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Task oriented training improves the balance outcome & reducing fall risk in diabetic population.

Javeria Ghazal1, Arshad Nawaz Malik2, Imran Amjad3

  • 1Javeria Ghazal, Post Graduate Trainee, Pakistan Railway Hospital, Rawalpindi, Pakistan.

Pakistan Journal of Medical Sciences
|September 21, 2016
PubMed
Summary

Task oriented balance training significantly improved dynamic, anticipatory, and reactive balance in diabetic patients, reducing fall risk. This approach is more effective than traditional methods for enhancing balance outcomes.

Keywords:
Berg balance testDiabetes mellitusFall riskTask oriented balance training

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Area of Science:

  • Neurology
  • Gerontology
  • Physical Therapy

Background:

  • Diabetic patients often experience balance impairments, increasing their risk of falls.
  • Neuropathy associated with diabetes contributes to reduced balance and functional mobility.
  • Fall prevention strategies are crucial for maintaining independence and quality of life in diabetic individuals.

Purpose of the Study:

  • To identify balance impairments in diabetic patients.
  • To compare the effectiveness of task-oriented balance training versus traditional balance training for fall reduction.
  • To evaluate the impact of these training methods on dynamic, anticipatory, and reactive balance.

Main Methods:

  • A randomized controlled trial involving 196 diabetic patients diagnosed with neuropathy.
  • 18 patients were allocated to either task-oriented balance training (TOB) or traditional balance training (TBT).
  • Balance was assessed using Berg Balance Scale and Functional Reach Test at baseline, 4, and 8 weeks.

Main Results:

  • A majority of participants (84%) were at moderate risk of falling.
  • Task-oriented balance training group showed significant improvements (p <0.05) in dynamic, anticipatory, and reactive balance after 8 weeks.
  • Improvements in the TOB group were superior when compared to the traditional balance training group.

Conclusions:

  • Task-oriented balance training is an effective intervention for enhancing dynamic, anticipatory, and reactive balance in diabetic patients.
  • This training approach demonstrably reduces the risk of falling by improving overall balance outcomes.
  • Task-oriented balance training offers a superior alternative to traditional methods for diabetic fall prevention.