Effects of Turning Based Dual Task Training on Balance and Mild Cognitive Impairment in Diabetic Peripheral Neuropathy

Summary

Diabetic Peripheral Neuropathy (DPN) is a common complication of diabetes, characterized by impaired sensory and motor function, often leading to balance dysfunction and an increased risk of falls. Additionally, individuals with DPN are at heightened risk for mild cognitive impairment (MCI), which further compromises functional independence. This study aims to determine the effects of turning-based dual-task training compared to conventional dual-task training on balance, cognitive function, and fall risk in individuals with DPN. Pre- and post-intervention assessments will be conducted using the Berg Balance Scale (BBS), Montreal Cognitive Assessment (MoCA), and Timed Up and Go Test (TUGT) to evaluate balance, cognition, and fall risk respectively.

Eligibility

Inclusion Criteria:

* Type 2 Diabetes Mellitus ≥ 5 years
* Diagnosed with Diabetic Peripheral Neuropathy
* Age 50 and above
* Berg Balance Scale (BBS 21-40) score
* Mild Cognitive Impairments (MoCA 18-25)
* Able to stand and walk with or without assistive devices

Exclusion Criteria:

* Severe neuropathic foot ulcers or Charcot joints.
* History of major musculoskeletal injuries affecting ambulation (Fractures of lower limb), Severe Osteoarthritis.
* Uncontrolled Diabetes.
* Neurological disorders unrelated to DPN (brain tumors, stroke, epilepsy, Alzheimer's, GBS and Parkinson's disease).
* Significant visual, auditory impairment.

Conditions5

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