Clinical Research Directory

COMPARISON OF MULTISENSORY EXERCISE AND TIBIAL NERVE MOBILIZATION IN PATIENTS WITH TYPE 2 DIABETIC PERIPHERAL NEUROPATHY

Diabetes mellitus is a chronic metabolic condition characterized by high blood glucose levels due to insufficient insulin production or the body's inability to respond properly to insulin. One of its common complications is diabetic peripheral neuropathy (DPN), which develops when prolonged high blood glucose levels damage peripheral nerves, particularly those in the lower limbs and feet. Patients with diabetic peripheral neuropathy may experience burning pain, tingling, numbness, muscle weakness, and loss of sensation. The condition can also affect balance and walking ability, making daily activities difficult. Reduced sensation increases the risk of unnoticed injuries, foot infections, ulcers, and other serious complications. A randomized controlled trial was conducted involving 38 participants, divided into two groups. Group A received tibial nerve mobilization along with conventional physiotherapy, while Group B received multisensory exercise training along with conventional physiotherapy. According to the abstract, both interventions were delivered for 35 minutes per session, three sessions per week, over four weeks. The aim of this study is to determine the comparison of multisensory exercise and tibial nerve mobilization in patients with type 2 diabetic peripheral neuropathy.