Diabetic Peripheral Neuropathy (DPN) causes various physical problems such as the increased risk of falling, loss of balance and coordination while standing or walking, susceptibility to injuries due to sensory loss. The aim of the study was to evaluate and compare the effects of neuropathic pain (NP) in individuals with DPN on balance and gait. This prospective controlled study was conducted on 42 adults aged between 40-65 years. The participants were divided into three groups; individuals with DPN and NP (DPN+NP/n = 14), individuals with DPN without NP (DPN-NP/n = 14), and the control group (n = 14), respectively. The Force Plate system and Core Balance System measured static and dynamic postural balance and stability limits. Gait and dynamic plantar pressure distribution analyses were performed with a computerized gait evaluation system. The score of LANSS, and VAS during gait were higher in DPN+NP group than in DPN-NP (p < 0.05). No significant difference was observed between the groups in balance parameters (p > 0.05). The right-left heel maximum forces were lower in both groups with DPN compared to the control group (p < 0.05). In terms of spatiotemporal parameters of the gait, there was a difference between the groups only in step width and left single support line parameters (p < 0.05). The results of this study indicate that the individuals with DPN have an increased step width, their left single support line was shortened, and the maximum force on the heel decreased. The NP did not cause any change in balance and gait parameters.

The aim of the study was to evaluate the effects of freezing of gait (FOG) on static and dynamic balance.Twenty patients with Parkinson’s disease with and without FOG [PD+FOG (68,6±6,39 years) and ...

The aim of our study was to evaluate the effect of robot-assisted walking in different modalities on cardiorespiratory responses and energy consumption in subacute stroke patients.Our study consist...

Background Sensory-motor-cognitive integration deficits are common in Parkinson’s disease(PD) and significantly limit functional performance, highlighting the growing need for holistic training approaches that target these domains simultaneously. Aims This study aimed to examine the effects of sensory-motor-cognitive integration training on balance and gait in patients with Parkinson’s disease (PwPD). Methods A total of 40 PwPD, aged between 45 and 75 years, were included. The intervention group received 24 sessions (3 days per week for 8 weeks) of 60-minute sensory-motor-cognitive integration training. The control group was placed on a waiting list and continued their routine daily activities. All participants were assessed at baseline, at the end of the 8th week, and at the 12th week. Static posturography was used to evaluate balance [Limits of Stability and the Modified Sensory Integration and Balance Clinical Test] and gait (Walk Across test). Additionally, balance was assessed using the Functional Reach Test (FRT), and gait performance was evaluated with the Modified Dynamic Gait Index (mDGI). Results Significant time × group interactions were observed for functional balance and gait outcomes. The intervention group showed significant improvements in FRT and mDGI scores over time (p < 0.001), whereas no significant changes were observed in the control group. Static posturography also demonstrated significant time-related changes and group differences for most parameters (p < 0.05), except for movement velocity, directional control, and step length symmetry. Conclusion These findings suggest that individualized, multidomain sensory–motor–cognitive integration training may represent a particularly effective rehabilitation approach for enhancing balance and gait in PwPD.