Tavares Natália Maria Bezerra, Silva Jonathânya Marques, Silva Mayra Darlene Morato da, Silva Letícia Danielly Tenório, Souza Jackson Nascimento de, Ithamar Lucas, Raposo Maria Cristina Falcão, Melo Renato S
Department of Physical Therapy, Faculdade de Integração do Sertão (FIS), Serra Talhada 56909-205, PE, Brazil.
Department of Physical Therapy, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, Brazil.
Clin Pract. 2024 Sep 28;14(5):2044-2055. doi: 10.3390/clinpract14050161.
Body balance is regulated by sensory information from the vestibular, visual and somatosensory systems, and changes in one or more of these sensory systems can trigger balance disorders. Individuals with type 2 Diabetes Mellitus (DM2) often present peripheral neuropathy, a condition that alters foot sensory information and can negatively influence balance and gait performance of these subjects.
To evaluate and compare balance, gait, functionality and the occurrence of falls between individuals with and without a clinical diagnosis of DM2 with associated peripheral neuropathy.
Cross-sectional study, which evaluated seventy individuals, thirty-five with and thirty-five without a clinical diagnosis of DM2, of both sexes and age range between 50 and 85 years, who were recruited from Basic Health Units of Serra Talhada, Pernambuco state, Brazil. The volunteers' balance was analyzed using the Berg Balance Scale, gait-related functional tasks were measured using the Dynamic Gait Index, functional mobility was assessed using the Timed Up and Go test and functionality was assessed using the Katz Index. The occurrence of falls was recorded by the volunteers' self-report.
Individuals with DM2 demonstrated the worst performance in balance ( = 0.000) and in gait-related functional tasks ( = 0.000), slower functional mobility ( = 0.000) and worse functionality ( = 0.016) compared to the group without DM2, demonstrating significant differences for all analyzed outcomes. A greater occurrence of falls was observed in individuals with DM2, compared to those without the disease ( = 0.019).
Individuals with DM2 demonstrated worse performance on balance, gait-related functional tasks, slower functional mobility and worse functionality compared to those without the disease. Individuals with DM2 had the highest occurrence of falls in this study.
身体平衡由来自前庭、视觉和躯体感觉系统的感觉信息调节，这些感觉系统中一个或多个的变化可引发平衡障碍。2型糖尿病（DM2）患者常出现周围神经病变，这种情况会改变足部感觉信息，并可能对这些患者的平衡和步态表现产生负面影响。
评估和比较有或无DM2临床诊断及相关周围神经病变的个体之间的平衡、步态、功能和跌倒发生率。
横断面研究，评估了70名个体，其中35名有DM2临床诊断，35名无DM2临床诊断，年龄在50至85岁之间，男女不限，他们是从巴西伯南布哥州塞拉塔尔阿达的基层卫生单位招募的。使用伯格平衡量表分析志愿者的平衡，使用动态步态指数测量与步态相关的功能任务，使用定时起立行走测试评估功能移动性，使用卡茨指数评估功能。通过志愿者的自我报告记录跌倒的发生情况。
与无DM2的组相比，DM2患者在平衡（P = 0.000）和与步态相关的功能任务（P = 0.000）方面表现最差，功能移动性较慢（P = 0.000），功能较差（P = 0.016），所有分析结果均显示出显著差异。与无该疾病的个体相比，DM2患者的跌倒发生率更高（P = 0.019）。
与无该疾病的个体相比，DM2患者在平衡、与步态相关的功能任务、功能移动性较慢和功能较差方面表现更差。在本研究中，DM2患者的跌倒发生率最高。
