THERABAND-BASED NEUROMOTOR TRAINING FOR LOWER-LIMB SENSORIMOTOR IMPROVEMENT IN DIABETIC PERIPHERAL NEUROPATHY

Abstract

Diabetic peripheral neuropathy is a frequent and functionally disabling
complication of diabetes mellitus that affects lower-limb sensation,
proprioception, muscle performance, postural control, gait safety and daily
mobility. The present modified manuscript evaluates a structured eight-week
TheraBand-based neuromotor training protocol for lower-limb sensorimotor
improvement in adults with diabetic peripheral neuropathy. Because no real
participant-level data were provided with the source manuscript, a simulated
anonymized academic dataset of 52 participants was generated to
demonstrate the required statistical workflow. Outcomes included the Lower
Extremity Functional Scale (LEFS), Berg Balance Scale (BBS), Timed Up
and Go Test (TUG), and Michigan Neuropathy Screening Instrument
(MNSI). Paired-sample statistical testing showed significant improvement
after the intervention: LEFS increased from 42.90 ± 7.52 to 54.88 ± 9.14,
BBS increased from 40.44 ± 4.62 to 46.81 ± 4.96, TUG reduced from 14.55
± 2.05 s to 12.13 ± 2.65 s, and MNSI reduced from 6.32 ± 1.47 to 4.84 ±
1.79. All paired changes were statistically significant at p < 0.001 with large
within-participant effect sizes. These simulated outputs illustrate a
statistically complete analytical workflow and show a clinically plausible
direction of change for TheraBand-based neuromotor training as a low-cost,
progressive and functionally relevant physiotherapy intervention for diabetic
neuropathy; however, the results must be replaced and verified using
ethically approved real clinical data before publication or clinical
generalization.