Comparison of sensory motor training effect with or without resistancetraining on performance, balance and pain in patients with diabeticperipheral neuropathy: A randomized controlled clinical trial
Comparison of sensory motor training effect with or without resistance
training on performance, balance and pain in patients with diabetic
peripheral neuropathy
Design
Randomized controlled trial
method: Balanced, Block Randomization in three equal groups
Determining and comparing the effect of 8 weeks of sensorimotor exercises with or without
resistance exercises on static and dynamic balance, Function and pain in patients with peripheral diabetic neuropathy
Settings and conduct
The exercise was conducted thrice a week (alternate days
with gap not exceeding more than 48 hours) for eight weeks
(total 24 sessions). Each session comprised 10 minutes of warm-up, followed by 50-
60 minutes of exercise, followed by 5-10 minutes of cool down.
Participants/Inclusion and exclusion criteria
• Male and female subjects aged between 40 and 65 years;
• diagnosed T2DM for at least 5years;
• BMI was between 20 and 29.9 kg/m2;
• Subjects had scored more than 2/13 points in the Michigan neuropathy
screening instrument) questionnaire
• A score greater than 1/10 of the MNSI physical examination score, including vibration
perception impairment
• Score 4 to 6 in VAS
DPN patients who do not eligible or give consent
Absence in more than 3 meetings
without any episode of plantar ulceration; no partial or total amputation; and ability to walk independently in the
laboratory. Patients were excluded from the study if they had any other neurological impairment;
any major vascular complication; severe retinopathy; severe nephropathy; severe musculoskeletal impairment to
lower limb; cardiovascular complication; and been receiving any supervised physical intervention
Intervention groups
1.Sensory-motor exercises
2.Sensory-motor exercises + resistance training
Main outcome variables
Static and Dynamic Balance
Function
Pain
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20250212064710N1
Registration date:2025-03-12, 1403/12/22
Registration timing:retrospective
Last update:2025-03-12, 1403/12/22
Update count:0
Registration date
2025-03-12, 1403/12/22
Registrant information
Name
Azin Shirin
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 912 640 8725
Email address
az.shirin@mail.sbu.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2025-02-08, 1403/11/20
Expected recruitment end date
2025-02-20, 1403/12/02
Actual recruitment start date
2025-02-08, 1403/11/20
Actual recruitment end date
2025-02-20, 1403/12/02
Trial completion date
2025-05-22, 1404/03/01
Scientific title
Comparison of sensory motor training effect with or without resistancetraining on performance, balance and pain in patients with diabeticperipheral neuropathy: A randomized controlled clinical trial
Public title
Comparison of sensory motor training effect with or without resistancetraining on performance, balance and pain in patients with diabeticperipheral neuropathy
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
diagnosed T2DM for at least 5years
BMI was between 20 and 29.9 kg/m2
Subjects had scored more than 2/13 points in the Michigan neuropathyscreening instrument) questionnaire
A score greater than 1/10 of the MNSI physical examination score, including vibrationperception impairment
Score 4 to 6 in VAS
Male and female subjects aged between 40 and 65 years
Exclusion criteria:
DPN patients who do not eligible or give consent
Absence in more than 3 meetings
without any episode of plantar ulceration; no partial or total amputation; and ability to walk independently in thelaboratory.
Patients were excluded from the study if they had any other neurological impairment;
any major vascular complication; severe retinopathy; severe nephropathy; severe musculoskeletal impairment tolower limb; cardiovascular complication; and been receiving any supervised physical intervention
Age
From 40 years old to 65 years old
Gender
Both
Phase
N/A
Groups that have been masked
Investigator
Data analyser
Sample size
Target sample size:
45
Actual sample size reached:
45
Randomization (investigator's opinion)
Randomized
Randomization description
We performed randomization using the block randomization method to allocate participants into three groups. A predetermined block size was used to ensure an equal distribution of participants across groups. The randomization sequence was generated using a computer-based random number generator, and allocation was concealed to prevent selection bias. Participants were then assigned to their respective groups based on the generated sequence, ensuring that the allocation process was truly random and balanced.
Blinding (investigator's opinion)
Single blinded
Blinding description
In this study, we applied single-blind blinding, meaning that participants were unaware of their group assignments. Additionally, the investigator responsible for administering interventions and the data analysts were blinded to the group allocations to minimize potential bias in outcome assessment and data interpretation.
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Royan institute
Street address
Aghdasieh street
City
Tehran
Province
Tehran
Postal code
1693913741
Approval date
2024-11-24, 1403/09/04
Ethics committee reference number
IR.ACECR.ROYAN.REC.1403.059
Health conditions studied
1
Description of health condition studied
Diabetes neuropathy
ICD-10 code
E13.40
ICD-10 code description
Other specified diabetes mellitus with diabetic neuropathy, unspecified
Primary outcomes
1
Description
Static balance
Timepoint
8 weeks
Method of measurement
Single leg stance
2
Description
Dynamic balance
Timepoint
8 weeks
Method of measurement
FRT
3
Description
Pain
Timepoint
8 weeks
Method of measurement
VAS
4
Description
Function
Timepoint
8 weeks
Method of measurement
TUG
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: sensory motor exercises
Category
Treatment - Devices
2
Description
Intervention group: Sensory-motor exercises + resistance training
Category
Treatment - Other
3
Description
Control group: routin lifestyle
Category
Lifestyle
Recruitment centers
1
Recruitment center
Name of recruitment center
Royan diabetes clinic
Full name of responsible person
Azin Shirin
Street address
Aghdasieh
City
Tehran
Province
Tehran
Postal code
1693913741
Phone
+98 912 640 8725
Email
az.shirin@mail.sbu.ac.ir
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Azin Shirin
Full name of responsible person
Azin Shirin
Street address
Pasdaran, meydan khash,
City
Tehran
Province
Tehran
Postal code
1983969411
Phone
+98 912 640 8725
Email
az.shirin@mail.sbu.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Yes - There is a plan to make this available
Data Dictionary
Yes - There is a plan to make this available
Title and more details about the data/document
The document contains research data related to title including anonymized individual participant data (IPD) and supporting materials. The data primarily focuses on Diabetics neurapathy, collected through Randomized controlled trials
When the data will become available and for how long
The data will be available starting from date mentioned prior and will remain accessible for six months after publication of results
To whom data/document is available
The data will be accessible to researchers affiliated with academic institutions and professionals in related industries, provided they submit a formal request.
Under which criteria data/document could be used
Access will be granted based on ethical approval and alignment with the research objectives. Applicants must submit a research proposal detailing how the data will be used.
From where data/document is obtainable
The data can be obtained from Shahid beheshti university by submitting a request through email mentioned in the file.
What processes are involved for a request to access data/document