Postural Control and Functional Strength in Patients With Type 2 Diabetes Mellitus With and Without Peripheral Neuropathy

Vaz, Maíta Mara O.L.L.; Costa, Gustavo; Reis, João Batista Ribeiro da Silva; Marques, Wilson; Paula, Francisco José Albuquerque de; Abreu, Daniela Cristina Carvalho de

doi:10.1016/j.apmr.2013.06.007

Cited by 69 publications

(52 citation statements)

References 32 publications

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“…Many studies have investigated postural control and its relationship with mobility and the risk of falling, focusing on different pathologies of the nervous system , visual system , musculoskeletal system and their effects on an ageing population, aiming to optimize prevention and/or rehabilitation programmes for these dysfunctions . Among these studies, some have focused on obesity as a factor related to a decrease in postural reaction and loss of balance .…”

Section: Introductionmentioning

confidence: 99%

A preliminary study of static and dynamic balance in sedentary obese young adults: the relationship between BMI, posture and postural balance

et al. 2017

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The aim of this study was to evaluate the postural control of obese young adults with normal body mass index during different static (bipedic and unipedic support) and dynamic postural conditions (gait velocity and limits of stability) in order to compare the static and dynamic balance of these individuals. A cross-sectional quantitative study was carried out to evaluate static and dynamic balance in 25 sedentary individuals. The sample was divided into two groups, 10 in the normal-weight group (24.70 ± 3.89 years and 21.5 ± 1.66 kg m ) and 15 in the obese group (26.80 ± 5.16 years and 35.66 ± 4.29 kg m ). Postural evaluation was performed through visual inspection, and balance analyses were performed using the Timed Up & Go test (TUGT) and Balance System (Biodex). Descriptive analyses, Fisher's exact test and Mann Whitney U-tests were performed using the Statistical Package for Social Sciences (SPSS - 20.0, Armonk, NY) software. Most of the obese volunteers presented postural alterations, such as head protrusion (47.6%), hyperkyphosis (46.7%) and hyperlordosis (26.7%). Medial-lateral dynamic displacement, risk of falls and mean time to perform the limits of stability test and TUGT were higher for obese subjects (P < 0.05), while there were no significant differences between the groups (P > 0.05) for static balance tests for either bipedal or unipedal tasks. The disadvantage presented by the young obese subjects occurs in dynamic activities, representing worse balance and an increase in time needed to accomplish these activities.

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Section: Introductionmentioning

confidence: 99%

A preliminary study of static and dynamic balance in sedentary obese young adults: the relationship between BMI, posture and postural balance

et al. 2017

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“…The high prevalence of type-2 diabetes mellitus (DM2) (American Diabetes Association, 2014), especially among elderly women (Bertoldi et al, 2013), exposes this population to a higher decline in functional capacity and alterations in spatiotemporal gait parameters (Ko et al, 2011;Vaz et al, 2013). Previous studies show that sensory alterations and diabetic neuropathy (DN) contribute to gait dysfunctions in elderly diabetic individuals (Dingwell and Cavanagh, 2001;Kwon et al, 2003;Menz et al, 2004a;Petrofsky et al, 2005;Allet et al, 2008;Brach et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Impact of Type‐2 Diabetes Time Since Diagnosis on Elderly Women Gait and Functional Status

Anjos

Moreira

Pereira

et al. 2015

Physiotherapy Res Intl

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“…For instance, the postural sway did not differ between diabetic patients with and without neuropathy during quiet standing, but differed between the two groups when patients stood on a platform mat with their eyes closed. [33] Similarly, diabetic patients with neuropathy did not exhibit instability during the QEO and QEC tests, but did so during the unilateral stance test. [31] Furthermore, the association between the severity of an experimentally induced loss of plantar cutaneous sensitivity and postural sway was affected by the availability of visual input and the size of the supporting surface.…”

Section: Declined Ncv and Deteriorated Balance Control Abilitymentioning

confidence: 95%

Relevance of nerve conduction velocity in the assessment of balance performance in older adults with diabetes mellitus

Wang

Chen

Peng

et al. 2016

Disability and Rehabilitation

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Purpose This study investigated the relationship between peripheral nerve conduction velocity (NCV) and balance performance in older adults with diabetes. Methods Twenty older adults with diabetes were recruited to evaluate the NCV of their lower limbs and balance performance. The balance assessments comprised the timed up and go (TUG) test, Berg balance scale (BBS), unipedal stance test (UST), multidirectional reach test (MDRT), maximum step length (MSL) test and quiet standing with eyes open and closed. The relationship between NCV and balance performance was evaluated by Pearson's correlation coefficients, and the balance performances of the diabetic patients with and without peripheral neuropathy were compared by using Mann-Whitney U tests. Results The NCV in the lower limbs exhibited a moderate to strong correlation with most of the balance tests including the TUG (r = -0.435 to -0.520, p < 0.05), BBS (r = 0.406-0.554, p < 0.05), UST (r = 0.409-0.647, p < 0.05) and MSL (r = 0.399-0.585, P < 0.05). In addition, patients with diabetic peripheral neuropathy had a poorer TUG (p < 0.05), BBS (p < 0.01), UST (p < 0.05) and MSL performance (p < 0.05) compared with those without peripheral neuropathy (p < 0.05). Conclusion Our findings revealed that a decline in peripheral nerve conduction in the lower limb is not only an indication of nerve dysfunction, but may also be related to the impairment of balance performance in patients with diabetes. Implications for Rehabilitation Nerve conduction velocity in the lower limbs of diabetic older adults showed moderate to strong correlations with most of the results of balance tests, which are commonly used in clinics. Decline in nerve conduction velocity of the lower limbs may be related to the impairment of balance control in patients with diabetes. Diabetic older adults with peripheral neuropathy exhibited greater postural instability than those without peripheral neuropathy.

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Postural Control and Functional Strength in Patients With Type 2 Diabetes Mellitus With and Without Peripheral Neuropathy

Cited by 69 publications

References 32 publications

A preliminary study of static and dynamic balance in sedentary obese young adults: the relationship between BMI, posture and postural balance

A preliminary study of static and dynamic balance in sedentary obese young adults: the relationship between BMI, posture and postural balance

Impact of Type‐2 Diabetes Time Since Diagnosis on Elderly Women Gait and Functional Status

Relevance of nerve conduction velocity in the assessment of balance performance in older adults with diabetes mellitus

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