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Effects of Interactive Video Game-Based Exercise on Balance in Diabetic Patients with Peripheral Neuropathy: An
Erica Shih-Wei Hung1, Shih-Ching Chen1,2, Fan-Chien Chang2
1Department of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, Taipei, Taiwan.
Summary
Interactive video game-based exercise significantly improved functional balance in patients with diabetic peripheral neuropathy. Six weeks of this training enhanced scores on balance scales and mobility tests.
Area of Science:
- Neurology
- Physical Therapy
- Exercise Science
Background:
- Diabetic peripheral neuropathy (DPN) often leads to impaired balance and increased fall risk.
- Maintaining functional balance is crucial for the quality of life in individuals with DPN.
- Current interventions for DPN balance deficits require further exploration.
Purpose of the Study:
- To evaluate the efficacy of interactive video game-based (IVGB) exercise on improving balance in patients with DPN.
- To assess the impact of a 6-week IVGB exercise program on various balance metrics.
Main Methods:
- A randomized controlled trial involving 24 patients with DPN.
- Participants were assigned to either an early (weeks 0-6) or delayed (weeks 6-12) IVGB intervention group.
- Balance was assessed using the Berg Balance Scale (BBS), Time Up and Go (TUG) test, Modified Falls Efficacy Scale (MFES), and Unipedal Stance Test (UST).
Main Results:
- Significant improvements were observed in BBS, right-leg UST, and TUG test scores post-IVGB intervention.
- Tendencies towards improvement were noted in MFES and left-leg UST scores.
- The 6-week IVGB intervention demonstrated a positive impact on functional balance parameters.
Conclusions:
- A 6-week balance-based exercise program utilizing an IVGB system is effective for enhancing functional balance in patients with DPN.
- IVGB exercise presents a promising, engaging modality for rehabilitation in DPN.
- Further research can explore long-term effects and optimal IVGB protocols for DPN management.
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