AbstractBackground: Diabetic neuropathy is a common manifestation of peripheral nervous system in diabetes due to elevated glucose level. Symptoms include painful lower limbs, altered sensation, reduce reflexes and weakness of lower limb resulting in impairment in balance and gait. As a treatment various interventions are used such as balance training, strength training, aerobic exercise, sensory motor training. Multisensory exercise programmed, was considered as a new strategy to improve physical function in patients with diabetic neuropathy.
Objective: This study was to assess the effect of multisensory training on neuropathic pain, vibration threshold and sensorimotor function in patients with diabetic neuropathy.
Methods: This study was conducted in researcher’s institute OPD and various diabetic centers of Surat. 28 diabetic neuropathic patients were randomly assigned in to 2 groups; 14 patients were allocated in group A (multisensory training & conventional) and 14 patients were allocated in group B (conventional therapy). Patients in both groups were treated for 3 days per week for 4 weeks. Conventional physiotherapy was given for 3 days in a week at home for 4 weeks. Neuropathic pain, vibration threshold, sensation, balance and gait were assessed by using DN4 questionnaire, Bioasthesiometer, Semmes-Weinstein monofilaments, berg balance scale and dynamic gait index respectively. Data were recorded at baseline and after 4 weeks of training.
Results: The present study included total 16 males and 12 females. Multisensory training and conventional therapy both showed significant improvement after intervention was administered (p<0.05). But the multisensory training showed more improvement than conventional therapy alone (p<0.05).
Conclusion: This study concluded that multisensory and control group showed improvement in patients with DN. The multisensory training showed more improvement than conventional therapy.
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