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A primary care-based randomized controlled trial of 12-week whole-body vibration for balance improvement in type 2 diabetes mellitus

H
DEL POZO CRUZ J; ALFONSO ROSA RM; UGIA JL; MCVEIGH JG; POZO-CRUZ BD; SANUDO B
ARCH PHYS MED REHABIL , 2013, vol. 94, n° 11, p. 2112-2118
Doc n°: 168835
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.apmr.2013.05.030
Descripteurs : GA - DIABETE Url : http://www.archives-pmr.org/issues

Article consultable sur : http://www.archives-pmr.org

OBJECTIVE: To determine whether a 12-week whole-body vibration (WBV) training
program improved balance in participants with type 2 diabetes mellitus (T2DM).
DESIGN: Randomized controlled trial. SETTING: Primary health care setting.
PARTICIPANTS: Participants with T2DM (N=50). INTERVENTIONS: Participants were
randomly allocated to either a WBV group (n=25), which performed a 12-week
WBV-based exercise program on an oscillating platform (12-16Hz-4mm; 3
sessions/wk), or a usual-care control group (n=25). MAIN OUTCOME MEASURES:
Clinical and sociodemographic variables were recorded at baseline. Static balance
and dynamic balance were also assessed at baseline by measuring postural sway
(measurement of center of pressure [COP] excursions in the anteroposterior and
mediolateral directions) using a Wii Balance Board and the Timed Up and Go test.
RESULTS: Significant between-group differences in COP excursions with
participants' eyes closed were found with their feet apart and feet together. In
addition, participants in the WBV group exhibited significantly lower COP
excursions with their eyes closed after the intervention, while participants in
the control group experienced a nonsignificant deterioration in COP excursions
(ie, greater excursion) with their eyes open (mediolateral axis). There was no
significant difference in the Timed Up and Go test values postintervention.
CONCLUSIONS: WBV provides a safe and well-tolerated approach to improve balance
in participants with T2DM. These findings may have important implications for
falls prevention in those with T2DM in the primary health care setting.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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