Association between sensorimotor function and forward reach in patients with diabetes

Lin, Sang-I; Chen, Y. R.; Liao, Chien Fen; Chou, Chia-Lin

doi:10.1016/j.gaitpost.2010.08.006

Cited by 27 publications

(24 citation statements)

References 25 publications

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“…Furthermore, deterioration in foot plantar mechanoreception might also have contributed to the reduced area for COP movement. Previous studies have indicated an influential role for cutaneous sensation from the plantar surface of the foot in the control of balance, where impaired cutaneous sensation has been associated with impaired postural control and increased risk of falling (Lin et al, 2010; Lord et al, 1994; Maki et al, 1999; Perry, 2006; Perry et al, 2000; Perry et al, 2008). Diminished sensation could play a role in detecting the proximity of the COM to the stability boundaries of the BOS to maintain balance (Maki et al, 1999).…”

Section: Discussionmentioning

confidence: 99%

Center of pressure control for balance maintenance during lateral waist-pull perturbations in older adults

Fujimoto

Bair

Rogers

2015

Journal of Biomechanics

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When balance is disturbed, location of the center of pressure (COP) contributes to a person’s ability to recover from a perturbation. This study investigated COP control prior to first step lift-off (FSLO) during lateral perturbations in older non-fallers and fallers. 38 Non-Fallers and 16 Fallers received lateral waist-pulls at 5 different intensities. Crossover stepping responses at the intensity level where the largest number of subjects responded with crossover steps were analyzed. Whole-body center of mass (COM) and COP positions in the medio-lateral (ML) direction with respect to the base of support (BOS), and COP velocity were calculated. An inverted pendulum model was used to define the BOS stability boundary at FSLO, which was also adjusted using the COP position at FSLO (functional boundary). No significant differences were found in the COP velocities between Fallers and Non-Fallers (p>.093). However, the COP positions for Fallers were located significantly more medial at FSLO (p≤.01), resulting in a significantly reduced functional boundary. Although the stability margins, measures of stability based on the BOS, were significantly larger than zero for Fallers (p≤.004), they were not significantly different from zero for the functional boundary, i.e., reaching the functional stability limit. Fallers had reduced functional limits of stability in the ML direction, which would predispose them to more precarious stability conditions than Non-Fallers. This could be a cause for taking more steps than Non-Fallers for balance recovery as we observed. The functional boundary estimation may be a more sensitive marker of balance instability than the BOS boundary.

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Section: Discussionmentioning

confidence: 99%

Center of pressure control for balance maintenance during lateral waist-pull perturbations in older adults

Fujimoto

Bair

Rogers

2015

Journal of Biomechanics

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“…Research showed that the walking ability [18] and fall risk of DPN [19] and its degree of neuropathy were positively correlated. DPN could cause demyelination and axonal degeneration of nerve fibers, slowed nerve conduction velocity, delayed reflex reaction time, causing balance function decline.…”

Section: Nerve Conduction Trainingmentioning

confidence: 99%

Balance training in the intervention of fall risk in elderly with diabetic peripheral neuropathy: A review

Bai

2014

International Journal of Nursing Sciences

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Elderly Diabetic peripheral neuropathy Fall risk Review a b s t r a c t Diabetic peripheral neuropathy (DPN) was the most common complications of elderly diabetic, which could contribute to an increased risk of falling. Despite the increased prevalence of elderly diabetic, high risk of falls and serious consequences of falls in elderly with DPN, It is necessary to adopt means of reducing the risk of falls in elderly with DPN. Impaired balance in the elderly with DPN was the most important risk factor of increasing falls. This review will introduce the epidemiology of falls in elderly with DPN, analysis the reasons for high risk of falls in elderly with DPN, provide a review of the development of balance training in the intervention of fall risk in elderly with DPN and offer recommendations to medical personnels on how to provide an efficient balance training for elderly with DPN.

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“…The reduction in skin-plantar sensation undertakes the necessary feedback to the maintenance of balance and motor stability during walking and the development of some 11,13,14 activities of daily living.…”

Section: Endocrinology Diabetes and Obesitymentioning

confidence: 99%

“…The peripheral neuropathy or diabetic 7,11,12 neuropathy is one, it can affect 20% to 75% of diabetics.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Loss of Skin-Plantar Sensitivity and Diabetic Foot Risk in Elderly with Diabetic Neuropathy: Cross- Sectional Study

Navarro-Peternella¹,

Teston²,

Marcon³

2018

Endocrinol Diabetes Obes

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Association between sensorimotor function and forward reach in patients with diabetes

Cited by 27 publications

References 25 publications

Center of pressure control for balance maintenance during lateral waist-pull perturbations in older adults

Center of pressure control for balance maintenance during lateral waist-pull perturbations in older adults

Balance training in the intervention of fall risk in elderly with diabetic peripheral neuropathy: A review

Factors Associated with Loss of Skin-Plantar Sensitivity and Diabetic Foot Risk in Elderly with Diabetic Neuropathy: Cross- Sectional Study

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