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International Journal of Neurology and Neurosurgery

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Assessment and Treatment of Balance and Falls in Diabetic Peripheral Neuropathy: An Evidence-Informed Update

Kumar Senthil P.* , Kumar Senthil P.* , Adhikari Prabha** , Jeganathan*** , Misri Z.K.*** , D’Souza Sydney C.****

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International Journal of Neurology and Neurosurgery 5(2):p 53-56, July - December 2013. | DOI:

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Abstract

 Background: Balance is an integrated function of visual, vestibular and somatosensory systems in the human body which helps the body and its parts to be energy efficient in their static and dynamic postures both at rest and during activity. Purpose: The objective of this review was to provide an overview of evidence for balance dysfunction and balance interventions for people with Diabetic peripheral neuropathy (DPN). Methods: Three studies on assessment and nine intervention studies support the presence of balance dysfunction in DPN and treatments that improved balance respectively. Results and Conclusion: There was thus limited evidence existed for presence of balance impairments such as shifts in center of pressure, reduced unipedal stance time or reduced Berg balance test scores and few treatments such as pain-relieving modalities and exercises had been shown to improve balance among people with DPN. More studies are required in the future to derive evidence-informed recommendations for practice.

Keywords: Balance; Equilibrium; Falls; Metabolic neuropathy; Rehabilitation. 

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