Effect of balance training with Biodex Balance System to improve balance in patients with diabetic neuropathy: A quasi experimental study

Objective: To determine the effect of balance training with Biodex Balance System in improving balance function in patients with diabetic neuropathy. Methods: A quasi experimental study was conducted at physiotherapy department of Rehman Medical Institute Peshawar from January to June 2018. Thirty-eight Diabetes Mellitus Type-II patients with diagnosis of diabetic neuropathy participated in the study. Those patients were included who were able to stand independently and who scored moderate or severe neuropathy on Toronto Scale. Participants received 12 sessions (two sessions per week) of balance training on Biodex stability system in six weeks. Berg Balance Scale and Time Up and Go test were used to collect pre and post treatment data. Paired sample T-test was used to compare pre and post treatment data because data was normally distributed. Results: The mean age of the participants was 63.08 +/- 3.3 years. Pretreatment Berg Balance Scale score was 42.68 +/- 3.7 which improved to 48.89 +/- 3.7 after the treatment (P<0.001). Similarly, pretreatment Time Up and Go test score was 17.47 +/- 2.0 while post treatment score was 13.57 +/- 1.5 (P <0.001). Conclusion: Balance training with Biodex Balance System can significantly improve balance function in Diabetes Mellitus Type-II patients with diabetic neuropathy.