Postural control and functional strength in patients with type 2 diabetes mellitus with and without peripheral neuropathy.
Arch Phys Med Rehabil
; 94(12): 2465-2470, 2013 Dec.
Article
en En
| MEDLINE
| ID: mdl-23806609
OBJECTIVE: To assess the influence of diabetic neuropathy (DN) on balance and functional strength in patients with diabetes mellitus type 2 (DM2). DESIGN: Cross-sectional study. SETTING: Diabetes outpatient unit. PARTICIPANTS: Adults (N=62; age range, 40-65y): 32 with DM2 (19 subjects without DN and 13 with DN) and 30 without DM2 (control group). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Upright balance, evaluated in 4 situations (fixed platform, unstable platform, with eyes open, with eyes closed), and functional strength, assessed with a five-times-sit-to-stand test, were analyzed using an electromagnetic system, with a sensor placed over C7 to allow maximum trunk displacements in the anterior-posterior and medial-lateral directions. The Berg Balance Scale and the Timed Up & Go test were also used. RESULTS: Subjects with DM2 had greater anterior-posterior displacement (P<.05) in the unstable platform with eyes closed condition compared with those without DM2, whereas no difference in medial-lateral displacement was observed between these groups. A difference in time was observed in the five-times-sit-to-stand test (P<.05), with subjects in the control group performing the tasks faster than either group of subjects with DM2. Additionally, subjects in the control group showed a higher score in the Berg Balance Scale and performed the Timed Up & Go test in less time compared with subjects in other groups. CONCLUSIONS: Subjects with DM2, with or without DN, showed deficits in postural control and functional strength compared with healthy individuals of the same age group.
Palabras clave
AP; BBS; Berg Balance Scale; DM; DM2; DN; Diabetic neuropathies; FPEC; FPEO; FTSST; ICC; ML; Rehabilitation; TUG; Timed Up & Go; UPEC; UPEO; anterior-posterior; diabetes mellitus; diabetes mellitus type 2; diabetic neuropathy; five-times-sit-to-stand test; fixed platform with eyes closed; fixed platform with eyes open; intraclass correlation coefficient; medial-lateral; unstable platform with eyes closed; unstable platform with eyes open
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Diabetes Mellitus Tipo 2
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Neuropatías Diabéticas
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Equilibrio Postural
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Fuerza Muscular
Tipo de estudio:
Observational_studies
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Prevalence_studies
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Risk_factors_studies
Límite:
Adult
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Aged
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Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Arch Phys Med Rehabil
Año:
2013
Tipo del documento:
Article
País de afiliación:
Brasil
Pais de publicación:
Estados Unidos