Influence of Visual Feedback Training on Distribution of Foot Pressure in Diabetic Neuropathy Patients

摘要

Background and Purpose: Neuropathies are the most common long-term complications~( )of diabetes that affecting up to 50% of patients and considered a major risk factor for the development of plantar ulceration. The goal of this study was to investigate the effect of visual feedback training on re-distribution of planter pressure during standing posture in diabetic peripheral neuropathy patients as a trial for finding a method for reducing the risk of foot ulcer. Patients and Methods: This study was conducted on thirty diabetic patients from both sexes with mild peripheral neuropathy, their ages ranged from 45 to 60 years. The patients were randomly assigned into two equal groups. The study groups A (GA) received visual feedback training by using Biodex Balance System in addition to a selected physical therapy program. The control group B (GB) received the selected physical therapy program only. Results: The results revealed that, in the study group (A) there was a significant increase of plantar pressure at right and left heel, while there was a significant decrease of plantar pressure at right and left big toe and no significant differences of plantar pressure at right little toe post treatment. While in the control group (B) there was no significant difference of plantar pressure at right and left heel, big toe and little toe post treatment. Conclusion: Visual feedback training in addition to the selected physical therapy program was more effective than using the selected physical therapy program only for redistribution of foot planter pressure in diabetic neuropathy patients.