Effectiveness of balance training with kinesthetic ability trainer (KAT 2000) in patients with peripheral neuropathic pain: a randomised controlled study

Authors : Duygu KERİM, Aslıhan UZUNKULAOĞLU, Saime AY

Pages : 697-706

Doi:10.18621/eurj.408381

View : 18 | Download : 15

Publication Date : 2019-07-04

Article Type : Research Paper

Abstract :Objectives: The aim of this study isto determine the effectiveness of balance training with Kinesthetic Ability Trainer insert ignore into journalissuearticles values(KAT 2000); in patients with peripheral neuropathic pain related balance disorder. Methods: Sixty patients were included into this controlled prospective study and randomized into either balance exercises group insert ignore into journalissuearticles values(Group 1); or KAT 2000 exercises group insert ignore into journalissuearticles values(Group 2);. Balance exercises were given to all patients.  Also, KAT 2000 balance exercises were given all patients in Group 2 insert ignore into journalissuearticles values(n = 30);. All patients received 45-min individualized training session for three times a week for 4 weeks. Douleur Neuropathique 4 insert ignore into journalissuearticles values(DN4); questionnaire for neuropathic pain; visual analogue scale insert ignore into journalissuearticles values(VAS); for pain severity; KAT 2000 for static and dynamic balance; Nottingham Health Profile insert ignore into journalissuearticles values(NHP); for Quality of Life insert ignore into journalissuearticles values(QoL); was used. Dynamic balance and mobility also was assessed using the Berg Balance Scale insert ignore into journalissuearticles values(BBS); and Time Up and Go insert ignore into journalissuearticles values(TUG); test. Patients were evaluated at baseline and the end of the 4-week exercise program. Results: At the end of the treatment; VAS, BBS, KAT 2000, TUG, NHP, physical activity , NHP pain, NHP social isolation and NHP emotional reactions scores improved significantly in both groups insert ignore into journalissuearticles values( p < 0.05); except NHP sleep and NHP energy level scores in balance exercises group insert ignore into journalissuearticles values( p > 0.05);. Statistical differences in VAS pain on movement, global assessment of patient, global assessment of doctor, NHP energy level scores were found between the groups insert ignore into journalissuearticles values( p < 0.05);; but there were no statistical difference in VAS at rest, VAS at night, BBS, KAT 2000, TUG, NHP physical activity, NHP pain, NHP sleep, NHP social isolation and NHP emotional reactions scores between the groups insert ignore into journalissuearticles values( p > 0.05);. Conclusion: When combined with the KAT 2000 device, positive effects of balance-coordination exercises on pain on movement and energy level are more evident in patients with peripheral neuropathic pain. 
Keywords : Neuropathic pain, balance, KAT 2000, quality of life