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Sensor-Based Interactive Balance Training with Visual Joint Movement Feedback for Improving Postural Stability in Diabetics with Peripheral Neuropathy : A Randomized Controlled Trial

Sensor-Based Interactive Balance Training with Visual Joint Movement Feedback for Improving Postural Stability in Diabetics with Peripheral Neuropathy : A Randomized Controlled Trial

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GREWAL, Gurtej Singh, Michael SCHWENK, Jacqueline LEE-ENG, Saman PARVANEH, Manish BHARARA, Robert A. MENZIES, Talal K. TALAL, David G. ARMSTRONG, Bijan NAJAFI, 2015. Sensor-Based Interactive Balance Training with Visual Joint Movement Feedback for Improving Postural Stability in Diabetics with Peripheral Neuropathy : A Randomized Controlled Trial. In: Gerontology. Karger. 61(6), pp. 567-574. ISSN 0304-324X. eISSN 1423-0003. Available under: doi: 10.1159/000371846

@article{Grewal2015Senso-55358, title={Sensor-Based Interactive Balance Training with Visual Joint Movement Feedback for Improving Postural Stability in Diabetics with Peripheral Neuropathy : A Randomized Controlled Trial}, year={2015}, doi={10.1159/000371846}, number={6}, volume={61}, issn={0304-324X}, journal={Gerontology}, pages={567--574}, author={Grewal, Gurtej Singh and Schwenk, Michael and Lee-Eng, Jacqueline and Parvaneh, Saman and Bharara, Manish and Menzies, Robert A. and Talal, Talal K. and Armstrong, David G. and Najafi, Bijan} }

Talal, Talal K. Armstrong, David G. Schwenk, Michael Parvaneh, Saman Bharara, Manish Background: Individuals with diabetic peripheral neuropathy (DPN) have deficits in sensory and motor skills leading to inadequate proprioceptive feedback, impaired postural balance and higher fall risk.<br /><br />Objective: This study investigated the effect of sensor-based interactive balance training on postural stability and daily physical activity in older adults with diabetes.<br /><br />Methods: Thirty-nine older adults with DPN were enrolled (age 63.7 ± 8.2 years, BMI 30.6 ± 6, 54% females) and randomized to either an intervention (IG) or a control (CG) group. The IG received sensor-based interactive exercise training tailored for people with diabetes (twice a week for 4 weeks). The exercises focused on shifting weight and crossing virtual obstacles. Body-worn sensors were implemented to acquire kinematic data and provide real-time joint visual feedback during the training. Outcome measurements included changes in center of mass (CoM) sway, ankle and hip joint sway measured during a balance test while the eyes were open and closed at baseline and after the intervention. Daily physical activities were also measured during a 48-hour period at baseline and at follow-up. Analysis of covariance was performed for the post-training outcome comparison.<br /><br />Results: Compared with the CG, the patients in the IG showed a significantly reduced CoM sway (58.31%; p = 0.009), ankle sway (62.7%; p = 0.008) and hip joint sway (72.4%; p = 0.017) during the balance test with open eyes. The ankle sway was also significantly reduced in the IG group (58.8%; p = 0.037) during measurements while the eyes were closed. The number of steps walked showed a substantial but nonsignificant increase (+27.68%; p = 0.064) in the IG following training.<br /><br />Conclusion: The results of this randomized controlled trial demonstrate that people with DPN can significantly improve their postural balance with diabetes-specific, tailored, sensor-based exercise training. The results promote the use of wearable technology in exercise training; however, future studies comparing this technology with commercially available systems are required to evaluate the benefit of interactive visual joint movement feedback. Najafi, Bijan 2021-10-26T07:08:20Z Lee-Eng, Jacqueline 2015 Grewal, Gurtej Singh Talal, Talal K. Parvaneh, Saman 2021-10-26T07:08:20Z Attribution-NonCommercial 3.0 Unported eng Menzies, Robert A. Grewal, Gurtej Singh Schwenk, Michael Bharara, Manish Sensor-Based Interactive Balance Training with Visual Joint Movement Feedback for Improving Postural Stability in Diabetics with Peripheral Neuropathy : A Randomized Controlled Trial Najafi, Bijan Armstrong, David G. Menzies, Robert A. Lee-Eng, Jacqueline

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