Turning-based dual-task training for balance and mild cognitive impairment in diabetic peripheral neuropathy.
Effects of Turning Based Dual Task Training on Balance and Mild Cognitive Impairment in Diabetic Peripheral Neuropathy
This program will try turning-based dual-task training to see if it improves balance, thinking, and lowers fall risk in people over 50 with type 2 diabetes and diabetic peripheral neuropathy who have mild cognitive impairment.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 44 (estimated) |
| Ages | 50 Years and up |
| Sex | All |
| Sponsor | Foundation University Islamabad Academic / other |
| Locations | 1 site (Islamabad) |
| Trial ID | NCT07394504 on ClinicalTrials.gov |
What this trial studies
This randomized, controlled intervention will enroll 44 participants with diabetic peripheral neuropathy and mild cognitive impairment and randomize them to turning-based dual-task training or conventional dual-task training. The intervention lasts eight weeks with 24 supervised sessions, and outcomes are measured before and after treatment. Primary outcome measures include the Berg Balance Scale (BBS), Montreal Cognitive Assessment (MoCA), and Timed Up and Go Test (TUGT) to capture balance, cognition, and fall risk. The trial is conducted at Foundation University College of Physical Therapy in Islamabad.
Who should consider this trial
Good fit: Ideal candidates are adults aged 50 or older with type 2 diabetes for at least five years, diagnosed diabetic peripheral neuropathy, mild cognitive impairment (MoCA 18–25), moderate balance impairment (BBS 21–40), and the ability to stand and walk with or without assistive devices.
Not a fit: Patients with severe neuropathic foot ulcers or Charcot joints, major musculoskeletal injuries or severe osteoarthritis, uncontrolled diabetes, significant unrelated neurological disease, or major visual/auditory impairment are unlikely to benefit or be eligible.
Why it matters
Potential benefit: If successful, the approach could improve balance and cognitive function and reduce fall risk in people with diabetic peripheral neuropathy, offering a practical rehabilitation option.
How similar studies have performed: Previous dual-task balance training studies have shown moderate benefits for balance and gait in older and neurological populations, but turning-focused dual-task programs are relatively novel and less well studied.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Type 2 Diabetes Mellitus ≥ 5 years * Diagnosed with Diabetic Peripheral Neuropathy * Age 50 and above * Berg Balance Scale (BBS 21-40) score * Mild Cognitive Impairments (MoCA 18-25) * Able to stand and walk with or without assistive devices Exclusion Criteria: * Severe neuropathic foot ulcers or Charcot joints. * History of major musculoskeletal injuries affecting ambulation (Fractures of lower limb), Severe Osteoarthritis. * Uncontrolled Diabetes. * Neurological disorders unrelated to DPN (brain tumors, stroke, epilepsy, Alzheimer's, GBS and Parkinson's disease). * Significant visual, auditory impairment.
Where this trial is running
Islamabad
- Foundation University College of Physical Therapy — Islamabad, Pakistan (Recruiting)
Study contacts
- Study coordinator: Asra Shahzad, DPT
- Email: asrashahzad70@gmail.com
- Phone: +92336-5108568
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.