Year: 2024 | Month: May | Volume: 14 | Issue: 5 | Pages: 36-42
DOI: https://doi.org/10.52403/ijhsr.20240505
The Effectiveness of Ankle Strategic Exercises on Risk of Fall Among Elderly Type-2 Diabetes Mellitus Individuals: An Experimental Study
Sharvari Kuber1, Dr. Vaishnavi Ekbote2
1Intern, 2Associate Professor,
PES Modern College of Physiotherapy, Maharashtra University of Health Sciences, Nashik, India.
Corresponding Author: Sharvari Kuber
ABSTRACT
Introduction: Since falling is the third leading cause of chronic impairment, sarcopenia and its related fall risk are becoming more and more of a public health concern as our society ages. Falls have a positive correlation with morbidity and mortality and a negative correlation with independence and functionality. Diabetes mellitus is a group of heterogenous disorders characterized by hypoglycemia due to an absolute or relative deficit in insulin production or action. In type-2 diabetes mellitus (T2DM) low amounts of intramuscular non-contractile tissue (IMNCT) causes reduction in muscle strength. Individuals having type-2 Diabetes Mellitus since more than 6 years are reported to suffer from sarcopenia. Sarcopenia is defined as low muscle mass plus low muscle strength and/or physical performance. T2DM reports to cause loss of muscle strength in ankle plantar flexors and dorsiflexors too. Treatment for follow-up injuries from falls is expensive. Debating the effective physical training regimens to lower falls and their consequences is crucial. Muscle mass and muscle strength play a crucial role in daily activities and thus resistance training may positively and significantly benefit the elderly.
Method: 70 samples were collected (42 females and 28 males) were approached and consented for the intervention. A pre-intervention manual muscle testing, modified 30 seconds sit to stand test and SARC-F questionnaire was filled out by the samples. Post-intervention i.e. after 8 weeks, a Modified 30 seconds sit to stand test and strength testing was used to estimate and conclude the effectiveness of ankle strategic exercises on risk of fall in elderly T2DM individuals.
Result: Purposive sampling method was used in which results were calculated by Wilcoxon Signed Ranked Test. The P-value for the effectiveness of strength of ankle plantar flexors, dorsiflexors and Modified 30 seconds sit to stand was <0.001 which interpreted that an 8-week of ankle strategic strengthening protocol was significant; thus, accepting the H1 hypothesis.
Conclusion: It is concluded that there is a significant effectiveness of ankle strategic exercises on risk of fall among elderly type-2 diabetes mellitus individuals.
Key words: Type-2 Diabetes mellitus, ankle strategic exercises, modified 30 seconds sit-to-stand test, sarcopenia, risk of fall