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Abstract
The purpose of this study was to investigate the effect of vibrating insole versus Biodex system on standing balance in patients with diabetic neuropathy. Methods; Forty five diabetic patients from both sexes with mild and moderate peripheral neuropathy participated in this study (15) patients for each group. The patients were randomly divided into three equal groups; Study group (A) received vibrating insole under both feet during standing for 30 min, every other day for 18 sessions, total duration of session (60 min). Study group (B) received visual feedback training by Biodex balance system, for 30 min, every other day for 18 sessions total duration of session (60 min). Control group (C) received selected physical therapy program only for 30 min, every other day for 18 sessions, total duration of session (30 min).All the three groups received selected physical therapy program(proprioceptive training, Ankle range of motion exercises) for 30 min (for 6 weeks every other day). The results revealed that, in group (A) There was improvement of standing balance in diabetic neuropathic patients, while, in group(B) there was significant improvement of standing balance in patients with diabetic neuropathy, and less improvement in standing balance in control group(C), there was statistical significant difference between three groups post treatment. On conclusion, visual feedback training of Biodex Balance System was more effective than vibrating insole for enhancement of standing balance in patients with diabetic neuropathy