Aims: Accelerated cognitive decline in older adults with type 2 diabetes mellitus is associated with poor performance in postural balance. Also, diabetic peripheral neuropathy may lead to increase postural sway and muscle weakness in lower extremities. This study investigate the effectiveness of sensory-motor program combined with cognitive dual-task training on postural stability in elderly with diabetic peripheral neuropathy. Methods: A total of 40 patients diagnosed with diabetic peripheral sensory motor neuropathy with average age from 55–70 years were involved in this study. The patients were randomly divided into two equal groups. Group 1 (the control group) received a sensory-motor exercise program for diabetic peripheral neuropathy patients. Group 2 received cognitive dual-task training in addition to the same selected physical therapy program for Group 1. Patients were assessed for posture stability before and after treatment using the Biodex Balance System. The intervention took place three times a week for 8 weeks. Results: There was significant improvement of postural stability in both Groups with experimental Group showing the most improvement. Limit of stability revealed significant improvement, only in experimental group. Conclusion: Cognitive dual-task training in combination and sensory-motor exercises are effective interventions for improving postural stability in patients with diabetic peripheral neuropathy, and the combination of the two interventions increases postural stability and limit of stability.
