Evidence map›Paper›PMID 40016658›Full record

Trial reportBMC neuroscience2025

Effects of multisystem exercises on balance, postural stability, mobility, walking speed, and pain in patients with diabetic peripheral neuropathy: a randomized controlled trial.

Sidra Khurshid, Aruba Saeed, Muhammad Kashif, Aniqa Nasreen, Huma Riaz

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC neuroscience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06130917 nacompletednot on this map

Effects of Multisystem Exercise Program on Balance, Postural Stability, Mobility and Pain in Patients With Diabetic Peripheral Neuropathy

TypeinterventionalSponsorRiphah International UniversityRan2023 to 2024Enrolled42ConditionsDiabetic Peripheral NeuropathyArmsMultisystem Exercise, Conventional Treatment
NCT07598513 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Comparative Effects of Perturbation-Based Balance Training on Firm Surface and Rolling Board for Diabetic Neuropathy Patients

TypeinterventionalSponsorUniversity of FaisalabadRan2026 to 2026Enrolled42ConditionsBalance Impairment, Diabetic NeuropathyArmsGroup A (Perturbation Based Training on Firm Surface), Group B (Perturbation Based Training on Rolling Board)
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sidra KhurshidRiphah College of Rehabilitation and Allied Health Sciences, Riphah International University, Lahore Campus, Islamabad, Pakistan.
Aruba SaeedFaculty of Rehabilitation Sciences, Lahore University of Biological and Applied Sciences, Lahore, Pakistan. arubasaeedpt@gmail.com.
Muhammad KashifRiphah College of Rehabilitation and Allied Health Sciences, Riphah International University, Lahore Campus, Islamabad, Pakistan.
Aniqa NasreenRiphah College of Rehabilitation and Allied Health Sciences, Riphah International University, Lahore Campus, Islamabad, Pakistan.
Huma RiazRiphah College of Rehabilitation and Allied Health Sciences, Riphah International University, Lahore Campus, Islamabad, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetic peripheral neuropathy (DPN), a common complication of diabetes mellitus, is associated with peripheral nerve damage, leading to balance impairments, postural instability, and reduced mobility. Addressing these challenges requires comprehensive interventions that target multiple deficits simultaneously. Evidence suggests that exercise programs combining balance, proprioception, strength, and reaction time training can improve postural stability, enhance mobility, and alleviate pain in individuals with DPN.

objectiveThe objective of this study was to compare the effects of multisystem exercises and conventional exercises on balance, postural stability, mobility, and walking speed and to reduce pain in patients with diabetic peripheral neuropathy.

methodsThis double-blinded, two-arm parallel design randomized controlled trial was conducted at DHQ Hospital, Pakpattan, Pakistan. A total of 50 participants who met the inclusion criteria were recruited using the nonprobability convenience sampling technique. They were randomly assigned to either a multisystem physical exercise (MPE) group (n = 26) and a conventional exercise group (n = 24). The MPE program included balance, proprioception, strength, and reaction time training, while the control group received conventional exercises, consisted of strength, balance, stretching, and range of motion exercises. Both groups underwent 30 min intervention sessions, 3 times per week, for 8 weeks. The outcome measures used for assessing the balance, postural stability, mobility, and pain included the Berg balance scale (BBS), functional reach test (FRT), time up and go test (TUG), 10 min walk test (10-MWT), and numeric pain rating scale (NPRS). The data was analyzed using SPSS version 26.

resultsSignificant group and time interactions were observed for all outcome measures including BBS, FRT, TUG, 10-MWT, and NPRS (p < 0.001). The between-group analysis also revealed significant differences between the multisystem physical exercise group and the conventional exercise group at both the 4th week and 8th week for BBS, FRT, TUG, 10-MWT, and NPRS (p < 0.05).

conclusionThe study concluded that multisystem exercises resulted in significant improvement in balance, postural stability, mobility, and walking speed, along with reduction in pain, compared to conventional exercises in patients with diabetic peripheral neuropathy.

trial registrationThis randomized controlled study was registered prospectively on November 11th, 2023 with the ClinicalTrials.gov (NCT06130917).

Indexed as

Diabetic NeuropathiesExercise TherapyPostural BalanceWalking SpeedAdultAgedDouble-Blind MethodFemaleHumansMaleMiddle AgedTreatment OutcomeDiabetic related neuropathyExercise therapyPeripheral neuropathyPostural balanceProprioception

Identifiers

PMID40016658
PMCPMC11869634

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.