Article

OBJECTIVE: To assess the influence of diabetic neuropathy (DN) on balance and
functional strength in patients with diabetes mellitus type 2 (DM2). DESIGN:
Cross-sectional study. SETTING: Diabetes outpatient unit. PARTICIPANTS: Adults
(N=62; age range, 40-65y): 32 with DM2 (19 subjects without DN and 13 with DN)
and 30 without DM2 (control group). INTERVENTIONS: Not applicable. MAIN OUTCOME
MEASURES: Upright balance, evaluated in 4 situations (fixed platform, unstable
platform, with eyes open, with eyes closed), and functional strength, assessed
with a five-times-sit-to-stand test, were analyzed using an electromagnetic
system, with a sensor placed over C7 to allow maximum trunk displacements in the
anterior-posterior and medial-lateral directions. The Berg Balance Scale and the
Timed Up & Go test were also used. RESULTS: Subjects with DM2 had greater
anterior-posterior displacement (P<.05) in the unstable platform with eyes closed
condition compared with those without DM2, whereas no difference in
medial-lateral displacement was observed between these groups. A difference in
time was observed in the five-times-sit-to-stand test (P<.05), with subjects in
the control group performing the tasks faster than either group of subjects with
DM2. Additionally, subjects in the control group showed a higher score in the
Berg Balance Scale and performed the Timed Up & Go test in less time compared
with subjects in other groups. CONCLUSIONS: Subjects with DM2, with or without
DN, showed deficits in postural control and functional strength compared with
healthy individuals of the same age group.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS