Adaptive Gamified Sensory Training on Sensory Function and Limb-Specific Functional Performance in Patients With Diabetic Peripheral Neuropathy

Diabetic peripheral neuropathy (DPN) will be considered a clinically important complication of diabetes mellitus that may impair sensory function and interfere with the performance of daily activities involving the hands and feet. Sensory deficits may affect tactile perception, object manipulation, foot-related functional tasks, and the ability to interact safely with the surrounding environment. The purpose of this study will be to investigate the effects of adaptive gamified sensory training combined with conventional physical therapy on sensory function, sensory integration during balance, and hand functional performance in patients with diabetic peripheral neuropathy.

Inclusion Criteria: * age from 45 to 65 years old * both Sex * Have a documented diagnosis of diabetes mellitus for more than five years. * Have clinically confirmed diabetic peripheral neuropathy affecting both the upper and lower limbs. * Are medically stable and able to participate in the proposed rehabilitation program. * Are able to understand the instructions and complete the required sensory and functional assessments. * Provide written informed consent. Exclusion Criteria * Active foot ulcers, open wounds, or skin lesions that will make sensory testing or training unsafe. * An acute foot infection or another condition requiring urgent medical management. * Severe cognitive or visual impairment that will prevent safe participation in the proposed tasks. * Another neurological or musculoskeletal condition that will substantially interfere with sensory assessment or the planned functional tasks. * A medical condition that will make participation in the rehabilitation program unsafe.