Postural balance in type 2 diabetics with vertigo, dizziness and/or unsteadiness

Fukunaga, Jackeline Yumi; Quitschal, Rafaela Maia; Dib, Sérgio Atala; Ganança, Maurício Malavasi; Caovilla, Heloísa Helena

doi:10.1590/2317-1782/20202019070

Cited by 8 publications

(9 citation statements)

References 23 publications

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“…The difference between the T2DM and the healthy participants in static postural control are reported in previous researches. Fukunaga (24) evaluated the postural balance (limit of stability, pressure center displacement area, and sway velocity) of 20 T2DM individuals compared with 22 controls using balance posturegraphy equipment. The result found that participants with T2DM had significantly lower limits of stability, higher pressure displacement area, and higher sway velocity on a firm surface with eyes-open/eyes-closed (24), which was in line with our study results.…”

Section: Discussionmentioning

confidence: 99%

“…Fukunaga (24) evaluated the postural balance (limit of stability, pressure center displacement area, and sway velocity) of 20 T2DM individuals compared with 22 controls using balance posturegraphy equipment. The result found that participants with T2DM had significantly lower limits of stability, higher pressure displacement area, and higher sway velocity on a firm surface with eyes-open/eyes-closed (24), which was in line with our study results. Similarly, another research adopting static posturography showed standing on firm surface under eyesclosed condition had a larger effect in participants with a BMI ≥30 compared to those with a BMI <30 (10).…”

Section: Discussionmentioning

confidence: 99%

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Impact of Body Mass Index on Static Postural Control in Adults With and Without Diabetes: A Cross-Sectional Study

et al. 2021

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AimThe objective of this research was to determine the static postural control differences measured from a force platform in Type 2 diabetes mellitus (T2DM) and healthy control groups with different levels of body mass index (BMI), and detect the static postural control difference between T2DM and healthy control groups stratified by different BMI category. This research also explored the relationship of BMI and static postural performance.MethodsWe recruited 706 participants with T2DM and 692 healthy controls who were sufficiently matched for age, gender, and BMI in this cross-sectional study. The participants were stratified into three groups by BMI: normal weight, overweight, and obesity. All participants performed two-legged static stance postural control assessment on a firm force platform. The Center of Pressure (CoP) parameters were collected under eyes-open and eyes-closed conditions. Mann–Whitney U test was used to compare the static postural control parameters within each BMI category in both groups. The static postural control parameters among different weight groups were compared by Kruskal–Wallis test, post hoc pair-wise comparison were conducted. Generalized linear model was conducted to examine the association between BMI and static postural control parameters while controlling for confounding factors.ResultsHealthy control group had statistical difference in most CoP parameters compared to T2DM group based on all BMI categories. Normal weight participants presented significant difference compared with overweight and/or obesity for total track length (TTL) and velocity of CoP displacements in Y direction (V-Y) under eyes-open condition, and for most CoP parameters under eyes-closed condition in both groups. There were statistically significant correlations between BMI and most static postural control parameters under only eyes-closed condition according to the result of generalized linear model.ConclusionT2DM patients had impaired static postural control performance compared to healthy controls at all BMI categories. The findings also indicated the association between BMI and static postural control, where higher BMI individuals showed more static postural instability in both T2DM and healthy controls.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Impact of Body Mass Index on Static Postural Control in Adults With and Without Diabetes: A Cross-Sectional Study

et al. 2021

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“…The increase of disability was evident among patients with T2DM who have dizziness complaint [ 16 , 17 ]. However, the issue of social participation in these patients has not been extensively explored.…”

Section: Introductionmentioning

confidence: 99%

The Adaptation of Participation Scale Short Simplified Questionnaire into Indonesian Language and the Psychometric Properties in Individuals with Type 2 Diabetes Mellitus with Vestibular Dysfunction

Komalasari

Vongsirinavarat

Hiengkaew

et al. 2022

Rehabilitation Research and Practice

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Background. Type 2 diabetes mellitus (T2DM) has been reported to affect the vestibular system resulting in dizziness and vertigo complaints. This complication is known to disable the social participation. The Participation Scale Short Simplified (PSSS) has been developed to quantify the severity of social participation restrictions. The aim of this study was to translate and cross-culturally adapt the PSSS into Indonesian Bahasa (PSSS-Ina). The measurement properties of the translated version and the factors contributing to the severe participation restriction were determined. Methods. The participants comprised 55 T2DM with vestibular dysfunction (VD) in the community center for diabetes mellitus in Central Java, Indonesia. The signs of VD were confirmed by head impulse test, Dix Hallpike Test, and supine roll test. The PSSS-Ina was administered twice with a four-week interval. The physical examination was also performed to identify the contributing factors. Results. The test–retest reliability of the PSSS Indonesian Bahasa version (PSSS-Ina) between two measurement sessions was excellent (ICC of 0.93, p < 0.001 , and 95% CI: 0.88–0.95). The correlation coefficient between two administrations was high ( r = 0.88 ). Based on the demonstrated content validity, the values of the corrected item and total correlation were greater than 0.3. No floor and ceiling effects were observed. The good internal consistency was confirmed with Cronbach’s alpha of 0.84. The factor analysis produced three factors of activity participation, social engagement, and work-related participation. The multiple logistic regression revealed that the balance performance of mCTSIB was the main factor contributing to the severe participation restriction reflected by the PSSS-Ina score. Conclusion. The Indonesian version of the PSSS-Ina demonstrated excellent comprehensibility and reliability in individuals suffering T2DM with VD. This tool is therefore helpful in identifying the participation limitation in individuals with VD.

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“…Com a progressão da doença, os sintomas se tornam mais evidentes e limitantes, podendo interferir na realização das atividades de vida diária. Tremor de repouso, rigidez muscular, disfunções posturais e bradicinesia são alterações motoras ocorridas na DP [7][8][9][10] .…”

Section: Introductionunclassified

“…Com a evolução da DP a musculatura é progressivamente afetada, tornando difícil a habilidade de se movimentar com agilidade e precisão, o que altera o desempenho da escrita manual, principalmente se os sintomas acometerem o membro dominante. E entre os sintomas motores, a rigidez muscular e a bradicinesia são os mais incapacitantes para a escrita 1,8,9,11,12 .…”

Section: Introductionunclassified

Terapia Ocupacional para escrita de pessoas com doença de Parkinson/Occupational Therapy for writing of people with Parkinson’s Disease

Cabral

Santana

Coelho

et al. 2019

Rev. Interinst. Bras. Ter. Ocup.

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Introdução: A escrita manual corresponde a uma forma de comunicação com o objetivo de reproduzir informações para outras pessoas. Quando bem adquirida, a escrita é considerada um ato automático em que a pessoa a executa sem que haja o planejamento dos movimentos necessários. Traumas, lesões e outras disfunções podem alterar o desempenho da escrita, como ocorre na Doença de Parkinson (DP). Objetivo: Diante disso, teve-se como objetivo estudar a escrita manual de pessoas com Doença de Parkinson antes e após o treino da escrita e de habilidades manuais. Métodos: Este trabalho corresponde à análise dos dados de um estudo piloto, no qual participaram cinco pessoas com DP, todos com o membro direito dominante para a escrita. Os participantes foram submetidos a cinco intervenções, incluindo a avaliação e reavaliação. Resultados/Discussão: Os resultados mostram que houve melhora na legibilidade da escrita e que os sintomas clínicos apresentados pelos pacientes interferem negativamente no desempenho da escrita manual. Indica-se que esta proposta de tratamento seja implementada num tempo maior e que sejam incorporadas outras medidas de resultado para aprimorar as análises. Conclusão: Foi possível perceber que houve melhora no uso das habilidades motoras finas necessárias para o desempenho da escrita dos participantes, como melhora na precisão dos traços e na coordenação motora fina. Em relação ao treino da escrita, o estudo aponta que a utilização de pistas visuais, como por exemplo, tracejados, favorece a escrita manual.AbstractIntroduction: Manual writing corresponds to a form of communication for the purpose of reproducing information for other people. When well-received, writing is considered an automatic act in which the person performs it without planning the necessary movements. Trauma, injury, and other dysfunctions can alter writing performance, as occurs in Parkinson's Disease (PD). Objective: This study aimed to study the handwriting of people with Parkinson's disease before and after writing and manual skills training. Methods: This work corresponds to the analysis of the data of a pilot study, in which five people with PD participated, all with the dominant right member for writing. Participants underwent five interventions, including assessment and reevaluation. Results/Discussion:The results show that there was an improvement in the legibility of writing and that the clinical symptoms presented by the patients interfered negatively in the performance of manual writing. It is suggested that this treatment proposal be implemented in a longer time and that other outcome measures be incorporated to improve the analyzes. Conclusion: It was possible to notice that there was an improvement in the use of the fine motor skills necessary for the writing performance of the participants, such as improvement in the precision of the traces and fine motor coordination. In relation to writing training, the study points out that the use of visual cues, such as dashes, favors manual writing.Keywords: Handwriting; Motor Skills; Occupational Therapy; Parkinson Disease ResumenIntroducción: La escritura manual corresponde a una forma de comunicación con el objetivo de reproducir información a otras personas. Cuando es bien adquirida, la escritura es considerada un acto automático en que la persona la ejecuta sin que haya la planificación de los movimientos necesarios. Traumas, lesiones y otras disfunciones pueden alterar el desempeño de la escritura, como ocurre en la enfermedad de Parkinson. Objetivo: Estudiar la escritura manual de personas con enfermedad de Parkinson antes y después del entrenamiento de la escritura y de habilidades manuales. Métodos: Este trabajo corresponde al análisis de los datos de un estudio piloto, en el que participaron cinco personas con Parkinson, todos con el miembro derecho dominante para la escritura. Los participantes se sometieron a cinco intervenciones, incluida la evaluación y la reevaluación. Resultados/Discusión: Los resultados muestran que hubo mejoría en la legibilidad de la escritura y que los síntomas clínicos presentados por los pacientes interfieren negativamente en el desempeño de la escritura manual. Se indica que esta propuesta de tratamiento se aplique en un tiempo mayor y que se incorporen otras medidas de resultado para mejorar los análisis. Conclusión: Fue posible percibir que hubo mejoría en el uso de las habilidades motoras finas necesarias para el desempeño de la escritura de los participantes, como mejora en la precisión de los trazos y en la coordinación motora fina. En cuanto al entrenamiento de la escritura, el estudio apunta que la utilización de pistas visuales, como por ejemplo, discontinuas, favorece la escritura manual.Palabrasclave: Destreza Motora; Escritura Manual; Enfermedad de Parkinson; Terapia ocupacional.

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Postural balance in type 2 diabetics with vertigo, dizziness and/or unsteadiness

Cited by 8 publications

References 23 publications

Impact of Body Mass Index on Static Postural Control in Adults With and Without Diabetes: A Cross-Sectional Study

Impact of Body Mass Index on Static Postural Control in Adults With and Without Diabetes: A Cross-Sectional Study

The Adaptation of Participation Scale Short Simplified Questionnaire into Indonesian Language and the Psychometric Properties in Individuals with Type 2 Diabetes Mellitus with Vestibular Dysfunction

Terapia Ocupacional para escrita de pessoas com doença de Parkinson/Occupational Therapy for writing of people with Parkinson’s Disease

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