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Task oriented training improves the balance outcome and reducing fall risk in diabetic population
Ghazal J, Malik AN, Amjad I
Pakistan Journal of Medical Sciences 2016 Jul-Aug;32(4):983-987
clinical trial
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVES: The objective was to determine the balance impairments and to compare task oriented versus traditional balance training in fall reduction among diabetic patients. METHODS: The randomized control trial with descriptive survey and 196 diabetic patients were recruited to assess balance impairments through purposive sampling technique. Eighteen patients were randomly allocated into two groups; task oriented balance training group TOB (n = 8) and traditional balance training group TBT (n = 10). The inclusion criteria were 30 to 50 years age bracket and diagnosed cases of diabetes mellitus with neuropathy. The demographics were taken through standardized and valid assessment tools include Berg Balance Scale and Functional Reach Test. The measurements were obtained at baseline, after 04 and 08 weeks of training. RESULTS: The mean age of the participants was 49 +/- 6.79. The result shows that 165 (84%) were at moderate risk of fall and 31 (15%) were at mild risk of fall among total 196 diabetic patients. There was significant improvement (p < 0.05) in task oriented balance training group for dynamic balance, anticipatory balance and reactive balance after 8 weeks of training as compare to traditional balance training. CONCLUSION: Task oriented balance training is effective in improving the dynamic, anticipator and reactive balance. The task oriented training reduces the risk of falling through enhancing balance outcome.

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