Effect of balance training with Biodex Stability System on balance in diabetic neuropathy

Objectives: Diabetic neuropathy (DN) in the elderly is a common complication of diabetes that can negatively influence balance control. In this study, we aimed to evaluate the efficacy of balance training program on postural stability of diabetic patients. Patients and methods: In this randomized clinical trial, 34 elderly DN patients were divided into intervention ( n = 17) and control ( n = 17) groups. The experimental group underwent a balance training program using the Biodex Balance System (BBS) for 10 sessions. All subjects in both groups were assessed using timed ‘up and go’ (TUG) test, the Berg balance scale, and the fall risk and postural stability tests, at baseline and at the end of the study. Results: TUG ( p = 0.01), fall risk index ( p = 0.002), anterior/posterior index ( p = 0.01), medial/lateral index ( p = 0.04), overall stability index ( p = 0.01) and Berg balance scale ( p = 0.04) were significantly improved after the training in the intervention group, but had no significant differences in the control group. The changes in TUG ( p < 0.001) and fall risk index ( p < 0.001) in the intervention group were significantly higher than those in the control group. Conclusion: According to our results, balance training would improve postural stability and balance in elderly patients with DN