Effectiveness of Functional Strength Training Exercises Versus Neurodynamic Exercises on Balance and Gait of patients with Diabetic Peripheral Neuropathy
Background: Diabetic neuropathy is one of the long-term complications of Diabetes Mellitus. Diabetic neuropathy symptoms include pain and numbness in the legs, feet and hands, causing decreased sensation, proprioception, reflexes, and strength in the lower extremities which affects balance and...
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| Format: | Article |
| Language: | English English |
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INTI International University
2023
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| Online Access: | http://eprints.intimal.edu.my/1806/ http://eprints.intimal.edu.my/1806/1/ij2023_50r.pdf http://eprints.intimal.edu.my/1806/2/115 |
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| author | D., Mythili K., Kotteeswaran V., Balchandar |
| author_facet | D., Mythili K., Kotteeswaran V., Balchandar |
| author_sort | D., Mythili |
| building | INTI Institutional Repository |
| collection | Online Access |
| description | Background: Diabetic neuropathy is one of the long-term complications of Diabetes Mellitus.
Diabetic neuropathy symptoms include pain and numbness in the legs, feet and hands, causing
decreased sensation, proprioception, reflexes, and strength in the lower extremities which affects
balance and gait. Various interventions which are used by the physical therapist to minimize
balance dysfunction and improve Gait in people with Diabetic Polyneuropathy. Approximately 50
percent of patients with diabetes will eventually develop neuropathy which leads to impairment in
Balance and Gait. The Functional Strength Training improves the intermuscular and intramuscular
synchronization through the neural control, thereby increases the muscle power by functional
activities. Neurodynamic is the communication between different parts of the nervous system and
mobilize the peripheral nervous system, it is a physical approach to the treatment of pain. This
influences pain physiology via mechanical treatment of neural and the non-neural structures of the
nervous system. Both Functional Strength Training and Neurodynamic exercises have influence
on improving balance, gait and reduces the risk of fall. The aim of this study is to compare the
effects of Functional strength training Versus Neurodynamic exercises on Balance and Gait of
patients with Diabetic Peripheral Neuropathy.
Methodology: 30 patients aged 40-80 years presenting with more than 7 years who were clinically
diagnosed with Diabetic Peripheral Neuropathy were selected and assigned into two groups.
Experimental group A received Functional Strength Training Exercises and Group B received
Neurodynamic Exercises for 40 minutes, 5 days per week for a period of 4 weeks. Balance and
Gait were assessed in terms of Berg Balance Scale and Functional Gait Assessment. Paired and
unpaired ‘t-tests’ were used to determine significant differences in data among groups and between
the groups.
Results: A significant improvement in the values of Berg Balance Scale and Functional Gait
Assessment was observed in Functional Strength Training Exercises as well as in Neurodynamic
Exercises. Functional Strength Training Exercises showed statistically significant improvement in
terms of BBS and FGA than the Neurodynamic Exercises.
Conclusion: Both Functional Strength Training Exercises and Neurodynamic Exercises were
found to improve the Balance and Gait in patients with Diabetic Peripheral Neuropathy. However,
the Functional Strength Training showed more significantly improvement in Balance and Gait
subsequently reducing fall and fall risk injury. |
| first_indexed | 2025-11-14T11:57:32Z |
| format | Article |
| id | intimal-1806 |
| institution | INTI International University |
| institution_category | Local University |
| language | English English |
| last_indexed | 2025-11-14T11:59:28Z |
| publishDate | 2023 |
| publisher | INTI International University |
| recordtype | eprints |
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| spelling | intimal-18062025-07-24T06:43:00Z http://eprints.intimal.edu.my/1806/ Effectiveness of Functional Strength Training Exercises Versus Neurodynamic Exercises on Balance and Gait of patients with Diabetic Peripheral Neuropathy D., Mythili K., Kotteeswaran V., Balchandar Q Science (General) QP Physiology RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry Background: Diabetic neuropathy is one of the long-term complications of Diabetes Mellitus. Diabetic neuropathy symptoms include pain and numbness in the legs, feet and hands, causing decreased sensation, proprioception, reflexes, and strength in the lower extremities which affects balance and gait. Various interventions which are used by the physical therapist to minimize balance dysfunction and improve Gait in people with Diabetic Polyneuropathy. Approximately 50 percent of patients with diabetes will eventually develop neuropathy which leads to impairment in Balance and Gait. The Functional Strength Training improves the intermuscular and intramuscular synchronization through the neural control, thereby increases the muscle power by functional activities. Neurodynamic is the communication between different parts of the nervous system and mobilize the peripheral nervous system, it is a physical approach to the treatment of pain. This influences pain physiology via mechanical treatment of neural and the non-neural structures of the nervous system. Both Functional Strength Training and Neurodynamic exercises have influence on improving balance, gait and reduces the risk of fall. The aim of this study is to compare the effects of Functional strength training Versus Neurodynamic exercises on Balance and Gait of patients with Diabetic Peripheral Neuropathy. Methodology: 30 patients aged 40-80 years presenting with more than 7 years who were clinically diagnosed with Diabetic Peripheral Neuropathy were selected and assigned into two groups. Experimental group A received Functional Strength Training Exercises and Group B received Neurodynamic Exercises for 40 minutes, 5 days per week for a period of 4 weeks. Balance and Gait were assessed in terms of Berg Balance Scale and Functional Gait Assessment. Paired and unpaired ‘t-tests’ were used to determine significant differences in data among groups and between the groups. Results: A significant improvement in the values of Berg Balance Scale and Functional Gait Assessment was observed in Functional Strength Training Exercises as well as in Neurodynamic Exercises. Functional Strength Training Exercises showed statistically significant improvement in terms of BBS and FGA than the Neurodynamic Exercises. Conclusion: Both Functional Strength Training Exercises and Neurodynamic Exercises were found to improve the Balance and Gait in patients with Diabetic Peripheral Neuropathy. However, the Functional Strength Training showed more significantly improvement in Balance and Gait subsequently reducing fall and fall risk injury. INTI International University 2023-10 Article PeerReviewed text en cc_by_4 http://eprints.intimal.edu.my/1806/1/ij2023_50r.pdf text en cc_by_4 http://eprints.intimal.edu.my/1806/2/115 D., Mythili and K., Kotteeswaran and V., Balchandar (2023) Effectiveness of Functional Strength Training Exercises Versus Neurodynamic Exercises on Balance and Gait of patients with Diabetic Peripheral Neuropathy. INTI JOURNAL, 2023 (50). pp. 1-9. ISSN e2600-7320 https://intijournal.intimal.edu.my |
| spellingShingle | Q Science (General) QP Physiology RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry D., Mythili K., Kotteeswaran V., Balchandar Effectiveness of Functional Strength Training Exercises Versus Neurodynamic Exercises on Balance and Gait of patients with Diabetic Peripheral Neuropathy |
| title | Effectiveness of Functional Strength Training Exercises Versus Neurodynamic
Exercises on Balance and Gait of patients with Diabetic Peripheral Neuropathy |
| title_full | Effectiveness of Functional Strength Training Exercises Versus Neurodynamic
Exercises on Balance and Gait of patients with Diabetic Peripheral Neuropathy |
| title_fullStr | Effectiveness of Functional Strength Training Exercises Versus Neurodynamic
Exercises on Balance and Gait of patients with Diabetic Peripheral Neuropathy |
| title_full_unstemmed | Effectiveness of Functional Strength Training Exercises Versus Neurodynamic
Exercises on Balance and Gait of patients with Diabetic Peripheral Neuropathy |
| title_short | Effectiveness of Functional Strength Training Exercises Versus Neurodynamic
Exercises on Balance and Gait of patients with Diabetic Peripheral Neuropathy |
| title_sort | effectiveness of functional strength training exercises versus neurodynamic
exercises on balance and gait of patients with diabetic peripheral neuropathy |
| topic | Q Science (General) QP Physiology RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry |
| url | http://eprints.intimal.edu.my/1806/ http://eprints.intimal.edu.my/1806/ http://eprints.intimal.edu.my/1806/1/ij2023_50r.pdf http://eprints.intimal.edu.my/1806/2/115 |