Volume : VII, Issue : I, January - 2018

EXPLORING IMPACT OF DIFFERENT STRATEGIES IN NEUROPATHY

Aparna Gupta

Abstract :

 

Diabetes Mellitus (DM) is one of the largest global public health emergencies of the 21^st century. ⁽¹⁾ Approximately 415 million adults have DM and by 2040 this number will rise to 642 million.⁽²⁾ According to WHO as per the 2015 data in India there are 69.2 million diabetic patients and Neuropathies are one of the most commonest complication of DM with a prevalence of 60% approximately. Poor Glycemic control for few years in patients with Type 2 DM may present with the complication of Diabetic Neuropathy. Diabetic Neuropathy  refers to symptoms and signs of neuropathy in a patient with diabetes .Distal symmetrical neuropathyis the commonest accounting for 75% Diabetic Neuropathy.  It may comprise balance during daily activities. Patients with Diabetic Neuropathy have increased risk of falling and because of which it leads to deterioration immobility, activity avoidance .The studies focusing on epidemiological status showed a higher incidence of falls in the elderly with Diabetic Neuropathy. Balance is said to be affected by numerous factors such as vestibular, visual , proprioceptive , lower extremity range of motion and so on . Among this, the deterioration of proprioceptive, vestibular and lower extremity muscle strength were the main reasons for impaired balance in patients with Diabetic Neuropathy. Neuropathic patients were 23 times more likely to fall and are 15 times more likely to report an injury compared with matched non neuropathic subjects. Taking active training to reduce the risk of falls in Diabetic Neuropathy with balance impairment to prevent falls and improve their balance and quality of life is very important. Dual task training under various sets of instruction that is fixed priority and variable priority instruction sets effects the balance in patients with Diabetic Neuropathy. This study predicts that people would have great difficulty doing two tasks at once. A second view is that cognition is limited by the speed with which cognitive system can operate and normal ageing result in slowing of processing. In fixed priority instruction set same amount of attention has been given on both tasks that is on balance tasks and cognitive tasks all the time. In variable priority institutional set, attention has been switch between the tasks that is on the balance tasks and on the cognitive tasks. The efficacies of these two different tasks training strategies are studied  for the acquisition, retention and transfer of tasks coordination skills in Diabetic Neuropathy patients.

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Article: Download PDF    DOI : https://www.doi.org/10.36106/gjra  

Cite This Article:

Aparna Gupta, EXPLORING IMPACT OF DIFFERENT STRATEGIES IN NEUROPATHY, GLOBAL JOURNAL FOR RESEARCH ANALYSIS : VOLUME-7, ISSUE-1, JANUARY-2018

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