Functional balance in elderly with diabetic neuropathy
Functional balance in elderly with diabetic neuropathy
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DOI：
10.1016/j.diabres.2011.10.041
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发表时间：
2012-04-01
影响因子：
5.1
通讯作者：
Arastoo, Ali-Asghar
中科院分区：
文献类型：
--
作者：
Ghanavati, Tabassom;Shaterzadeh Yazdi, Mohammad Jafar;Arastoo, Ali-Asghar
远端感觉运动多发性神经病（DPN）是糖尿病最常见的长期并发症之一。DPN患者有很高的跌倒风险，并可能导致危及生命的后果。本研究的目的是评估糖尿病神经病变患者和正常老年人的功能平衡。因此，本研究采用Berg平衡量表（Berg balance Scale， BBS）对2 - 14名DPN患者和健康人控制功能平衡的能力进行测试。此外，使用Spearman相关系数计算DNE与BBS评分之间的相关性。两组比较显示DPN患者BBS总分较健康对照组显著下降（P < 0.001）。DNP患者最具挑战性的任务是单腿站立、串联站立和前伸（P < 0.001），其次是双脚并拢无支撑站立、坐转站、站转坐、转移、闭眼无支撑站立和站立时将另一只脚放在台阶或凳子上（P < 0.05）。DNE与BBS评分呈显著（P < 0.001）强负相关（r = -0.77）。总之，DPN导致显著的功能失衡，可能使这些患者在日常活动中有摔倒的危险，并随着神经病变严重程度的加重而变得更加严重。2011爱思唯尔爱尔兰有限公司版权所有。
Distal Sensorimotor Polyneuropathy (DPN) is one of the most common long-term complications of diabetes mellitus. Patients with DPN are at a high risk for falling and its life-threatening consequences. The objective of present study was the evaluation of functional balance in patients with diabetic neuropathy and normal older adults. Thus, present case-control study was designed to test the ability of two fourteen DPN patients and healthy people to control functional balance using Berg Balance Scale (BBS). Furthermore, the correlation between DNE and BBS scores were calculated using the Spearman's correlation coefficient. Comparison of two groups showed a significant decline in the overall score of BBS in DPN patients versus to the healthy control group (P < 0.001). The most challenging tasks for DNP patients were single leg stance, tandem standing and forward reaching (P < 0.001), followed by standing unsupported with feet together, sit to stand, stand to sit, transfers, standing unsupported with closed eyes, and placing the alternative foot on step or stool while standing unsupported tasks (P < 0.05). There was a significant (P < 0.001) strong negative (r = -0.77) correlation between DNE and BBS scores. In conclusion, DPN results in a remarkable functional imbalance that may expose these patients to danger of falling during daily activities and becomes more severe as the severity of neuropathy aggravates. (C) 2011 Elsevier Ireland Ltd. All rights reserved.