BACKGROUND: Diabetes mellitus is a common disease among the elderly and represents one of the principal public health problems worldwide. Individuals who suffer from diabetes mellitus present a predisposition to develop neuropathies. These problems can be diagnosed by means of the detection of points with greater pressure and diminished tactile sensitivity. OBJECTIVE: To evaluate the center of pressure oscillatory amplitude in the bipedal position with eyes open and the plantar tactile sensitivity after 12 weeks of proprioceptive training. METHODS: Thirteen diabetic volunteers of mean age 61.77±7.55 years were recruited. Baropodometric and sensitivity evaluations were performed before the physical therapy intervention and after six and 12 weeks of therapy. The therapy was applied twice a week and consisted of a circuit composed of 13 stations with different textures. The tactile sensitivity values were subjected to the Friedman analysis of variance test. The data on the anteroposterior and mediolateral oscillation of the center of pressure were analyzed using the Wilcoxon rank test. RESULTS: For the anteroposterior oscillation of the force center, there were significant differences (p<0.05) between the values before and after six and twelve weeks of physical therapy intervention. However, there were no significant differences (p>0.05) regarding mediolateral oscillation between the groups over the course of time. The results also showed significant improvement (p<0.05) in the tactile sensitivity of the points analyzed. CONCLUSIONS: It can be concluded that the training undertaken was effective in increasing the plantar tactile sensitivity and reducing the anteroposterior oscillation of the center of pressure in the studied sample.
diabetes; peripheral neuropathy; physical therapy
