reach, tandem stance time, and score on the activities-specific balance and confidence (ABC) scale.
Results:
The intervention subjects, but not the control subjects, showed significant improvement in all 3 clinical measures of balance and nonsignificant improvement on the ABC scale.
Conclusion:
A brief, specific exercise regimen improved clinical measures of balance in patients with diabetic PN. Further studies are needed to determine if this result translates into a lower fall frequency in this high-risk population.
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