Laboratory of Physiotherapeutic Resources, Postgraduate Program in Rehabilitation and Functional Performance, Department of Health Sciences, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Sao Paulo, Brazil.
Clin Rehabil. 2021 Jul;35(7):988-998. doi: 10.1177/0269215521989016. Epub 2021 Jan 28.
Analyze postural control in the bipedal position as well as during gait and functional tests in patients with type 2 diabetes mellitus after supervised and unsupervised proprioceptive training.
A three-group randomized controlled trial.
Physiotherapeutic Resources Lab, Department of Health Sciences, Ribeirão Preto Medical School, University of São Paulo.
Eighty patients with type 2 diabetes allocated to three groups: control, home training, and supervised training.
The supervised and home training groups performed two weekly sessions of proprioceptive exercises for 12 weeks. The control group was not submitted to any of treatment.
Bipedal balance, gait, and performance on functional tests were evaluated before and after 12 weeks using the Balance Evaluation Systems Test (BESTest) and the force plate.
No significant improvements were found regarding postural control, gait, or performance on the functional tests, as evidenced by the inter-group comparisons of the total BESTest score [control: 90.7 (81.5-92.6); home training: 85.2 (77.8-90.3); supervised training: 88.4 (82.6-91.4), > 0.05] as well as the tests performed on the force plate ( > 0.05). The clinical effect size of the proposed intervention was less than 0.2, demonstrating no effect for the main outcome variable evaluated by the "Sensory Orientation" item of the BESTest and by the mCTSIB (pressure plate).
The proposed proprioceptive training did not lead to improvements in postural control in patients with type 2 diabetes with no clinical signs of diabetic distal polyneuropathy when analyzed using the BESTest clinical evaluation and a force plate.
NCT01861392 (clinicaltrials.gov).
分析 2 型糖尿病患者在监督和非监督本体感觉训练后，双足姿势控制以及步态和功能测试中的情况。
三组随机对照试验。
圣保罗大学里贝朗普雷托医学院健康科学系物理治疗资源实验室。
80 名 2 型糖尿病患者分为三组：对照组、家庭训练组和监督训练组。
监督和家庭训练组每周进行两次本体感觉训练，共 12 周。对照组未接受任何治疗。
采用平衡评估系统测试（BESTest）和测力板，在 12 周前后评估双足平衡、步态以及功能测试的表现。
在总 BESTest 评分的组间比较中，没有发现姿势控制、步态或功能测试表现有任何显著改善[对照组：90.7（81.5-92.6）；家庭训练组：85.2（77.8-90.3）；监督训练组：88.4（82.6-91.4），>0.05]，也没有发现力板测试结果有任何改善（>0.05）。所提出干预的临床效果大小小于 0.2，表明在 BESTest 的“感觉定向”项目和 mCTSIB（压力板）评估的主要结局变量方面，该干预没有效果。
在没有糖尿病远端多发性神经病变临床迹象的 2 型糖尿病患者中，使用 BESTest 临床评估和力板分析，所提出的本体感觉训练并未改善其姿势控制。
NCT01861392（clinicaltrials.gov）。
