Postural equilibrium and mechanical exercise program in secondary school students with type 1diabetes in tanta city

The aim of our study was to assess the postural equilibrium in secondary school students with type 1 diabetes in Tanta city pre and post equilibrium training program. The age of participated secondary school students are seventeen years old with chronicity of diabetes nearly ten years. Their body mass index between 15-18 kg and m2. Thirty secondary school students participated in this study divided into two equal groups, the first group (control ) consisted of fifteen normal secondary school students on the other hand the second group (study) consisted of fifteen secondary school students with type 1 diabetes. Assessment of equilibrium and equilibrium training program was done on Biodex balance system at stability level eight according to pilot study done before the study.The equilibrium training program and mechanical exercise was conducted in the morning in room equipped with treadmills, stretching mats and biodex Balance System achieved for period of three month (thirty six sessions with frequancy day after day ) then reassessment was done again at stability level eight. The dynamic equilibrium test pre and post treatment program including anteroposterior stability index, mediolatoral stability index and overall stability index. Before equilibrium training program,there was statistically significant difference between study and control group regarding stability indices (OA,AP and ML) at stability level-8 (P< 0.05) which indicating that decrease of equilibrium control in secondary school students with type 1 diabetes. After equilibrium training program, there was no statistically significant difference between study and control group regarding stability indices (OA,AP and ML) at stability level-8 (P> 0.05) which indicating that improvement of equilibrium control in secondary school students with type 1 diabetes. Conclusion: It could be concluded that, before equilibrium training program, there is decrease in equilibrium parameters including (OA, AP and ML indices) at level eight of stability in secondary school students with type 1 diabetes compared with normal students .On the other hand, after diet control, mechanical aerobic exercise,insulin therapy and equilibrium training program there is improvement of equilibrium control in secondary school students with type 1 diabetes.