@article{Grewal2015Senso-55358,
  year={2015},
  doi={10.1159/000371846},
  title={Sensor-Based Interactive Balance Training with Visual Joint Movement Feedback for Improving Postural Stability in Diabetics with Peripheral Neuropathy : A Randomized Controlled Trial},
  number={6},
  volume={61},
  issn={0304-324X},
  journal={Gerontology},
  pages={567--574},
  author={Grewal, Gurtej Singh and Schwenk, Michael and Lee-Eng, Jacqueline and Parvaneh, Saman and Bharara, Manish and Menzies, Robert A. and Talal, Talal K. and Armstrong, David G. and Najafi, Bijan}
}

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    <dc:creator>Talal, Talal K.</dc:creator>
    <dc:creator>Schwenk, Michael</dc:creator>
    <dcterms:issued>2015</dcterms:issued>
    <dcterms:abstract xml:lang="eng">Background: Individuals with diabetic peripheral neuropathy (DPN) have deficits in sensory and motor skills leading to inadequate proprioceptive feedback, impaired postural balance and higher fall risk.&lt;br /&gt;&lt;br /&gt;Objective: This study investigated the effect of sensor-based interactive balance training on postural stability and daily physical activity in older adults with diabetes.&lt;br /&gt;&lt;br /&gt;Methods: Thirty-nine older adults with DPN were enrolled (age 63.7 ± 8.2 years, BMI 30.6 ± 6, 54% females) and randomized to either an intervention (IG) or a control (CG) group. The IG received sensor-based interactive exercise training tailored for people with diabetes (twice a week for 4 weeks). The exercises focused on shifting weight and crossing virtual obstacles. Body-worn sensors were implemented to acquire kinematic data and provide real-time joint visual feedback during the training. Outcome measurements included changes in center of mass (CoM) sway, ankle and hip joint sway measured during a balance test while the eyes were open and closed at baseline and after the intervention. Daily physical activities were also measured during a 48-hour period at baseline and at follow-up. Analysis of covariance was performed for the post-training outcome comparison.&lt;br /&gt;&lt;br /&gt;Results: Compared with the CG, the patients in the IG showed a significantly reduced CoM sway (58.31%; p = 0.009), ankle sway (62.7%; p = 0.008) and hip joint sway (72.4%; p = 0.017) during the balance test with open eyes. The ankle sway was also significantly reduced in the IG group (58.8%; p = 0.037) during measurements while the eyes were closed. The number of steps walked showed a substantial but nonsignificant increase (+27.68%; p = 0.064) in the IG following training.&lt;br /&gt;&lt;br /&gt;Conclusion: The results of this randomized controlled trial demonstrate that people with DPN can significantly improve their postural balance with diabetes-specific, tailored, sensor-based exercise training. The results promote the use of wearable technology in exercise training; however, future studies comparing this technology with commercially available systems are required to evaluate the benefit of interactive visual joint movement feedback.</dcterms:abstract>
    <dc:contributor>Bharara, Manish</dc:contributor>
    <dc:contributor>Parvaneh, Saman</dc:contributor>
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    <dc:creator>Lee-Eng, Jacqueline</dc:creator>
    <dc:contributor>Armstrong, David G.</dc:contributor>
    <dcterms:title>Sensor-Based Interactive Balance Training with Visual Joint Movement Feedback for Improving Postural Stability in Diabetics with Peripheral Neuropathy : A Randomized Controlled Trial</dcterms:title>
    <dc:contributor>Talal, Talal K.</dc:contributor>
    <dc:language>eng</dc:language>
    <dc:creator>Grewal, Gurtej Singh</dc:creator>
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    <dc:contributor>Lee-Eng, Jacqueline</dc:contributor>
    <dc:contributor>Grewal, Gurtej Singh</dc:contributor>
    <dc:creator>Armstrong, David G.</dc:creator>
    <dc:creator>Najafi, Bijan</dc:creator>
    <dc:contributor>Najafi, Bijan</dc:contributor>
    <dc:creator>Parvaneh, Saman</dc:creator>
    <dc:creator>Bharara, Manish</dc:creator>
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    <dc:rights>Attribution-NonCommercial 3.0 Unported</dc:rights>
    <dc:date rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2021-10-26T07:08:20Z</dc:date>
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    <dc:contributor>Menzies, Robert A.</dc:contributor>
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    <dc:contributor>Schwenk, Michael</dc:contributor>
    <dc:creator>Menzies, Robert A.</dc:creator>
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