Progressive balance exercises improve muscle activity, postural control, and balance in type 2 diabetes mellitus: a randomised controlled trial
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Abstract
Objective: the study’s objective was to evaluate the effects of eight weeks of balance exercises on muscle activity, postural control, dynamic balance, pain and quality of life in patients with type 2 diabetes mellitus (T2DM). Methods: this is a randomised controlled study in which the subjects were divided into the intervention group (n = 24) or the control group (n = 24). The subjects in intervention group performed progressive balance exercises (PBE) for eight weeks, three days/week, whereas the subjects in control group were given consultation, dietary advice, and precautions about daily activities only. The outcome measures were pain, maximum voluntary isometric contraction (MVIC) of tibialis anterior (TA) and gastrocnemius (GM) and co-contraction index (CCI), postural control measures, Balance Evaluation Systems Test (BESTest), Quality of life (SF-36). 2 × 2 mixed model ANOVA was used for group effect, time effect and time × group interaction effect. Results: baseline comparison of the outcomes showed no significant differences except average MVIC of the right medial gastrocnemius muscle, proprioception (front), and emotional well-being (SF-36) (P < 0.05). %MVIC of right GM showed significant changes in time effect (P < 0.05), group effect (P < 0.05) and time × group effect (P < 0.01). The CCI of the right TA and GM showed a significant time effect (P < 0.01). There were also significant changes in CoP range, BESTest, NPRS scores (P < 0.05) but not for SF-36 after the eight weeks of intervention. Conclusions: PBE is an effective intervention for improving the muscle functions, balance and postural control resulting in the improvement of overall quality of life in patients with diabetes.
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Supplementary Materials
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Progressive balance exercises improve muscle activity, postural control, and balance in type 2 diabetes mellitus: a randomised controlled trial
In: Comparative Exercise PhysiologySearch for other papers by P. Arora in
Current site
Google Scholar
PubMed
Search for other papers by M. Azharuddin in
Current site
Google Scholar
PubMed
Search for other papers by S. Parveen in
Current site
Google Scholar
PubMed
Search for other papers by M. Usmani in
Current site
Google Scholar
PubMed
Search for other papers by C.A. Sehgal in
Current site
Google Scholar
PubMed
Search for other papers by M.M. Noohu in
Current site
Google Scholar
PubMed
Abstract
Objective: the study’s objective was to evaluate the effects of eight weeks of balance exercises on muscle activity, postural control, dynamic balance, pain and quality of life in patients with type 2 diabetes mellitus (T2DM). Methods: this is a randomised controlled study in which the subjects were divided into the intervention group (n = 24) or the control group (n = 24). The subjects in intervention group performed progressive balance exercises (PBE) for eight weeks, three days/week, whereas the subjects in control group were given consultation, dietary advice, and precautions about daily activities only. The outcome measures were pain, maximum voluntary isometric contraction (MVIC) of tibialis anterior (TA) and gastrocnemius (GM) and co-contraction index (CCI), postural control measures, Balance Evaluation Systems Test (BESTest), Quality of life (SF-36). 2 × 2 mixed model ANOVA was used for group effect, time effect and time × group interaction effect. Results: baseline comparison of the outcomes showed no significant differences except average MVIC of the right medial gastrocnemius muscle, proprioception (front), and emotional well-being (SF-36) (P < 0.05). %MVIC of right GM showed significant changes in time effect (P < 0.05), group effect (P < 0.05) and time × group effect (P < 0.01). The CCI of the right TA and GM showed a significant time effect (P < 0.01). There were also significant changes in CoP range, BESTest, NPRS scores (P < 0.05) but not for SF-36 after the eight weeks of intervention. Conclusions: PBE is an effective intervention for improving the muscle functions, balance and postural control resulting in the improvement of overall quality of life in patients with diabetes.
| All Time | Past 365 days | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 321 | 321 | 22 |
| Full Text Views | 7 | 7 | 0 |
| PDF Views & Downloads | 29 | 29 | 0 |
