ABSTRACT

Diabetic neuropathy is a common complication of diabetes that causes nerve demyelination, resulting in reduced sensation, proprioception, and muscle strength, power generation, mobility. This condition also leads to balance abnormalities (reactive and proactive postural control) as well as walking disturbances including slower speed, shorter stride length, and changes in the quality of walking. the objective of the study is to see the impact of fast muscle activation through step training (FAST) on reactive postural control and cadence(steps/min) in subjects with mild diabetic neuropathy. A total of 30 participants with mild diabetic neuropathy were assessed Michigan Polyneuropathy Examination (MNSI)randomly assigned to two groups for a 4-week study: the FAST exercise group (n=16) and the active control group (n=14). For reactive postural control is a subcomponent of BESTest -reactive postural balance section and for walking cadence measure by total steps per minute. Identify a mean improvement of 2 ± 5.875 and 3.142 ± 9.857 in the experimental and control groups respectively. Both groups showed significant improvement in reactive postural control and gait after intervention (p<0.05). However, in an experimental group, most of the subjects showed vast improvements. Whereas group B showed mild to moderate improvement in subjects. The result of the study demonstrated accelerated muscle activation through step training on reactive postural control and cadence in individuals with diabetic neuropathy. Keywords: Stepping Training, Reactive Postural Control, Cadence, Diabetic Neuropathy
Publication date: 01/02/2025

https://ijbpas.com/pdf/2025/February/MS_IJBPAS_2025_8700.pdf

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https://doi.org/10.31032/IJBPAS/2025/14.2.8700