Equilíbrio estático em pacientes com diabetes melito tipo 2 com ou sem polineuropatia diabética

Palma, F.; Antigual, Diego U.; Martínez, Sergio Fernández; Monrroy, Manuel; Gajardo, Rubén E.

doi:10.1590/s0004-27302013000900008

Cited by 18 publications

(5 citation statements)

References 25 publications

(35 reference statements)

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“…A recent study that used traditional body sway parameters from COG plots includes COG (AP) sway, COG (ML) sway, and COG sway with two 15-second trials of stood upright with feet together as close as possible and with arms crossed over chest in EO and EC [ 30 ]. Force platform measurements (Kistler) [ 17 , 18 , 27 , 29 ] and Wii Balance Board® [ 26 ] were used to evaluate the COP fluctuations to identify postural sway. Some studies also evaluate COP through a static balance test carried out in EO and EC conditions [ 17 , 26 ].…”

Section: Resultsmentioning

confidence: 99%

“…Force platform measurements (Kistler) [ 17 , 18 , 27 , 29 ] and Wii Balance Board® [ 26 ] were used to evaluate the COP fluctuations to identify postural sway. Some studies also evaluate COP through a static balance test carried out in EO and EC conditions [ 17 , 26 ].…”

Section: Resultsmentioning

confidence: 99%

“…For static balance alteration, a study by Palma et al (2013) revealed that DPN group showed poor balance under both EO and EC conditions, with a significantly greater COP ratio in the CE condition [ 26 ]. Nardone et al (2006) also concluded that DPN group are unstable during quiet stance compared to the control group with slight increase of the head AP displacement despite displacement of the feet during dynamic balance task [ 25 ].…”

Section: Resultsmentioning

confidence: 99%

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Postural Control and Gait Performance in the Diabetic Peripheral Neuropathy: A Systematic Review

Mustapa

Justine

Mustafah

et al. 2016

BioMed Research International

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Purpose. The aim of this paper is to review the published studies on the characteristics of impairments in the postural control and gait performance in diabetic peripheral neuropathy (DPN). Methods. A review was performed by obtaining publication of all papers reporting on the postural control and gait performance in DPN from Google Scholar, Ovid, SAGE, Springerlink, Science Direct (SD), EBSCO Discovery Service, and Web of Science databases. The keywords used for searching were “postural control,” “balance,” “gait performance,” “diabetes mellitus,” and “diabetic peripheral neuropathy.” Results. Total of 4,337 studies were hit in the search. 1,524 studies were screened on their titles and citations. Then, 79 studies were screened on their abstract. Only 38 studies were eligible to be selected: 17 studies on postural control and 21 studies on the gait performance. Most previous researches were found to have strong evidence of postural control impairments and noticeable gait deficits in DPN. Deterioration of somatosensory, visual, and vestibular systems with the pathologic condition of diabetes on cognitive impairment causes further instability of postural and gait performance in DPN. Conclusions. Postural instability and gait imbalance in DPN may contribute to high risk of fall incidence, especially in the geriatric population. Thus, further works are crucial to highlight this fact in the hospital based and community adults.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Postural Control and Gait Performance in the Diabetic Peripheral Neuropathy: A Systematic Review

Mustapa

Justine

Mustafah

et al. 2016

BioMed Research International

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“…Therefore, when PN is present and the visual input is absent (eyes closed test), these individuals exhibited an abnormal postural strategy, depicting greater postural instability compared to individuals with diabetes alone. Palma et al (2013) linked the association of the advancement of diabetes with poor instability, thus, the more advanced the condition, the more significant the postural instability will be. In this study, we assessed A-P and M-L sway, along with weight bearing distribution during eight sensory conditions designed to challenge or cancel the different inputs that control balance: vision, vestibular, and proprioception.…”

Section: Discussionmentioning

confidence: 99%

Evaluating static postural control in subjects with controlled-diabetes mellitus II

Rosario¹,

Hyder²,

Orozco³

et al. 2020

jhse

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Diabetes and neuropathy have been linked to postural instability. Aims: The purpose of this study is to determine how each system involved in balance is affected when challenged in a static standing posture. The goal was to identify postural instability by measuring balance through the amount of sway and weight bearing distribution in nonneuropathic controlled type II diabetics. Methods: Twelve participants (five males and seven females) with controlled type II diabetes mellitus and no history of peripheral neuropathy (Non-PN cDMII) formed the diabetic group, whereas eighteen participants (7 males and 11 females) without type II diabetes formed the control group. The exclusion criteria was applied via a series of screening tests (Berg Balance Scale, Five Times Sit To Stand Test, Functional Reach Test and Monofilament Test). Postural stability and weight distribution during quiet standing were measured using a Tekscan Matscan pressure mat, which measured the amount of sway and weight distribution. Static postural control was evaluated during eight sensory conditions that perturbed or stimulated the visual, proprioceptive, and vestibular systems. Results: Postural control was found to be significantly deficient when the vestibular system was stimulated, whereas the proprioceptive system was perturbed. After the data analysis, there was a significant difference in anteroposterior sway (p = .05) with the following tasks: eyes open with head movements on an unstable surface, and eyes closed with head movements on a firm surface. Conclusions: The results revealed that the experimental group with type II diabetes had greater postural instability when compared to the control group during tasks with the vestibular system on an unstable surface. This demonstrates that, due to their deficits, individuals with non-PN cDMII are unable to maintain their balance when the vestibular and proprioceptive systems are challenged simultaneously.

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“…Consequentemente, as intervenções devem ser mais intensas e o acompanhamento, particularmente vigilante para aqueles com A1c> 6,0%, que devem ser considerados de alto risco 8,9 . Padrões de estilo de vida e cuidados médicos também podem ser encontrados nesta diretriz [8][9][10]13,[15][16][17][18][19] .…”

Section: Discussionunclassified

Avaliação dos fatores de risco e diagnóstico para neuropatia autonômica cardíaca em pessoas diabéticas

Silva

Pontes

Oliveira³

et al. 2021

GANJ

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ARTIGO DE REVISÃO Avaliação dos fatores de risco e diagnóstico para neuropatia autonômica cardíaca em pessoas diabéticas Assessment of risk factors and diagnosis for cardiac autonomic neuropathy in diabetic peopleEvaluación de factores de riesgo y diagnóstico de neuropatía autonómica cardíaca en personas diabéticas ResumoObjetivou-se evidenciar as publicações expressas na literatura cientifica mundial sobre essa temática. Tratase de um estudo de revisão integrativa da literatura que seguiu a estratégia PICo para identificar os fatores de risco e diagnósticos associados à neuropatia diabética. A busca dos artigos foi realizada em três bases de dados eletrônicas: Medline, BVS e SciELO. Foram utilizados os descritores "Neuropatias Diabéticas", "Doenças do Sistema Nervoso Periférico", "Neuralgia", "Fatores de Risco", "Diabetes Mellitus", os critérios de inclusão são textos completos, publicados no período de 2011 a 2021, no idioma inglês, português e espanhol e foi usado o operador booleano AND. Resultou-se em 51 artigos. Quarenta e seis artigos foram selecionados para serem lidos na íntegra e 7 atenderam aos critérios desta revisão. Conclui-se que a neuropatia autonômica pode ser reduzida com melhor controle da glicose no sangue, e a melhora dos índices de lipídios e pressão arterial, evitar o tabagismo e o consumo excessivo de álcool já são recomendados para a prevenção de outras complicações do diabetes. O tratamento dos sintomas inclui uso de antidepressivos tricíclicos, inibidores da recaptação da serotonina e noradrenalina, gabapentina, pregabalina e opioides.

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Equilíbrio estático em pacientes com diabetes melito tipo 2 com ou sem polineuropatia diabética

Cited by 18 publications

References 25 publications

Postural Control and Gait Performance in the Diabetic Peripheral Neuropathy: A Systematic Review

Postural Control and Gait Performance in the Diabetic Peripheral Neuropathy: A Systematic Review

Evaluating static postural control in subjects with controlled-diabetes mellitus II

Avaliação dos fatores de risco e diagnóstico para neuropatia autonômica cardíaca em pessoas diabéticas

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