Effects Of Otago Exercise Versus Multisensory Integration Training On Balance And Gait In Elderly With Diabetes

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age65-75
SponsorCairo University

About this trial

The goal of this clinical trial is to compare the effect of the Otago exercise and Multisensory integration training on balance and gait in the elderly with type 2 diabetes mellitus.

The main question it aims to answer is:

• Is there a significant difference between the effect of Otago exercise and Multisensory integration training on balance and gait in the elderly with type 2 diabetes mellitus? Researchers will compare Otago exercise to Multisensory integration training to know which one has the greatest benefit on balance \&gait in the elderly with type2 diabetes.

Participants will be divided into 3 groups; each group takes a certain training program for 8 weeks:

* First group: Otago exercise group plus conventional treatment for neuropathy. * Second group: Multisensory integration training group plus conventional treatment for neuropathy. * Third group: control group takes only conventional treatment for neuropathy.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Ninety elderly Patients of both genders.

Their age will range from 65 to 75th.

They will be diagnosed with type 2 diabetes for 5 years or more.

Patients with mild & moderate neuropathy will be included. (Based on the Toronto scale: -mild (6-8); moderate (9-11)

Disqualifiers

Any musculoskeletal disorder affecting the lower limb (fracture of the lower limb, tumors, any infection, ligament injuries, foot injuries).

Any other neurological disorder influences gait such as (stroke, Parkinson's disease, cerebellar dysfunction, ataxia, vestibular disorders)

Any other cardiovascular disease (arrhythmia, cardiac pacemakers).

Unstable proliferative retinopathy and visual impairments without correction.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Otago exercise

    Other intervention

    Exercise program consisted of ( flexibilty - strengthening - balance ) exercise for elderly. Time of each session (50:60 min). For 3d/w for 8weeks.

  • Multisensory integration training

    Other intervention

    Multisensory integration training is a group of balance exercise depend on facilitating different sensory systems (visual-vestibular-propioception) Time for each session (50 min). For 3d/w for 8weeks.

  • conventional treatment for neuropathy

    Other intervention

    conventional treatment for improving balance and gait problem associated with DPN For 3d/w for 8weeks

Treatment groups

90 Participants
are divided into 3 treatment groups
Group A: Otago exercise groupActive comparator 2 interventions
Group B: Multisensory integration training groupActive comparator 2 interventions
Group C: control groupActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Balance: ( Time up & go test )dual task

Time frame
From enrollment to the end of treatment at 8 weeks
2

Balance: Berg Balance Scale

Time frame
From enrollment to the end of the treatment at 8 weeks
3

Gait speed (10m walk test)

Time frame
From enrollment to the end of the treatment at 8 weeks

Secondary outcomes

1

Functional reach test.

Time frame
From enrollment to the end of treatment at 8 weeks
2

Modified fall efficacy scale

Time frame
From enrollment to the end of treatment at 8 weeks
3

Toronto clinical neuropathy score

Time frame
From enrollment to the end of treatment at 8 weeks

Other outcomes

Sponsors and contacts

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This trial is not recruiting at the moment. You can still explore other options: