Sensorimotor and Gait Training
Photo: @iStock.com/imtmphoto
"Sensorimotor and gait training has revealed
positive effects on proprioception, nerve function
and activity of lower limb musculature."
cells [53] . It is therefore, speculated that
exercise intervention in diabetic neuropathy
could be related to improvement of Na/K
ATPase activity.
Electromyographic activity
Results of our study shows reduction in the
activity of tibialis anterior (41.64%), medial
gastrocnemius (30.94%) and multifidus
(31.07%) during eyes open and decrease
in the activity of tibialis anterior (22.14%
but not significant), medial gastrocnemius
(30.9%) and multifidus (27.63%) during
eyes closed stance on an unstable platform,
suggesting enhanced postural control at
the level of ankle and trunk after eight
weeks of intervention. Loss or reduction of
proprioception and somatosensory feedback
from lower limbs leads to an increase in the
activity of lower limb and trunk muscles
during postural task [16] . Present study
found an increase in somatosensory and
proprioceptive inputs (as described) from
foot, ankle and trunk after sensorimotor
and gait exercises; hence it decreased the
activity of muscles around the ankle and
trunk. Song et al. found decrease in the
trunk reposition errors in eyes-open and
eyes-closed stance in stable surface and
in eyes open on foam surface after eight
week of exercise in diabetic neuropathy
patients [25] . The present study comprised of
different balance exercises like sit to stand,
wobble board exercise, toe and heel raise
exercise which might give beneficial effect
on the trunk proprioception. Also, core
stabilization program in the interventional
group enhanced the sensory inputs from the
Current Pedorthics | September-October | January/Feburary 2020
29