The effect of tDCS along with postural training on static and dynamic balance on patients with diabetic neuropathy

The effect of tDCS along with postural training on static and dynamic balance on patients with diabetic neuropathy

A controlled, double-blind, single-center, randomized clinical trial with 39 participants in 3 groups of 13.

Neuromuscular Rehabilitation Research Center Patients receive balance training for 4 weeks, 3 sessions per week, in 3 groups (with cerebellar tDCS stimulation, with Sham-tDCS stimulation, and alone).

Include criteria: Age 40-60 years; Patients who have symptoms of neuropathy such as tingling or numbness in the soles of the feet; Patients who receive a Berg scale score of less than 45; Patients who are classified as moderate or severe according to the Toronto Clinical Scoring System Exclusion criteria: Other neurological diseases (multiple sclerosis, history of stroke, Parkinson's, myelopathy, cerebellar ataxia); The patient's use of chemotherapy drugs that induced neuropathy; Mild neuropathy severity based on the Toronto Clinical Neuropathy Scale (score less than 8); Patients taking insulin

Intervention group1: In this group according to the protocol, patients receive balance exercises on the device for 20 minutes simultaneously with cerebellar tDCS stimulation. Intervention group2: In this group according to the protocol, patients receive balance exercises on the device for 20 minutes simultaneously with Sham-tDCS cerebellar stimulation. Control group: In this group according to the protocol, patients receive balance exercises alone for 4 weeks, 3 sessions per week, and this is only for comparison with the intervention group.

Barge Balance Scale(BBS); Anterior-posterior stability indices; Overall stability index; Mediolateral stability index(internal - external)

Numbers 1 to 39 are written on paper and all of them are placed in sealed envelopes. Persons are then asked to select an envelope each. and according to the number inside the envelope, they will be placed in the relevant group. Randomization will be performed by someone other than the researcher and the evaluator.

Blinding of the analyst, the outcome evaluator and the participant (double-blind) is done so that the groups are defined as A, B, and C for the patients and provided to the analyst and the outcome evaluator so they do not know about the grouping method. The participating person and the person who performs the statistical analysis do not know about the intervention modes.