
Journal of Exercise Science & Fitness, Journal Year: 2025, Volume and Issue: 23(3), P. 157 - 166
Published: April 4, 2025
Diabetic peripheral neuropathy (DPN) increases fall risk in diabetics. Due to varying variables used assess risk, the impact of exercise on prevention remains inconsistent. This study reviews and compares effects different exercises among older adults with DPN. A comprehensive literature search was conducted PubMed, EBSCO, Web Science, Cochrane Library up February 17th, 2025. Inclusion criteria were: DPN; intervention only, an inactive or non-exercising control group, randomized controlled trials outcome variables: timed go (TUG) time, gait speed, Berg Balance Scale (BBS) score, one-legged standing (OLS) time eye open (EO) closed (EC). The mean difference (MD) 95 % confidence interval (CI) were calculated. total 21 articles included five types: balance (BE), multi-component (ME), strength (SE), whole-body vibration (WBV) foot-ankle functional training (FT). BE reduced TUG (MD = -1.47, CI -1.79 -1.15) increased speed (0.11, 0.04-0.18), BBS score (0.93, 0.49-1.37), OLS (EO: 2.72, 1.86-3.58; EC:1.58, 1.0-2.17). ME (-1.71, -2.26 -1.17) (2.0, 1.28-2.72) 7.07, 4.35-9.79; EC: 2.61, 1.28-3.94); SE (-1.45, -2.75 -0.15) (0.09, 0.06-0.12); WBV 1.94, 1.32-2.56; 1.86, 0.16-3.56) but did not affect speed. FT Exercise risks effective reducing risks, followed by SE. improved static failed dynamic balance. showed limited recommended.
Language: Английский