Effect of yogasana intervention on standing balance performance among people with diabetic peripheral neuropathy: A pilot study

Background: Diabetic peripheral neuropathy (DPN) is known to cause impaired balance and eventually increased risk of fall. Yogasanas characterized by slow, gentle transitions into postures with a varying base of support and focus on body awareness during movement hold potential for training balance...

Full description

Bibliographic Details
Main Authors: Jinny P Kanjirathingal, Rajani P Mullerpatan, Girish Nehete, Nagarathna Raghuram
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:International Journal of Yoga
Subjects:
Online Access:http://www.ijoy.org.in/article.asp?issn=0973-6131;year=2021;volume=14;issue=1;spage=60;epage=70;aulast=Kanjirathingal
_version_ 1819053249885372416
author Jinny P Kanjirathingal
Rajani P Mullerpatan
Girish Nehete
Nagarathna Raghuram
author_facet Jinny P Kanjirathingal
Rajani P Mullerpatan
Girish Nehete
Nagarathna Raghuram
author_sort Jinny P Kanjirathingal
collection DOAJ
description Background: Diabetic peripheral neuropathy (DPN) is known to cause impaired balance and eventually increased risk of fall. Yogasanas characterized by slow, gentle transitions into postures with a varying base of support and focus on body awareness during movement hold potential for training balance control. Therefore, the current study aimed to evaluate effect of structured Yogasana intervention compared to conventional balance exercise on static and dynamic balance performance among people with diabetic neuropathy. Methods: Thirty-five people with DPN aged 42–70 years were recruited to Yogasana intervention group (n = 11), conventional balance exercises group (n = 10), and Control group (n = 14) following ethical approval. All participants were evaluated at baseline and post 12-week intervention on star excursion balance test, single-limb stance test, and center of pressure (CoP) excursion for balance performance, Modified fall efficacy scale for fear of falls and lower extremity strength using chair stand test and step-up test. Results: Balance performance (static and dynamic measured by star excursion balance test, single-limb stance test, and CoP excursion, lower extremity strength (using chair stand test and step-up test) demonstrated improvement and fear of fall reduced among Yogasana intervention group (p = 0.05) and conventional balance exercises group (p = 0.05) post 12-week intervention. CoP excursion increased in the control group indicating deterioration in balance performance after 12 weeks (p = 0.05). Post hoc comparison revealed that Yogasana intervention was marginally more effective in improving static and dynamic balance performance compared to conventional balance exercises in all variables of standing balance performance (p = 0.025). Conclusion: Yogasana and conventional balance exercises were effective in improving static and dynamic balance performance, lower extremity muscle strength, and reducing fear of fall among people with DPN. Yogasana intervention demonstrated marginally greater improvement in static and dynamic balance performance and lower extremity muscle strength compared to conventional exercise.
first_indexed 2024-12-21T12:32:44Z
format Article
id doaj.art-ad59b3cdbe714f0bba3f2ed0c6c7d86d
institution Directory Open Access Journal
issn 0973-6131
language English
last_indexed 2024-12-21T12:32:44Z
publishDate 2021-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series International Journal of Yoga
spelling doaj.art-ad59b3cdbe714f0bba3f2ed0c6c7d86d2022-12-21T19:03:59ZengWolters Kluwer Medknow PublicationsInternational Journal of Yoga0973-61312021-01-01141607010.4103/ijoy.IJOY_75_20Effect of yogasana intervention on standing balance performance among people with diabetic peripheral neuropathy: A pilot studyJinny P KanjirathingalRajani P MullerpatanGirish NeheteNagarathna RaghuramBackground: Diabetic peripheral neuropathy (DPN) is known to cause impaired balance and eventually increased risk of fall. Yogasanas characterized by slow, gentle transitions into postures with a varying base of support and focus on body awareness during movement hold potential for training balance control. Therefore, the current study aimed to evaluate effect of structured Yogasana intervention compared to conventional balance exercise on static and dynamic balance performance among people with diabetic neuropathy. Methods: Thirty-five people with DPN aged 42–70 years were recruited to Yogasana intervention group (n = 11), conventional balance exercises group (n = 10), and Control group (n = 14) following ethical approval. All participants were evaluated at baseline and post 12-week intervention on star excursion balance test, single-limb stance test, and center of pressure (CoP) excursion for balance performance, Modified fall efficacy scale for fear of falls and lower extremity strength using chair stand test and step-up test. Results: Balance performance (static and dynamic measured by star excursion balance test, single-limb stance test, and CoP excursion, lower extremity strength (using chair stand test and step-up test) demonstrated improvement and fear of fall reduced among Yogasana intervention group (p = 0.05) and conventional balance exercises group (p = 0.05) post 12-week intervention. CoP excursion increased in the control group indicating deterioration in balance performance after 12 weeks (p = 0.05). Post hoc comparison revealed that Yogasana intervention was marginally more effective in improving static and dynamic balance performance compared to conventional balance exercises in all variables of standing balance performance (p = 0.025). Conclusion: Yogasana and conventional balance exercises were effective in improving static and dynamic balance performance, lower extremity muscle strength, and reducing fear of fall among people with DPN. Yogasana intervention demonstrated marginally greater improvement in static and dynamic balance performance and lower extremity muscle strength compared to conventional exercise.http://www.ijoy.org.in/article.asp?issn=0973-6131;year=2021;volume=14;issue=1;spage=60;epage=70;aulast=Kanjirathingalconventional balance exercisesdiabetic peripheral neuropathystatic and dynamic performanceyogasana
spellingShingle Jinny P Kanjirathingal
Rajani P Mullerpatan
Girish Nehete
Nagarathna Raghuram
Effect of yogasana intervention on standing balance performance among people with diabetic peripheral neuropathy: A pilot study
International Journal of Yoga
conventional balance exercises
diabetic peripheral neuropathy
static and dynamic performance
yogasana
title Effect of yogasana intervention on standing balance performance among people with diabetic peripheral neuropathy: A pilot study
title_full Effect of yogasana intervention on standing balance performance among people with diabetic peripheral neuropathy: A pilot study
title_fullStr Effect of yogasana intervention on standing balance performance among people with diabetic peripheral neuropathy: A pilot study
title_full_unstemmed Effect of yogasana intervention on standing balance performance among people with diabetic peripheral neuropathy: A pilot study
title_short Effect of yogasana intervention on standing balance performance among people with diabetic peripheral neuropathy: A pilot study
title_sort effect of yogasana intervention on standing balance performance among people with diabetic peripheral neuropathy a pilot study
topic conventional balance exercises
diabetic peripheral neuropathy
static and dynamic performance
yogasana
url http://www.ijoy.org.in/article.asp?issn=0973-6131;year=2021;volume=14;issue=1;spage=60;epage=70;aulast=Kanjirathingal
work_keys_str_mv AT jinnypkanjirathingal effectofyogasanainterventiononstandingbalanceperformanceamongpeoplewithdiabeticperipheralneuropathyapilotstudy
AT rajanipmullerpatan effectofyogasanainterventiononstandingbalanceperformanceamongpeoplewithdiabeticperipheralneuropathyapilotstudy
AT girishnehete effectofyogasanainterventiononstandingbalanceperformanceamongpeoplewithdiabeticperipheralneuropathyapilotstudy
AT nagarathnaraghuram effectofyogasanainterventiononstandingbalanceperformanceamongpeoplewithdiabeticperipheralneuropathyapilotstudy