College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, China.
Department of Rehabilitation Medicine, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou, China.
Inquiry. 2021 Jan-Dec;58:469580211018284. doi: 10.1177/00469580211018284.
The effect of exercise intervention on balance capacity among type 2 diabetes mellitus (T2DM) patients has not been evaluated. The objective of this systematic review and meta-analysis is to investigate the effect of exercise intervention on balance capacity among T2DM patients compared to the control group (usual care, waitlist, no-treatment, education). We conducted a comprehensive literature search through PubMed, EMBASE, Physiotherapy Evidence Database (PEDro), Cochrane library, Web of Science (WOS) from inception to August 2020. The literature language was limited to English. Randomized controlled trials (RCTs) or quasi-experimental (Q-E) trials that examined the effect of exercise intervention on balance capacity among T2DM patients were included. We used the standard methods of meta-analysis to evaluate the outcomes of exercise intervention for balance capacity of T2DM patients. A total of 14 trials (11 RCTs and 3 Q-E trials) involving 883 participants were eligible. The meta-analysis of some studies demonstrated that exercise intervention could significantly improve Berg Balance Scale (BBS) (MD = 2.56; 95%CI [0.35, 4.77]; = .02), SLST (Single Leg Stance Test) under the eyes-open (EO) condition (MD = 3.63; 95%CI [1.79, 5.47]; = .0001) and eyes-close (EC) condition (MD = 0.41; 95%CI [0.10, 0.72]; = .01) compared to control group. There was no significant difference in Time Up and Go Test (TUGT) (MD = -0.75; 95%CI [-1.69, 0.19]; = .12) and fall efficacy (SMD = -0.44; 95%CI [-0.86, -0.01]; = .05). Narrative review of some studies indicated that exercise intervention could improve postural stability measured by Sensory Organization Test (SOT) and Center of Pressure (COP) variables, etc. This systematic review and meta-analysis summarized that exercise intervention could improve balance capacity in T2DM patients. However, further studies with high quality are required to evaluate its effect.
运动干预对 2 型糖尿病（T2DM）患者平衡能力的影响尚未得到评估。本系统评价和荟萃分析的目的是调查运动干预对 T2DM 患者平衡能力的影响，并与对照组（常规护理、等待、无治疗、教育）进行比较。我们通过 PubMed、EMBASE、物理治疗证据数据库（PEDro）、 Cochrane 图书馆、Web of Science（WOS）从创建到 2020 年 8 月进行了全面的文献检索。文献语言仅限于英语。纳入了评估运动干预对 T2DM 患者平衡能力影响的随机对照试验（RCT）或准实验（Q-E）试验。我们使用荟萃分析的标准方法来评估运动干预对 T2DM 患者平衡能力的结果。共有 14 项试验（11 项 RCT 和 3 项 Q-E 试验）涉及 883 名参与者符合条件。一些研究的荟萃分析表明，运动干预可以显著改善 Berg 平衡量表（BBS）（MD=2.56；95%CI[0.35, 4.77]；=0.02）、单腿站立测试（SLST）睁眼（EO）条件下的平衡（MD=3.63；95%CI[1.79, 5.47]；=0.0001）和闭眼（EC）条件下的平衡（MD=0.41；95%CI[0.10, 0.72]；=0.01）与对照组相比。计时起立行走测试（TUGT）（MD=-0.75；95%CI[-1.69, 0.19]；=0.12）和跌倒效能（SMD=-0.44；95%CI[-0.86, -0.01]；=0.05）差异无统计学意义。一些研究的叙述性综述表明，运动干预可以改善感觉组织测试（SOT）和压力中心（COP）等变量测量的姿势稳定性。本系统评价和荟萃分析总结表明，运动干预可以改善 T2DM 患者的平衡能力。然而，需要进一步开展高质量的研究来评估其效果。
