Department of physical therapy, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Int J Neurosci. 2023 Dec;133(9):1017-1023. doi: 10.1080/00207454.2022.2033739. Epub 2022 Feb 25.
Exercise training have numerous beneficial effects on the complications of diabetic peripheral neuropathy. Exercise training may cause immediate effects on balance control in DPN patients. This study aims to assess the Acute Short Term effects of endurance and resistance exercise training on balance control in DPN patients.
In this study, 11 patients with DPN and 11 healthy subjects participated. Patients and healthy subjects did endurance and resistance training in two separate exercise sessions. Dynamic balance and functional balance test were assessed before and after the interventions. Independent t-test was used to compare balance indices before and after training, the intervention effects were examined using ANOVA repeated measure test. The statistical significance level was set at < 0.05.
The results showed that dynamic and functional balance in DPN patients were significantly lower than in healthy subjects. Anterior-posterior stability and total stability indices and functional balance test deteriorated significantly after training.
Endurance or resistance training may lead to acute disturbance of dynamic and functional balance in DPN patients. Hence, immediately after exercise, patients with diabetes are at an increased risk of falling, therefore, preventive considerations are necessary.
运动训练对糖尿病周围神经病变的并发症有许多有益的影响。运动训练可能会对 DPN 患者的平衡控制产生即时影响。本研究旨在评估耐力和抗阻训练对 DPN 患者平衡控制的急性短期影响。
本研究纳入了 11 名 DPN 患者和 11 名健康受试者。患者和健康受试者在两次单独的运动训练中进行耐力和抗阻训练。在干预前后评估动态平衡和功能性平衡测试。采用独立 t 检验比较训练前后的平衡指标，采用重复测量方差分析检验干预效果。统计显著性水平设置为 < 0.05。
结果显示，DPN 患者的动态和功能性平衡明显低于健康受试者。训练后，前后稳定性和总稳定性指标以及功能性平衡测试明显恶化。
耐力或抗阻训练可能导致 DPN 患者的动态和功能性平衡急性紊乱。因此，运动后患者立即处于跌倒风险增加的状态，因此需要进行预防考虑。
