Balance performance and fear of falling in older patients with diabetics: a comparative study with non-diabetic elderly

Tander, Berna

doi:10.5606/tftrd.2016.77861

Cited by 13 publications

(8 citation statements)

References 29 publications

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“…Based on our study, the mCTSIB can sufficiently differentiate the degrees of balance impairment in the ODM. Poor postural control observed in the ODM is the result of sensory and motor deficits associated with microvascular complications of DM as well as FoF [11][12][13]25]. A significant decrease in the mCTSIB-Tol score and the failed performances on the mCTSIB suggest an increase in the degrees of balance impairment.…”

Section: Discussionmentioning

confidence: 99%

“…Diabetes mellitus (DM) is a significant risk factor for falls in older adults [7][8][9][10] and associated with an increase in FoF [11]. The prevalence of falls and FoF is significantly higher in older adults with DM (ODM) than in older adults without DM (ONDM) [8,[11][12][13][14]. Microvascular complications associated with DM result in multiple impairments including sensory deficits and muscle weakness due to peripheral neuropathy [15][16][17][18], loss of visual acuity due to retinopathy [18][19][20], and impaired postural control and falls due to vestibulopathy [21][22][23].…”

Section: Introductionmentioning

confidence: 99%

“…The weakness of the lower extremity (LE) muscles is commonly observed among ODM [30,31]. The ODM with FoF performed relatively poorer than the ONDM on many physical performance tests such as the five-time sit-to-stand test [30,32], raising from a chair of knee height [4], Berg balance score [13], one-leg stance [13], and timed up and go (TUG) test [12,13]. In fact, impaired performance on the TUG test is a good predictor for falls and FoF in older women with type 2 DM [32].…”

Section: Introductionmentioning

confidence: 99%

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Fear of Falling, Lower Extremity Strength, and Physical and Balance Performance in Older Adults with Diabetes Mellitus

Vongsirinavarat

Mathiyakom

Kraiwong

et al. 2020

Journal of Diabetes Research

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Fear of falling (FoF) is known to affect the physical activities and quality of life of older adults with type 2 diabetes mellitus (DM). Many complications of DM, especially ones distressing lower extremity (LE), could lead to increased fall risk and FoF. This study aimed to explore the relationship between FoF, LE muscle strength, and physical performance in older adults without diabetes mellitus (ONDM) and with DM (ODM) with varying degrees of balance impairment. The participants comprised 20 ONDM and 110 ODM. The ODM was grouped by the number of failed performances of the modified clinical test of sensory interaction and balance (mCTSIB). The scores of FoF, balance performance of mCTSIB, physical performance of TUG, and LE muscle strength were compared between groups. The results showed that FoF was present in 30% and 60% of the ONDM and ODM, respectively. Forty percent of the ODM failed one condition of the mCTSIB, while 18% and 16% failed two and three conditions, respectively. As the number of failed performances on the mCTSIB increased, the proportions of participants with FoF significantly increased. The psychosocial domain of FoF, LE muscle strength, and TUG score was significantly different between groups and more affected in the ODM with a greater number of failed performances on the mCTSIB. In conclusion, the mCTSIB can differentiate the varying degrees of balance impairment among ODM. FoF, LE muscle strength, and physical performance are more affected as the degree of balance impairment increases. Comprehensive management related to balance and falls in the ODM should include a regular evaluation and monitoring of standing balance, LE muscle strength, physical performance, and FoF.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Fear of Falling, Lower Extremity Strength, and Physical and Balance Performance in Older Adults with Diabetes Mellitus

Vongsirinavarat

Mathiyakom

Kraiwong

et al. 2020

Journal of Diabetes Research

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“…Fear of falling (Falls Efficacy Scale-International (FES-I)), neuropathic pain [leeds assessment of neuropathic symptoms-signs (lanss), mobility [timed up and go test (tug)], balance [berg balance scale (bbs)], one-legged stance test (olst), disability status [modified barthel index (mbi)], depression [beck depression inventory (bdi)] and anxiety [beck anxiety inventory (bai)] was assessed. They concluded that in older patients with DM, fear of fall is increased and they have more balance disturbances compared to age matched individuals without DM [17].…”

Section: Discussionmentioning

confidence: 99%

Association between Physical Functioning and Fear of Falling with Balance in Elderly Diabetic Individuals

Sankhe¹,

Ganvir²

2017

Physiother Rehabil

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Background: Diabetes mellitus is a highly prevalent metabolic disease, particularly in the elderly population. Diabetic peripheral neuropathy (DPN), the most common complication, is present in up to half of the people with diabetes, leading to sensory and autonomic motor impairment, and possibly increasing the risk of falling. DM is also associated with geriatric conditions falls, incontinence, low body mass index, dizziness, vision, hearing and cognitive impairments and dependence on activities of daily living. Balance is one of the major factors which associated with falls in the elderly population. Diabetes in addition may cause further damage to the nervous system thereby resulting in impaired balance leading to increased risk of falls. It is essential to investigate relationship between balances and falls in diabetic individuals.

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“…Another description has referred to FOF as a patient's loss of confidence in his or her balance abilities (9). Patients with DM may have balance problems and FOF (10). The FOF decreases willingness to mobility leading to decrease exercise and/or physical activity which are effective methods for controlling blood glucose.…”

Section: Introductionmentioning

confidence: 99%

Relationship Between Balance and Fear of Falling in Geriatric Type 2 Diabetes Mellitus Patients

Arık

Kiloatar

Onbaşı

2018

Türk Fizyoterapi Ve Rehabilitasyon Dergisi

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Purpose:The purpose of this study was to compare balance parameters and fear of falling in geriatric individuals with and without type 2 diabetes mellitus (DM), and to investigate the relationship between balance and fear of falling in these groups. Methods:The study included 31 type 2 DM patients who were diagnosed by a specialist and 29 age-matched controls. Fear of falling was assessed using the International Fall Efficacy Scale. The balance parameters including the center of the pressure (COP) which are the COP length and the COP velocity were measured and recorded using a gait analysis system, in standing position. The balance was also assessed using timed up and go test (TUG). Results:There was a significant difference between diabetic and control groups regarding COP length (p=0.021) and COP velocity (p=0.028). In the diabetic patients, there was a statistically significant relationship between fear of falling and COP length (p=0.001) and COP velocity (p=0.001). There was a significant correlation between TUG and COP velocity (p<0.001) and COP length (p<0.001) in type 2 DM patients. Conclusion:In elderly with type 2 DM, increased balance disturbances occurred compared to agematched individuals without DM, and fear of falling was associated with balance in geriatric type 2 DM patients. It is, therefore, vital to understand the changes occurring in balance so that future complications may be prevented, early diagnosis and intervention may be achieved in the event of a problem, and a decision about appropriate approaches for treatment can be made.Amaç: Bu çalışmanın amacı, tip 2 diyabeti olan ve olmayan geriatrik bireylerde denge parametreleri ve düşme korkusunu karşılaştırmak ve bu gruplarda denge parametreleri ve düşme korkusu arasındaki ilişkiyi incelemekti.Yöntem: Çalışmaya, uzman hekim tarafından tip 2 diyabet tanısı konulmuş 31 hasta ve aynı yaş grubunda 29 kontrol grubu dahil edildi. Düşme korkusu Uluslararası Düşme Etkinlik Skalası ile değerlendirildi. Denge ile ilgili basınç merkezi (BM) uzunluğu ve BM hızı ayakta durma pozisyonunda, yürüme analiz sisteminde, Zebris FDM-2 cihazıyla kaydedildi. Katılımcıların dengesi aynı zamanda süreli kalk yürü testi (SKYT) ile değerlendirildi. Sonuçlar: Diyabetli grup ve kontrol grubu arasında BM uzunluğu (p=0,021) ve BM hızı (p=0,028) açısından anlamlı bir fark bulundu. Diyabetli hastalarda düşme korkusu, BM hızı (p=0,001) ve BM uzunluğu (p=0,001) arasında istatistiksel olarak anlamlı bir ilişki bulundu. Diyabetli hastalarda SKYT, BM hızı (p<0,001) ve BM uzunluğu (p<0,001) arasında istatistiksel olarak anlamlı bir korelasyon bulundu.Tartışma: Geriatrik tip 2 diyabetli kişilerde, aynı yaş aralığındaki kontrol grubu ile karşılaştırıldığında daha fazla denge bozukluğu görülmüş ve düşme korkusu tip 2 diyabetli kişilerde denge ile ilişkili bulunmuştur. Bu nedenle, dengede meydana gelen değişiklikleri anlamak önemlidir. Böylece diyabetik hastalarda ortaya çıkabilecek komplikasyonlar önlenebilir; sorun olması durumunda erken tanı ve müdahale sağlanabilir ve tedaviye yöne...

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Balance performance and fear of falling in older patients with diabetics: a comparative study with non-diabetic elderly

Cited by 13 publications

References 29 publications

Fear of Falling, Lower Extremity Strength, and Physical and Balance Performance in Older Adults with Diabetes Mellitus

Fear of Falling, Lower Extremity Strength, and Physical and Balance Performance in Older Adults with Diabetes Mellitus

Association between Physical Functioning and Fear of Falling with Balance in Elderly Diabetic Individuals

Relationship Between Balance and Fear of Falling in Geriatric Type 2 Diabetes Mellitus Patients

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