Postural Control and Functional Strength in Patients With Type 2 Diabetes Mellitus With and Without Peripheral Neuropathy

作者：Vaz Maita M; Costa Gustavo C; Reis Julia G; Marques Junior Wilson; Albuquerque de Paula Francisco Jose; Abreu Daniela C^*

来源：Archives of Physical Medicine and Rehabilitation, 2013, 94(12): 2465-2470.

DOI：10.1016/j.apmr.2013.06.007

• Diabetic neuropathies
• Rehabilitation

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.

• 出版日期2013-12