Article

Approximately 422 million people have diabetes mellitus worldwide, with the
majority diagnosed with type 2 diabetes mellitus (T2DM).
The complications of
diabetes mellitus include diabetic peripheral neuropathy (DPN) and retinopathy,
both of which can lead to balance impairments. Balance assessment is therefore an
integral component of the clinical assessment of a person with T2DM. Although
there are a variety of balance measures available, it is uncertain which measures
are the most appropriate for this population. Therefore, the aim of this study
was to conduct a systematic review on clinical balance measures used with people
with T2DM and DPN. Databases searched included: CINAHL plus, MEDLINE,
SPORTDiscus, Dentistry and Oral Sciences source, and SCOPUS. Key terms, inclusion
and exclusion criteria were used to identify appropriate studies. Identified
studies were critiqued using the Downs and Black appraisal tool. Eight studies
were included, these studies incorporated a total of ten different clinical
balance measures. The balance measures identified included the Dynamic Balance
Test, balance walk, tandem and unipedal stance, Functional Reach Test, Clinical
Test of Sensory Interaction and Balance, Berg Balance Scale, Tinetti
Performance-Oriented Mobility Assessment, Activity-Specific Balance Confidence
Scale, Timed Up and Go test, and the Dynamic Gait Index. Numerous clinical
balance measures were used for people with T2DM. However, the identified balance
measures did not assess all of the systems of balance, and most had not been
validated in a T2DM population. Therefore, future research is needed to identify
the validity of a balance measure that assesses these systems in people with
T2DM.
CI - Copyright (c) 2017 The Authors. Published by Elsevier B.V. All rights reserved.

Langue : ANGLAIS