Clinical Research Directory

Inclusion Criteria: 1. Ninety elderly Patients of both genders. 2. Their age will range from 65 to 75th. 3. They will be diagnosed with type 2 diabetes for 5 years or more. 4. Patients with mild \& moderate neuropathy will be included. (Based on the Toronto scale: -mild (6-8); moderate (9-11) 5. Berg balance between (21 to \<50) patients with mild \&moderate risk of fall . 6. Time up \& go dual task: patient takes longer than 10 sec. 7. HBA1C for these patients was ≥ 6.5% . 8. BMI will range from (18: 29,9 kg/m2). 9. Able to walk independently, with or without assistive devices. Exclusion Criteria: 1. Any musculoskeletal disorder affecting the lower limb (fracture of the lower limb, tumors, any infection, ligament injuries, foot injuries). 2. Any other neurological disorder influences gait such as (stroke, Parkinson's disease, cerebellar dysfunction, ataxia, vestibular disorders) 3. Any other cardiovascular disease (arrhythmia, cardiac pacemakers). 4. Unstable proliferative retinopathy and visual impairments without correction. 5. Non-diabetic neuropathy (inflammatory, autoimmune disease, infections, tumors, vitamin B12 deficiency, hypothyroidism, alcoholism, injury or pressure on the nerve). 6. The use of medications significantly impacting postural control (e.g., sedatives). 7. Vestibular system and Cognitive disorders. 8. Uncontrolled hypertension. 9. Common peroneal nerve injury. 10. Orthostatic hypotension.