Effect of Feldenkrais Method in Enhancing Postural Control for Patients with Diabetic Polyneuropathy (FeM)

Cairo University (CU)

Status and phase: Invitation-only; Phase 1

Conditions: Diabetic Polyneuropathy

Treatments: Other: conventional balance training program; Other: The Feldenkrais-based intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT06904417

P.T.REC/012/005646

Details and patient eligibility

About

Background: Postural Control is a major complication of polyneuropathy, affecting patients suffering from diabetes mellitus. Purpose: To examine the effect of the Feldenkrais Method on dynamic balance, limits of stability and fear of falling in adults aged 45 to 60 years with diabetic polyneuropathy in the short and mid-term. Methods: A single-blinded, parallel, multicentric randomized control trial was conducted in two health centers. Adults aged 45 to 60 years with diabetic polyneuropathy and a history of falls or dynamic balance dysfunction were recruited from hospital databases and randomly assigned to either the study or control group. The study group received 16 sessions of Feldenkrais-based sensorimotor training. Both groups received diabetic foot care instructions and traditional balance exercises. Outcomes were measured at 3 and 6-month follow-up intervals. Dynamic balance was assessed using the Timed Up and Go (TUG) Test, limits of stability using Biodex and fear of falling with the Falls Efficacy Scale (FES).

Enrollment: 24 estimated patients

Sex: All

Ages: 45 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Individuals must have a diagnosis of Diabetic Polyneuropathy (DPN), confirmed by clinical examination and electrophysiological testing.
• Participants must have stable glycemic control for at least three months prior to enrollment.
• Individuals must be able to walk independently, with or without the use of an assistive device.

Exclusion criteria

• Individuals with severe visual or vestibular impairments are excluded from participation.
• Participants with significant musculoskeletal disorders affecting gait are not eligible.
• Individuals with severe cardiovascular or respiratory conditions are excluded.
• Participants with cognitive impairments that prevent active participation are not eligible.
• Individuals currently engaged in structured physical therapy or balance training programs are excluded.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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24 participants in 2 patient groups

The Feldenkrais-based intervention

Experimental group

Description:

this group recieve The Feldenkrais-based intervention consisted of guided awareness exercises

Treatment:

Other: The Feldenkrais-based intervention

a conventional balance training program

Active Comparator group

Description:

The control group participated in a conventional balance training program consisting of static and dynamic balance exercises, gait training, and strength-building activities, matched for session frequency and duration