The gait and balance of patients with diabetes can be improved: a randomised controlled trial.
The gait and balance of patients with diabetes can be improved: a randomised controlled trial.
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DOI：
10.1007/s00125-009-1592-4
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发表时间：
2010-03
期刊：
影响因子：
8.2
通讯作者：
de Bruin, E. D.
中科院分区：
文献类型：
--
作者：
Allet, L.;Armand, S.;de Bie, R. A.;Golay, A.;Monnin, D.;Aminian, K.;Staal, J. B.;de Bruin, E. D.
关键词：
糖尿病患者的步态特征和平衡发生改变。对可能的治疗策略知之甚少。本研究评估了一个特定的训练计划对糖尿病患者步态和平衡的影响。这是一项随机对照试验（n = 71），包括干预组（n = 35）和对照组（n = 36）。干预包括理疗组训练，包括步态和平衡练习，以功能为导向的加强（每周两次，持续12周）。对照组未接受治疗。个人被分配到一个中央办公室的小组。在基线、干预后和6个月随访时测量步态、平衡、福尔斯恐惧、肌肉力量和关节活动度。本试验已停止招募和随访。训练后，干预组与对照组相比，习惯性步行速度提高了0.149 m/s（p < 0.001）。与对照组相比，干预组的患者还显著改善了他们的平衡（在横梁上行走的时间，Biodex平衡系统上记录的平衡指数），他们的性能导向的移动性，他们对跌倒的关注程度，他们的髋关节和踝关节跖屈肌力量，以及他们的髋关节屈曲移动性。6个月后，除Biodex摇摆指数和踝跖屈肌强度外，所有这些变量均保持显著性。两名患者出现跟腱疼痛：两项相关运动的进展减慢。专项训练可以改善糖尿病患者的步态速度、平衡能力、肌肉力量和关节活动度。需要进一步的研究来探索这些改善对报告的福尔斯次数、患者的体力活动水平和生活质量的影响。ClinicalTrials.gov NCT 00637546本作品得到瑞士国家基金会（SNF）的支持：PBSKP-123446/1/本文的在线版本（doi：10.1007/s 00125 -009-1592-4）包含补充材料，授权用户可以使用。
Gait characteristics and balance are altered in diabetic patients. Little is known about possible treatment strategies. This study evaluates the effect of a specific training programme on gait and balance of diabetic patients. This was a randomised controlled trial (n = 71) with an intervention (n = 35) and control group (n = 36). The intervention consisted of physiotherapeutic group training including gait and balance exercises with function-orientated strengthening (twice weekly over 12 weeks). Controls received no treatment. Individuals were allocated to the groups in a central office. Gait, balance, fear of falls, muscle strength and joint mobility were measured at baseline, after intervention and at 6-month follow-up. The trial is closed to recruitment and follow-up. After training, the intervention group increased habitual walking speed by 0.149 m/s (p < 0.001) compared with the control group. Patients in the intervention group also significantly improved their balance (time to walk over a beam, balance index recorded on Biodex balance system), their performance-oriented mobility, their degree of concern about falling, their hip and ankle plantar flexor strength, and their hip flexion mobility compared with the control group. After 6 months, all these variables remained significant except for the Biodex sway index and ankle plantar flexor strength. Two patients developed pain in their Achilles tendon: the progression for two related exercises was slowed down. Specific training can improve gait speed, balance, muscle strength and joint mobility in diabetic patients. Further studies are needed to explore the influence of these improvements on the number of reported falls, patients’ physical activity levels and quality of life. ClinicalTrials.gov NCT00637546 This work was supported by the Swiss National Foundation (SNF): PBSKP-123446/1/ The online version of this article (doi:10.1007/s00125-009-1592-4) contains supplementary material, which is available to authorised users.
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影响因子：
158.5
作者：
Nissen, Steven E.;Wolski, Kathy
通讯作者：
Wolski, Kathy
DOI：
10.1111/j.1532-5415.1996.tb01404.x
发表时间：
1996-11-01
影响因子：
6.3
作者：
Judge, JO;Schechtman, K;Cress, E
通讯作者：
Cress, E
DOI：
10.1016/j.apmr.2006.04.005
发表时间：
2006-07-01
影响因子：
4.3
作者：
Faber, Marjan J.;Bosscher, Ruud J.;van Wieringen, Piet C.
通讯作者：
van Wieringen, Piet C.
影响因子：
3.2
作者：
Faber, MJ;Bosscher, RJ;van Wieringen, PCW
通讯作者：
van Wieringen, PCW
影响因子：
2.5
作者：
Hill-Westmoreland, EE;Soeken, K;Spellbring, AM
通讯作者：
Spellbring, AM