Effectiveness of balance training with kinesthetic ability trainer (KAT 2000) in patients with peripheral neuropathic pain: a randomised controlled study

Year 2019, Volume: 5 Issue: 4, 697 - 706, 04.07.2019

Duygu Kerim Aslıhan Uzunkulaoğlu , Saime Ay

https://doi.org/10.18621/eurj.408381

Abstract

Objectives:
The aim of this study isto determine the effectiveness of
balance training with Kinesthetic Ability Trainer (KAT
2000) in patients with peripheral neuropathic pain related balance
disorder.

Methods: Sixty
patients were included into this controlled
prospective study and randomized into either balance exercises group (Group
1) or KAT 2000 exercises group (Group 2). Balance exercises were given to all
patients. Also, KAT 2000 balance exercises were
given all patients in Group 2 (n = 30). All patients received 45-min
individualized training session for three times a week for 4 weeks. Douleur Neuropathique 4 (DN4) questionnaire for neuropathic
pain; visual analogue scale (VAS) for pain severity; KAT 2000 for static and
dynamic balance; Nottingham Health Profile (NHP) for Quality of Life (QoL) was used. Dynamic balance and mobility also was assessed using the Berg
Balance Scale (BBS) and Time Up and Go (TUG) test. Patients were evaluated at baseline and the end of
the 4-week exercise program.

Results: At the end of the treatment; VAS, BBS, KAT 2000, TUG, NHP,
physical activity, NHP pain, NHP social isolation and NHP emotional reactions scores
improved significantly in both groups (p
< 0.05) except NHP sleep
and NHP energy level scores in balance exercises
group (p > 0.05). Statistical differences in
VAS pain on movement, global assessment of patient, global assessment of
doctor, NHP energy level scores were found between the groups (p < 0.05); but there were no statistical difference in VAS at rest,
VAS at night, BBS, KAT 2000, TUG, NHP physical activity,
NHP pain, NHP sleep, NHP social
isolation and NHP emotional
reactions scores between the
groups (p > 0.05).

Conclusion: When combined with the KAT 2000 device,
positive effects of balance-coordination exercises on pain on movement and
energy level are more evident in patients with peripheral neuropathic pain. 

Keywords

Neuropathic pain, balance, KAT 2000, quality of life

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