Non-Pharmacological Balance Therapy on Diabetic Peripheral Neuropathy Patients with Balance Disorders

Background: Patients with diabetic peripheral neuropathy (DPN) suffers from proprioception and mobility disturbance which can potentially affects balance. There are various balance therapy options for DPN patients. The purpose of this study was to determine the effectiveness of various non-...

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Main Authors: Jeremy Nicolas Sibarani, Kristanti Wanito Wigati, Imam Subadi
Format: Article
Language:English
Published: Universitas Airlangga 2022-02-01
Series:Surabaya Physical Medicine and Rehabilitation Journal
Subjects:
Online Access:https://e-journal.unair.ac.id/SPMRJ/article/view/24982
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author Jeremy Nicolas Sibarani
Kristanti Wanito Wigati
Imam Subadi
author_facet Jeremy Nicolas Sibarani
Kristanti Wanito Wigati
Imam Subadi
author_sort Jeremy Nicolas Sibarani
collection DOAJ
description Background: Patients with diabetic peripheral neuropathy (DPN) suffers from proprioception and mobility disturbance which can potentially affects balance. There are various balance therapy options for DPN patients. The purpose of this study was to determine the effectiveness of various non-pharmacological therapies (surgery, traditional medicine, exercise and assistive devices) in DPN patients with balance disorders. Aim: To determine the effectiveness of non-pharmacological balance therapy in people with diabetic peripheral neuropathy. Material and Methods: A systematic review was conducted using randomized controlled trial study articles found using PICO characteristics in ScienceDirect and PubMed in the last 10 years. All articles were selected based on PRISMA and descriptive analysis was carried out on the selected articles. Results: Significant balance improvement was found in traditional Thai massage, physical exercise therapy, assistive device therapy with whole-body vibration, and assistive device therapy with electrical stimulation. Surgical therapy with unilateral nerve decompression did not provide a significant measurable balance improvement. Conclusion: Physical exercise therapy, traditional Thai foot massage, WBV and electrical stimulation therapy (with the exception of TENS on the knee) significantly improve balance. Meanwhile, unilateral nerve decompression surgical therapy did not improve the balance significantly.
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spelling doaj.art-3dc914e89316496b85a35d6379462d662023-06-01T06:36:20ZengUniversitas AirlanggaSurabaya Physical Medicine and Rehabilitation Journal2656-08952022-02-0141263110.20473/spmrj.v4i1.24982Non-Pharmacological Balance Therapy on Diabetic Peripheral Neuropathy Patients with Balance DisordersJeremy Nicolas Sibarani0Kristanti Wanito Wigati1Imam Subadi2Faculty of Medicine, Universitas Airlangga, Surabaya, East Java, IndonesiaDepartement of Physiology, Faculty of Medicine, Universitas Airlangga, Surabaya, East Java, IndonesiaDepartement of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Airlangga, Surabaya, East Java, IndonesiaBackground: Patients with diabetic peripheral neuropathy (DPN) suffers from proprioception and mobility disturbance which can potentially affects balance. There are various balance therapy options for DPN patients. The purpose of this study was to determine the effectiveness of various non-pharmacological therapies (surgery, traditional medicine, exercise and assistive devices) in DPN patients with balance disorders. Aim: To determine the effectiveness of non-pharmacological balance therapy in people with diabetic peripheral neuropathy. Material and Methods: A systematic review was conducted using randomized controlled trial study articles found using PICO characteristics in ScienceDirect and PubMed in the last 10 years. All articles were selected based on PRISMA and descriptive analysis was carried out on the selected articles. Results: Significant balance improvement was found in traditional Thai massage, physical exercise therapy, assistive device therapy with whole-body vibration, and assistive device therapy with electrical stimulation. Surgical therapy with unilateral nerve decompression did not provide a significant measurable balance improvement. Conclusion: Physical exercise therapy, traditional Thai foot massage, WBV and electrical stimulation therapy (with the exception of TENS on the knee) significantly improve balance. Meanwhile, unilateral nerve decompression surgical therapy did not improve the balance significantly.https://e-journal.unair.ac.id/SPMRJ/article/view/24982balancediabetesperipheral neuropathytherapy
spellingShingle Jeremy Nicolas Sibarani
Kristanti Wanito Wigati
Imam Subadi
Non-Pharmacological Balance Therapy on Diabetic Peripheral Neuropathy Patients with Balance Disorders
Surabaya Physical Medicine and Rehabilitation Journal
balance
diabetes
peripheral neuropathy
therapy
title Non-Pharmacological Balance Therapy on Diabetic Peripheral Neuropathy Patients with Balance Disorders
title_full Non-Pharmacological Balance Therapy on Diabetic Peripheral Neuropathy Patients with Balance Disorders
title_fullStr Non-Pharmacological Balance Therapy on Diabetic Peripheral Neuropathy Patients with Balance Disorders
title_full_unstemmed Non-Pharmacological Balance Therapy on Diabetic Peripheral Neuropathy Patients with Balance Disorders
title_short Non-Pharmacological Balance Therapy on Diabetic Peripheral Neuropathy Patients with Balance Disorders
title_sort non pharmacological balance therapy on diabetic peripheral neuropathy patients with balance disorders
topic balance
diabetes
peripheral neuropathy
therapy
url https://e-journal.unair.ac.id/SPMRJ/article/view/24982
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AT kristantiwanitowigati nonpharmacologicalbalancetherapyondiabeticperipheralneuropathypatientswithbalancedisorders
AT imamsubadi nonpharmacologicalbalancetherapyondiabeticperipheralneuropathypatientswithbalancedisorders