Postural Control and Gait Performance in the Diabetic Peripheral Neuropathy: A Systematic Review

Mustapa, Amirah; Justine, Maria; Mustafah, Nadia Mohd; Jamil, Nursuriati; Manaf, Haidzir

doi:10.1155/2016/9305025

Cited by 103 publications

(89 citation statements)

References 61 publications

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“…Our research agrees with the literature in showing that, in hypothyroidism, the incidence of cramp rises [1,10-Balance disorders and hypothyroidism 12] , complaints of fatigue are at a rate of 40-70% [1,4,13] , and diffuse pain [4,11,[14][15] and paraesthesia increase in frequency. [6,15] Even if, in theory, subclinical hypothyroidism is considered an asymptomatic disorder, our study agrees with the literature in revealing a clear increase in neuromuscular symptoms in such patients.…”

Section: Discussionsupporting

confidence: 92%

“…Hence hypothyroidism may be a cause for impairment of postural stability and an increase in the risk of falls occurring. [13] Factors that increase the risk of falling include advanced age (>65 years), being female, past falls and a fear of falling, living alone, having known medical problems, physical condition, impaired cognitive function, insufficient physi-cal activity, and environment, amongst multiple others. [14] For this study, the age and sex distribution of the groups were similar, the cases were aged 41 years on average, and there were no additional medical conditions which might impair balance or increase the risk of falling.…”

Section: Discussionmentioning

confidence: 99%

“…In diabetes mellitus, disorders affecting the somatosensory system have been reported to produce postural problems, loss of balance and a subsequent increase in the risk of falls. [13,[17][18] In addition, electrophysiological studies indicate that diabetic patients, even if they do not have a polyneuropathy, may lose their balance. [19] From this study, postural stability and the risk of falling can be seen to be affected in hypothyroid patients, even where polyneuropathy is not present.…”

Section: Discussionmentioning

confidence: 99%

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Balance disorders and hypothyroidism: A rare cause worth remembering

Kul¹,

Bilen²,

Bilge³

et al. 2019

ENT Updates

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Objective: This study aimed to evaluate balance disorders and potential risk factors for falling in patients with hypothyroidism, as well as postural stability and the risk of falling. Methods:The participants' sex, age, body mass index (BMI), falls history in the past one year, and Falls Efficacy Scale -International (FES-I), Neuropathic Pain Diagnostic questionnaire (DN4) and clinical symptoms were recorded. The stability index (SI), weight distribution index (WDI) and falls risk analysis were performed for postural stability by objective computerised dynamic posturography.Results: 50 patients were matched for age and sex (mean age:41.7±11 years; age range:19-61 years) with 47 healthy (euthyroid) controls (mean age:39±9.6 years; age range:23-60 years). All SI, HL-WDI and falls risk scores, except FES-I, DN4 and NO-SI, were significantly higher in the patient group. In addition, other symptoms were present at a higher rate, with the exception of morning stiffness (p<0.05). There was no significant association between sex, age, BMI, FES-I, DN4, serum FT4 and TSH levels, clinical symptoms and WDI values and the risk of falls (r<0.3 and p>0.05). However, there was a slight positive correlation between the existence of paraesthetic symptoms, a history of falling, and the overall SI and HLWDI values (r>0.3 and p<0.05). Conclusions:It was determined that, as postural stability is affected in cases of hypothyroidism, balance becomes disordered and the risk of falls increases. This increase in the risk of falls was associated with being hypothyroid, but not with FT4 or TSH levels or the other factors evaluated.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Balance disorders and hypothyroidism: A rare cause worth remembering

Kul¹,

Bilen²,

Bilge³

et al. 2019

ENT Updates

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“…Subsequently, 37 studies were included in this review according to their abstracts and the inclusion criteria: 2 studies on systemic review, 35 studies on the materials and categories of AFO and its effect on patients with foot impair (Mustapa, Justine, Mustafah, Jamil, & Manaf, 2016); (Ridgewell, Dobson, Bach, & Baker, 2010).…”

Section: Resultsmentioning

confidence: 99%

The Categories of AFO and Its Effect on Patients With Foot Impair: A Systemic Review

Feng

Song

2017

Physical Activity and Health

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There are a lot of ailments that would lead to foot impair. For instance, cerebral palsy (CP), stroke, multiple sclerosis (MS), hemiplegia, duchenne muscular dystrophy (DMD) and so on. With the further deterioration of these diseases, gait would become imbalanced and then it may contribute to high risk of fall incidence. Thus, it is urgent to invent a tool to adjust the foot impair. Most of the previous studies had found that the ankle-foot orthoses (AFO) has a significant effect to overcome the foot impair. Studies that investigated the ankle-foot orthoses (AFO) and its effect on patients with foot impair are various and abundant. Nevertheless, there are a little studies that integrated the categories of AFO and its specific effect on patients with foot impair. It is important to integrate the categories of AFO and its specific effect on patients with foot impair because the previous studies had proved that different designs of AFO have different mechanical properties and these would affect outcomes in a way. The purpose of this paper is to review and integrate the published studies on the categories of AFO and its effect on patients with foot impair and thereby offer better guidelines and suggestions for prescriptions and future studies. The publication of all papers about the categories of AFO and its effect on patients with foot impair were obtained from Science Direct(SD), Google Scholar and other peer reviewed journals that were published in English. The keywords used for searching were "AFO," "material," "foot impair," and "systemic review." There were total 8647 studies regarding these keywords, and 37 studies were eligible to be selected in this research: 2 studies on systemic review, 35 studies on the materials and categories of AFO and its effect on patients with foot impair. Most previous studies had found that the effect of AFO is related to mechanical properties of AFO and disease characteristics. Therefore, this review could provide researchers with more systemic and detailed information about the categories of AFO and its effect on patients with foot impair and promote synthesis of literature.

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“…People with DM suffer from a strength reduction of 17% and 14% on the knee's flexor and extensor muscles, respectively [6]. It is essential to consider these aspects since this type of problem can affect balance, leading to alterations in posture and gait [7]. Several studies support these balance problems theories in people with type 2 DM, including ankle and foot proprioception deficits [8], or a loss of sensation in feet [9].…”

Section: Introductionmentioning

confidence: 99%

Test-Retest Reliability of Vibration Perception Threshold Test in People with Type 2 Diabetes Mellitus

Domínguez‐Muñoz

Adsuar

Villafaina

et al. 2020

IJERPH

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Background: Diabetes mellitus is a chronic disease characterized by fasting hyperglycemia. It affects approximately 415 million people worldwide and involves a variety of complications. One of them is the loss of sensitivity to peripheral vibration. Objective: Our study aims to discover the test-retest reliability of a procedure for assessing vibration sensitivity in people with type 2 diabetes mellitus. Methodology: 90 people with type 2 diabetes mellitus (56 men and 34 women) performed the vibration perception threshold (VPT) test using the Vibratron II device. A re-test was completed seven days after the first reading. Results: The relative reliability of the VPT test result is excellent (intraclass correlation coefficient = 0.96). The same applies to gender and obesity subgroups. Regarding absolute reliability, the standard error of measurement is 8.99%, and the small real difference is 24.94%. Conclusions: The relative and absolute reliability results of the vibration perception threshold in people with type 2 diabetes mellitus offer excellent results.

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Postural Control and Gait Performance in the Diabetic Peripheral Neuropathy: A Systematic Review

Cited by 103 publications

References 61 publications

Balance disorders and hypothyroidism: A rare cause worth remembering

Balance disorders and hypothyroidism: A rare cause worth remembering

The Categories of AFO and Its Effect on Patients With Foot Impair: A Systemic Review

Test-Retest Reliability of Vibration Perception Threshold Test in People with Type 2 Diabetes Mellitus

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