Department of Physical Therapy, Sahmyook University, Seoul, Korea.
Diabetes Technol Ther. 2011 Aug;13(8):803-11. doi: 10.1089/dia.2011.0036. Epub 2011 May 11.
Diabetes is the most common cause of peripheral neuropathies. No definitive treatment for diabetic neuropathies has been reported, and very few studies have been published on the role of exercise in reducing either the symptoms or incidence of diabetic neuropathies.
This study assessed the effects of an exercise program on balance and trunk proprioception in older adults with diabetic neuropathies. Thirty-eight patients with diabetes having peripheral neuropathies were enrolled, randomized, and subdivided in two groups: an experimental group of 19 participants with diabetes (72.9 ± 5.6 years old) and a control group of 19 participants with diabetes (73.2 ± 5.4 years old). Both groups received health education on diabetes for 50 min/week for 8 weeks. The experimental group practiced an additional balance exercise program for 60 min, two times a week. The exercise training was performed two times per week for 8 weeks. Results were evaluated by both static and dynamic balance and trunk proprioception.
Postural sway significantly decreased (P < 0.05), the one-leg stance test significantly increased (P < 0.05), and dynamic balance from the Berg Balance Scale, Functional Reach Test, Timed Up and Go test, and 10-m walking time improved significantly after balance exercise (P < 0.05). Trunk repositioning errors also decreased with training (P < 0.05).
The balance exercise program improved balance and trunk proprioception. These results suggested that a balance exercise is suitable for individuals with diabetic neuropathy.
糖尿病是周围神经病变最常见的原因。目前尚无针对糖尿病性神经病变的明确治疗方法，仅有少数研究报道过运动在减轻糖尿病性神经病变的症状或发病率方面的作用。
本研究评估了运动方案对患有糖尿病性周围神经病变的老年患者平衡和躯干本体感觉的影响。共纳入 38 名患有糖尿病伴周围神经病变的患者，将他们随机分组为实验组（19 名患者，年龄 72.9 ± 5.6 岁）和对照组（19 名患者，年龄 73.2 ± 5.4 岁）。两组患者均接受了为期 8 周、每周 50 分钟的糖尿病健康教育。实验组还额外进行了为期 8 周、每周 2 次、每次 60 分钟的平衡运动训练。结果通过静态和动态平衡以及躯干本体感觉来评估。
姿势摆动明显减少（P < 0.05），单腿站立测试显著增加（P < 0.05），Berg 平衡量表、功能性伸展测试、计时起立行走测试和 10 米行走时间的动态平衡也显著改善（P < 0.05）。躯干重新定位错误也随训练而减少（P < 0.05）。
平衡运动方案改善了平衡和躯干本体感觉。这些结果表明，平衡运动适合患有糖尿病性神经病变的个体。
