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Study aim
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The aim of this single-blind clinical trial study is to compare the effect of perturbation-based balance training with blocked and random sequences on the acquisition, retention and generalizability of acquired reactive balance skills in people with diabetic neuropathy. This study is conducted on 50 people with diabetic neuropathy.
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Design
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Randomized, parallel-group, single-blind, sham controlled clinical trial of 50 patients. Random Allocation computer software was used for randomization.
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Settings and conduct
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In one session (1 trainer to 1 participant), perturbation-based balance training with two blocked or random sequences will be given to people with type 2 diabetes at the rehabilitation research center of Jundishapur University, Ahvaz, and the effect of these training on reactive and functional balance will be investigated.
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Participants/Inclusion and exclusion criteria
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Inclusion criteria include having type 2 diabetes and diabetic peripheral neuropathy, age range between 45-60 years, ability to stand independently for 30 minutes, neuropathy Deficit Score between 3 and 6, obtaining Minimum score of 24 on mini-mental State Examination.
Also, foot ulcer and amputation, orthopedic problems, symptoms of central nervous system involvement, uncorrected vision problems, hearing problems, history of vertigo, patient report of problems Peripheral vessels and heart problems, taking anti psychotic drugs, suffering from major depression based on the score of the modified version of the short Beck Depression Inventory above are exclusion criteria.
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Intervention groups
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The control group will not receive any training.
Blocked group receiving perturbation-based balance training with blocked sequence.
A random group that receives a perturbation-based balance with a random sequence.
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Main outcome variables
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Functional balance
Balance Confidence
Dynamic Balance
Static Balance
Reactive balance