Efficacy of Vibrating Insole Versus Biodex System on Postural Control in Patient with Diabetic Neuropathy

Background and Purpose: The purpose of this study was to compare the effect of vibrating insole versus biodex system on sanding balance in patients with diabetic neuropathy.Patients and Methods: Forty five diabetic patients from both sexes with mild and moderate peripheral neuropathy participated in this study. The patients were randomly divided into three equal groups; Study group (A) recieved vibrating insole under both feet during standing in addition to selected physical therapy program for diabetic peripheral neuropathy. Study group (B) recieved visual feedback training by biodex balance system, in addition to selected physical therapy program for peripheral diabetic neuropathy. Control group (C) recieved selected physical therapy program for diabetic peripheral neuropathy as group A,B including proprioceptive exercises, Ankle range of motion exercises.Results: The results revaled that, in the group (A) There was improvement of standing balance in diabetic neuropathic patients, while, in group (B) There was significant increase of standing balance in patients with diabetic neuropathy, and less increase in standing balance in control group (C), Statistical significant difference between three groups post treatment.Conclusion: Visual feedback training by biodex balance system in addition to physical therapy program was more effective than vibrating insole in addition to selected physical therapy program only for enhancement of standing balance in diabetic neurophaty patients.