The effect of exercise interventions on the balance of diabetic neuropathic patients: A systematic review study

Document Type : Research Paper


1 PhD student in sport injury and corrective exercise, Faculty of Sport Sciences, Kish International Campus, University of Tehran

2 Department of Sports Sciences, Kish International Campus, University of Tehran, Kish, Iran.

3 Department of Sports Injuries and Corrective Exercises, Faculty of Sports Science, Shahid Bahonar University of Kerman, Kerman, Iran


Aim: Diabetic peripheral neuropathy(DPN), reduces the senses, reflexes and strength in the lower extremities and leads to balance dysfunction. This study aimed to evaluate the effectiveness of interventions on balance dysfunction in DPN patients.
Methods: In this study, a comprehensive review of training interventions on the balance of patients with DPN by searching the PubMed Elsevier, Springer, Science Direct and Scopus databases with the combined keywords: Balance, Diabetic Peripheral Neuropathy, Training interventions and also in Persian databases of Jihad Daneshgahi, MedLib, IranMedex, IRANDOC, MAGIRAN and Google Scholar with keywords: balance in patients Diabetic, postural control, diabetic neuropathy. Articles met the inclusion and exclusion criteria, their results would be used in the review study and otherwise discarded.
Results: 25 studies published between 2010 and 2021 met the inclusion criteria. The results showed that training interventions were more effective than control conditions to improve the balance of patients with diabetic neuropathy. Also, most training programs and rehabilitation protocols have a positive effect on the balance of DPN patients.
Conclusion: The studied exercise interventions are effective tools to improve the balance of DPN patients. However, given the small number of studies and their limitations, the present findings of this study should be considered