Efficacy Of Whole-Body Vibration In Improving Balance And Proprioception In Patients With Diabetic Foot Neuropathy: A Randomized Controlled Trial
DOI:
https://doi.org/10.69980/ajpr.v28i2.756Keywords:
whole-body vibration, diabetic neuropathy, balance training, proprioception, rehabilitation.Abstract
Background: Diabetic peripheral neuropathy often leads to deficits in proprioception and balance, which elevate the risk of falls. Whole-body vibration (WBV) has emerged as a novel rehabilitation strategy aimed at enhancing sensory-motor function. This study investigated the effects of WBV training on balance and proprioception in individuals with diabetic foot neuropathy.
Methods: A single-blind randomized controlled trial was conducted involving 20 participants with type 2 diabetes complicated by peripheral neuropathy. Subjects were randomly assigned to either a WBV group (n = 10) or a control group (n = 10) that performed conventional balance exercises. Both groups completed supervised sessions three times per week for four weeks. Balance performance was evaluated using the Y-Balance Test (composite, anterior–posterior, and medial–lateral stability indices), while functional mobility was assessed with the Timed Up and Go (TUG) test. Pre- and post-intervention outcomes were compared.
Results: Participants in the WBV group demonstrated significant improvements in dynamic balance indices and proprioceptive accuracy (p < 0.001). Functional mobility, as measured by TUG, also improved in the WBV group (p = 0.011), whereas no significant changes were observed in the control group. Effect size analysis revealed moderate-to-large improvements in balance measures following WBV training.
Conclusion: WBV appears to be an effective and practical intervention for enhancing proprioception, balance, and mobility in individuals with diabetic foot neuropathy. Further large-scale studies with longer follow-up periods are needed to validate the long-term benefits and clinical applicability of this approach.
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