The Effects of Exercise Interventions on Balance Capacity in Patients with Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis

Qin, Jiawei; Zhao, Kaize; Chen, Yannan; Guo, Shuai; You, Yue; Xie, Jinjin; Xü, Ying; Wu, Jingsong; Liu, Zhizhen; Huang, Jia; Chen, Lidian; Tao, Jing

doi:10.1177/00469580211018284

Cited by 9 publications

(7 citation statements)

References 50 publications

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“…Poor balance places excessive stress on the non-amputated foot, increasing the risk of diabetic foot ulcers. Exercise interventions, such as strength training, balance training, gait training, Tai Chi, and combined exercise regimens, can improve balance capacity in patients with type 2 diabetes mellitus [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Results of Neuropathy Screening Test for Lower Limb Amputees With Diabetes Mellitus and Their Prosthetic Rehabilitation: A Cross-Sectional Study

Tanaka¹,

Ueno²

2023

Cureus

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Introduction To prevent foot ulcers and subsequent amputation on the non-amputated side, we conducted tests for diabetic neuropathy. The results were then used in prosthetic rehabilitation for lower limb amputees with diabetes mellitus. Materials and methods This cross-sectional retrospective study included patients admitted to our convalescent rehabilitation ward for prosthetic rehabilitation between April 2019 and December 2022 following lower limb amputation due to diabetes. We investigated the positive rate of the modified Ipswich Touch Test (mIpTT) in lower limb amputees with diabetes, and physical and orthotic therapy and prosthetic rehabilitation based on medical records. Results Twenty-seven transtibial amputees and nine transfemoral amputees had diabetes. The mIpTT results were positive in 22 (81%) transtibial and eight (89%) transfemoral amputees. There were no apparent differences in positivity rates by amputation level, gender, or age. Based on these results, personalized physical therapy and insoles were prescribed for the non-amputee foot in parallel with prosthetic rehabilitation. Conclusions Lower limb amputees with diabetes have diabetic neuropathy more frequently than diabetic patients without amputation. As a result, they may also be at a higher risk of developing foot ulcers and subsequent amputation due to neuropathy. Therefore, rehabilitation to prevent amputation on the non-amputated side of lower limb amputees with diabetes had better encompassing foot exercises and orthotic therapy on the non-amputated side during the prosthetic rehabilitation period.

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Section: Discussionmentioning

confidence: 99%

Results of Neuropathy Screening Test for Lower Limb Amputees With Diabetes Mellitus and Their Prosthetic Rehabilitation: A Cross-Sectional Study

Tanaka¹,

Ueno²

2023

Cureus

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“…Individuals with T2DM present a higher fall risk than healthy individuals in the same age group. The prevalence of falls among older adults with and without diabetes was 25.0% 18.2%, respectively 2 . Older adults with T2DM may present balance impairments and falls due to impaired sensory systems (e.g., impaired proprioception in lower limbs due to neuropathy).…”

Section: Introductionmentioning

confidence: 99%

“…Older adults with T2DM may present balance impairments and falls due to impaired sensory systems (e.g., impaired proprioception in lower limbs due to neuropathy). The main cause of falls is the loss of balance due to impaired PC (e.g., impaired visual, somatosensory, auditory, and vestibular systems or mixed, motor and autonomic disorders) 2 .…”

Section: Introductionmentioning

confidence: 99%

Postural balance and associated factors with the fall risk assessed in older adults with type 2 diabetes mellitus

Carlos,

Dias,

Perracini

et al. 2024

Rev. bras. geriatr. gerontol.

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Objective Identify clinical-functional factors associated to the risk of falls, assessed by Mini-BESTest in older adults with type 2 diabetes mellitus (T2DM). Method This cross-sectional study. A total of 145 older adults aged ≥60 years were evaluated through sociodemographic variables (sex, age group, married, education level, general health status hearing and vision), Mini-BESTest, Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS-15) and dual-task Timed Up and Go Test (TUG) Multiple logistic regression model was used. Results The sensory orientation domain presented the highest average score, followed by the gait stability, anticipatory postural adjustments and postural responses domains. Factors associated to the risk of falls in older adults are: poor/very poor visual perception OR 3.40 (1.50-7.72); have respiratory diseases OR 8.00 (1.32-48.46); feeling dizzy OR 2.53 (1.10-5.80); and TUGT (dual task) time equal to or greater than 13.5 seconds OR 3.31 (1.03-10.64). Conclusion Older adults in this study presented impaired postural balance, mainly in the postural responses domain. The knowledge of the factors associated with the risk of falls in older adults with T2DM allows for better guidance in prevention, assessment and intervention, in order to minimize the occurrence of falls and maintain or optimize postural balance. Several factors influenced this outcome, such as overweight, low physical activity and education, several comorbidities, polypharmacy, T2DM diagnosis for more than ten years, negative perception of general health and vision, and depressive symptoms.

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“…Assessing balance in the elderly and diabetic population is important to improve their balance confidence and reduce their fall risk [ 19 – 25 ]. The main assessment methods include: (1) fall risk assessment scales, which use various tools to measure the fear of falling and balance confidence in older people and diabetics.…”

Section: Introductionmentioning

confidence: 99%

The influence of diabetes and age-related degeneration on body balance control during static standing: a study based on plantar center-of-pressure trajectories and principal component analysis

Hu,

Yang,

Wang

et al. 2023

J Orthop Surg Res

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Background Aging and diabetes can impair the balance function of the elderly and diabetic patients and increase their fall risk. This study aimed to assess the shaking amplitude of the center-of-pressure (CoP) during static standing, to analyze the effects of aging and diabetes on the balance control. Materials and methods This cross-sectional observational study, compared the balance performance of 20 healthy younger adults (27.65 ± 5.60 years), 16 healthy older adults (58.88 ± 3.54 years) and 15 diabetic patients (58.33 ± 5.33 years) in four static standing conditions on a force plate: horizontal, anteroposterior (AP), left and right slope planes (5° angles on AP, left and right directions, respectively). The trajectory coordinates of the CoP over time were recorded and analyzed by principal components analysis to obtain the 95% confidence ellipse and its parameters: angle, major and minor axes lengths, and area. The balance indicators were compared among the three groups using one-way analysis of variance (ANOVA), Brown–Forsythe test or Kruskal–Wallis H test, depending on the normality and homogeneity of variance assumptions. Results The diabetic group had a significantly larger confidence ellipse area than the healthy younger adults on the horizontal plane (P = 0.032) and than the healthy older adults on the horizontal (P = 0.036), AP slope (P = 0.023), and right ML slope (P = 0.037) planes. There were no significant differences in the major axis length of the confidence ellipse among the three groups. The diabetic group had a significantly longer minor axis length than the healthy younger adults on the AP slope (P = 0.039), left ML slope (P = 0.045) and right ML slope (P = 0.016) planes and than the healthy older adults on the AP slope (P = 0.007), left ML slope (P = 0.035) and right ML slope (P = 0.012) planes. Conclusions The balance control of diabetic patients is decreased compared with healthy younger and older people, and the body swing amplitude increases mainly in the direction of minor axis of confidence ellipse during static standing, while the swing amplitude in the direction of the major axis has no significant change. Evaluating the balance function of diabetic patients can help clinicians identify people with fall risk early and intervene early, thereby reducing the occurrence of fall events in this population.

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The Effects of Exercise Interventions on Balance Capacity in Patients with Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis

Cited by 9 publications

References 50 publications

Results of Neuropathy Screening Test for Lower Limb Amputees With Diabetes Mellitus and Their Prosthetic Rehabilitation: A Cross-Sectional Study

Results of Neuropathy Screening Test for Lower Limb Amputees With Diabetes Mellitus and Their Prosthetic Rehabilitation: A Cross-Sectional Study

Postural balance and associated factors with the fall risk assessed in older adults with type 2 diabetes mellitus

The influence of diabetes and age-related degeneration on body balance control during static standing: a study based on plantar center-of-pressure trajectories and principal component analysis

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