The effects of diabetes and/or peripheral neuropathy in detecting short postural perturbations in mature adults

Fulk, George; Robinson, Charles J.; Mondal, Sumona; Storey, Christopher; Hollister, Anne M.

doi:10.1186/1743-0003-7-44

Cited by 30 publications

(35 citation statements)

References 34 publications

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“…Our findings are similar to those of Fulk et al, 28 who reported differences only between individuals with and without DM2 and not between individuals with and without DN.…”

Section: Discussionsupporting

confidence: 94%

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

Vaz

Costa

Reis

et al. 2013

Archives of Physical Medicine and Rehabilitation

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“…Our findings are similar to those of Fulk et al, 28 who reported differences only between individuals with and without DM2 and not between individuals with and without DN.…”

Section: Discussionsupporting

confidence: 94%

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

Vaz

Costa

Reis

et al. 2013

Archives of Physical Medicine and Rehabilitation

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“…The heterogeneous results are suggestive of the effect of other factors on postural stability. Fulk and colleagues found that neuropathy might not be the only cause of impaired balance in people with diabetes mellitus and that diabetes itself might negatively impact the postural control system [Fulk et al 2010].…”

Section: Discussionmentioning

confidence: 99%

Effect of balance training with Biodex Stability System on balance in diabetic neuropathy

Eftekharsadat

Azizi

Aliasgharzadeh

et al. 2015

Therapeutic Advances in Endocrinology

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Objectives: Diabetic neuropathy (DN) in the elderly is a common complication of diabetes that can negatively influence balance control. In this study, we aimed to evaluate the efficacy of balance training program on postural stability of diabetic patients. Patients and methods: In this randomized clinical trial, 34 elderly DN patients were divided into intervention (n = 17) and control (n = 17) groups. The experimental group underwent a balance training program using the Biodex Balance System (BBS) for 10 sessions. All subjects in both groups were assessed using timed 'up and go' (TUG) test, the Berg balance scale, and the fall risk and postural stability tests, at baseline and at the end of the study. Results: TUG (p = 0.01), fall risk index (p = 0.002), anterior/posterior index (p = 0.01), medial/ lateral index (p = 0.04), overall stability index (p = 0.01) and Berg balance scale (p = 0.04) were significantly improved after the training in the intervention group, but had no significant differences in the control group. The changes in TUG (p < 0.001) and fall risk index (p < 0.001) in the intervention group were significantly higher than those in the control group. Conclusion: According to our results, balance training would improve postural stability and balance in elderly patients with DN.

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“…Clinicians should be aware that individuals with diabetes at an early stage of the disease process when they do not yet have peripheral neuropathy may have impaired balance, which may place them at risk for a fall. 13 The gait velocity, step length, amplitude of ankle movement, ankle moments of force, power and anterior-posterior ground reaction force variables are smaller in diabetic patients with polyneuropathy, compared to control subjects. 14 These findings agreed with our results as regards speed of the forward progression.…”

Section: Groupmentioning

confidence: 98%

Monitoring of motor function affection and postural sway in patients with type 2 diabetes mellitus

Hamada¹,

Debrky²

2014

Egyptian Journal of Ear, Nose, Throat and Allied Sciences

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Background: Diabetes is a chronic metabolic disease with impaired glucose tolerance. Diabetic neuropathy affects sensory, autonomic, and motor neurons of the peripheral nervous system so that nearly every type of nerve fiber in the body is vulnerable.Objectives: Evaluation of variation in motor functions and postural sway in patients with type 2 diabetes mellitus (DM) and comparing the results with those obtained from the control group. This will help in rehabilitation programs for diabetic patients to avoid postural instability and risk of falling.Methodology: Forty patients with the diagnosis of type 2 DM (group 1) participated in this study and twenty subjects who had no diagnosis of type 2 DM were evaluated as a control group (group 2). Blood glucose level of patients was measured then they referred to audiovestibular assessment. Computerized dynamic posturography (CDP) was done in the form of motor control test and functional limitation assessment; Tandem walk.Results: Findings showed a statistically significant difference between the study group and control group as regards response latency, speed of the forward progression and endpoint sway velocity. A statistically significant correlation was found between response latency and speed of the forward progression with FBS level in the study group.Conclusions: Speed of the forward progression was less, however response latency and endpoint sway velocity were more in diabetic patients in comparison with normal subjects. Response latency and speed of the forward progression showed a statistically significant correlation with FBS level in diabetic patients.

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The effects of diabetes and/or peripheral neuropathy in detecting short postural perturbations in mature adults

Cited by 30 publications

References 34 publications

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

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

Effect of balance training with Biodex Stability System on balance in diabetic neuropathy

Monitoring of motor function affection and postural sway in patients with type 2 diabetes mellitus

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