Background: Peripheral neuropathy is a major and chronic complication of diabetes mellitus affecting more than 50% of patients suffering from diabetes. There is involvement of both large and small diameter nerve fibres leading to altered somatosensory and motor sensations, thereby causing impaired balance and postural instability. Objective: To assess the effects of exercises on posture and balance in patients suffering from diabetes mellitus. Method: Mean changes in Timed Up and Go test(TUGT), Berg Balance Scale and Postural Sway with eyes open and eyes closed on Balance System were primary outcome measures. RevMan 5.3 software was used for the meta-analyses. Eighteen randomized controlled trials met the selection criteria and were included in the study. All the studies ranked high on PEDro Rating scale. Risk of bias was assessed by Cochrane collaboration tool of risk of bias. Included studies had low risk of bias. Sixteen RCT’s were included for the meta-analysis. Result: Results of meta-analysis showed that there was statistically significant improvement in TUGT with p≤ 0.05 and substantial heterogeneity (I 2 = 84%, p < 0.00001) in experimental group as compared to control group. There was statistically significant difference in Berg Balance Scale scores and heterogeneity of I 2 = 62%, p < 0.00001 and significant changes in postural stability (eyes open heterogeneity of I 2 = 100%, p =0.01 and eyes closed, heteogeneity I 2 = 0%, p =0.01). Sensitivity analysis causes change in heterogeneity. Conclusion: It can be concluded that various exercises like balance training, core stability, Tai-Chi, proprioceptive training etc. have a significant effect in improving balance and posture in diabetic neuropathy.

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Objective. To evaluate the effectiveness of mirror therapy using motor imagery training on lower extremity motor functioning, balance and mobility in the patients after stroke. Material and methods. A randomized, controlled trial (RCT). Rehabilitation institutes and hospitals. 56 patients with stroke were adventitiously assigned into two different groups i.e., “Group A” (experimental group) and “Group B” (control group). The mean age of Group-A was 50.67 ± 11.18 years and Group-B was 49.16 ± 10.28 years without volitional ankle dorsiflexion. The post-stroke patients under experimental group received the comprehensive rehabilitation therapy along with the MT for LE. Participants received MT near 30 minutes in a day,6 days a week and continued for up-to 6 weeks. Whereas, the post-stroke patients under control group received the placebo therapy along with comprehensive rehabilitation therapy. For motor recovery Brunnstrom stages were used, to assess spasticity the Modified Ashworth Scale was used, for functional ability the Functional Ambulation Category was used and balance was assessed by Berg Balance Scale. Results. The experimental group after intervention showed remarkable changes in FAC (mean difference = 0.79, 95% CI = 0.65-1.26, p = 0.000) and BBS (mean difference = 3.10, 95% CI = 3.21-4.88, p = 0.000) as contrasted to the control group. Conclusions. MT along with the conventional therapy is more effective to improve the balance, mobility and motor recovery as compared to only conventional rehabilitation therapy.