Eftekhar-Sadat Bina, Azizi Roghayyeh, Aliasgharzadeh Akbar, Toopchizadeh Vahideh, Ghojazadeh Morteza
Physical Medicine and Rehabilitation Research Center, Tabriz University of Medical Sciences, Iran.
Endocrine and Metabolism Section, Imam Reza Teaching Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Ther Adv Endocrinol Metab. 2015 Oct;6(5):233-40. doi: 10.1177/2042018815595566.
Diabetic neuropathy (DN) in the elderly is a common complication of diabetes that can negatively influence balance control. In this study, we aimed to evaluate the efficacy of balance training program on postural stability of diabetic patients.
In this randomized clinical trial, 34 elderly DN patients were divided into intervention (n = 17) and control (n = 17) groups. The experimental group underwent a balance training program using the Biodex Balance System (BBS) for 10 sessions. All subjects in both groups were assessed using timed 'up and go' (TUG) test, the Berg balance scale, and the fall risk and postural stability tests, at baseline and at the end of the study.
TUG (p = 0.01), fall risk index (p = 0.002), anterior/posterior index (p = 0.01), medial/lateral index (p = 0.04), overall stability index (p = 0.01) and Berg balance scale (p = 0.04) were significantly improved after the training in the intervention group, but had no significant differences in the control group. The changes in TUG (p < 0.001) and fall risk index (p < 0.001) in the intervention group were significantly higher than those in the control group.
According to our results, balance training would improve postural stability and balance in elderly patients with DN.
老年糖尿病性神经病变（DN）是糖尿病常见的并发症，可对平衡控制产生负面影响。在本研究中，我们旨在评估平衡训练计划对糖尿病患者姿势稳定性的疗效。
在这项随机临床试验中，34例老年DN患者被分为干预组（n = 17）和对照组（n = 17）。实验组使用Biodex平衡系统（BBS）进行10次平衡训练。两组所有受试者在基线和研究结束时均采用定时起立行走（TUG）测试、伯格平衡量表以及跌倒风险和姿势稳定性测试进行评估。
干预组训练后，TUG（p = 0.01）、跌倒风险指数（p = 0.002）、前后向指数（p = 0.01）、内外侧指数（p = 0.04）、整体稳定性指数（p = 0.01）和伯格平衡量表（p = 0.04）均有显著改善，但对照组无显著差异。干预组TUG（p < 0.001）和跌倒风险指数（p < 0.001）的变化显著高于对照组。
根据我们的结果，平衡训练可改善老年DN患者的姿势稳定性和平衡能力。
