Evidence map›Paper›PMID 40357056›Full record

ArticleBMJ open sport & exercise medicine2025

Improving postural stability with proprioceptive rehabilitation in patients with diabetic polyneuropathy: a double-blind randomised controlled trial.

Kavinda Malwanage, Esther Liyanage, Vajira Weerasinghe, Charles Antonypillai, Indumathie Nanayakkara

Abstract read
In one paragraph

Article in BMJ open sport & exercise medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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.

Kavinda MalwanageUniversity of Peradeniya, Peradeniya, Sri Lanka.ORCID 0000-0001-6422-0721
Esther LiyanageDepartment of Physiotherapy, Faculty of Allied Health Sciences, University of Peradeniya, Peradeniya, Sri Lanka.
Vajira WeerasingheDepartment of Physiology, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri Lanka.
Charles AntonypillaiDiabetic and Endocrinology Unit, National Hospital, Kandy, Sri Lanka.
Indumathie NanayakkaraDepartment of Physiology, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri Lanka.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Postural stability (PS) refers to the ability to maintain balance during various movements. Proprioception deficits in patients with diabetic polyneuropathy (DPN) often lead to significant postural sway and postural unsteadiness during daily activities, increasing fall risk and diminished quality of life. Therefore, this study aimed to investigate the effectiveness of a 12-week proprioceptive rehabilitation programme (PRP) on PS in patients with DPN compared with conventional rehabilitation. Methods: This double-blind randomised controlled trial involved 112 patients with DPN, who were randomly allocated to intervention (n=57) or control (n=55) groups. The intervention group received PRP three times per week for 12 weeks whereas the control group received a conventional balance and strength training programme (BSP) for the same duration. PS scores and anterior-posterior (AP) sway angle were measured under six conditions of the Clinical Test for Sensory Interaction on Balance test at baseline and post intervention. Results: Following the 12-week PRP, PS scores significantly improved in the intervention group by 67.31%-187.81% across different platform types and visual conditions under the six test conditions. In the control group, the postural stability scores improved only in the eyes-opened condition by 36.45% and 50.05% on firm and foam surfaces. AP sway angle improved by 42.46%-56.84% across all test conditions in the intervention group, whereas in the control group there was no improvement. Conclusion: This novel 12-week PRP had a positive impact on PS of patients with DPN compared with conventional BSP. Future randomised controlled trials may be carried out to examine how PRP affects diverse functional status, varying with difficulty levels.

Indexed as

DiabetesHealth promotionIntervention effectivenessNeurological rehabilitationPhysiotherapy

Identifiers

PMID40357056
PMCPMC12067824

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.