Article

OBJECTIVES: (1) To examine the effects of peripheral neuropathy on balance
stability in patients with type 2 diabetes, and (2) to assess static and dynamic
balance and functional limitations. DESIGN: A cross-sectional study. SETTING:
Outpatient clinic. PATIENTS: Subjects with type 2 diabetes
and healthy subjects
(n = 60) were divided into 3 groups: subjects with diabetes and with established
peripheral neuropathy (diabetic peripheral neuropathy [DPN] group) (n = 17),
subjects with diabetes and without peripheral neuropathy (diabetic control group)
(n = 25), and subjects without diabetes (nondiabetic control [NDC] group) (n =
18). METHODS: Sensory impairment assessment, motor impairment assessment, and
functional limitation assessment were assessed by using the Balance Master
system. RESULTS: In motor impairment assessment, left-to-right directional
control in the rhythmic weight shift was significantly poorer in the diabetic
control group than in the NDC group during slow movement (P = .027). During fast
movement, it was poorer in the DPN group than in the NDC group (P = .022). In the
unilateral stance test of functional limitation assessment with both eyes open,
the mean center of gravity sway velocity was significantly higher in the DPN
group than in the NDC group (P = .011 for the left leg standing, P = .008 for the
right leg standing) and higher in the DPN group than in the diabetic control
group (P = .027 for the right leg standing). In the tandem walk test, walking
speed was significantly lower in the DPN group than in the NDC group (P = .033),
and end sway was significantly greater in the DPN group than in the NDC group (P
= .020). CONCLUSIONS: Analysis of the results of this study suggest that
functional limitations may occur more in the patients with diabetes and with
peripheral neuropathy, and dynamic balance stability may decrease more with the
patients with diabetes than with the subjects without diabetes. Further studies
on balance rehabilitation that concern dynamic balance stabilities and exercise
abilities are needed in patients with diabetes.
CI - Copyright (c) 2014 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS