Comprometimento sensório-motor dos membros inferiores em diabéticos do tipo 2

Barrile, Silvia Regina; Ribeiro, Aline Aparecida de Souza; Costa, Ana Paula Rodrigues da; Viana, Ariane Aparecida; Conti, Marta Helena Souza De; Martinelli, Bruno

doi:10.1590/s0103-51502013000300007

Cited by 12 publications

(20 citation statements)

References 17 publications

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“…However, it is known that obesity increases insulin resistance and glucose intolerance, exacerbating metabolic abnormalities in type 2 diabetes, increasing cardiovascular risk. 14 In the present study 82.52% were hypertensive individuals and 40% of these showed PND. Hypertension was present in 10.2% of the sample in a survey conducted in Paraná, where hypertension was twice as common in diabetic patients compared to the general population and this rate increased with age, in addition to increasing the chances of developing macro and microvascular complications.…”

Section: Discussionsupporting

confidence: 51%

“…Studies report that for every ten years of age, the PND prevalence increases significantly, and after 60 years the incidence was 1.7 times higher than those aged less. [10][11][12][13][14][15][16][17] The lack of glycemic control was not a significant factor in this study. Individuals with glycohemoglobin (HbA1c), as amended, 38.46% had PND.…”

Section: Discussionmentioning

confidence: 92%

“…This is because women are more concerned with self-care than men. [14][15] The test monofilament is standardized to identify the loss of protective sensation of the foot, by detecting changes in the sensation of touch and proprioception. It was advised as test of choice in the ratings by non-specialists to determine an increased risk of ulceration by the advantages of high sensitivity, good specificity, simplicity, and low cost.…”

Section: Discussionmentioning

confidence: 99%

“…This is due to the fact that 65% of those already analyzed being treated at the time of examination. [5][6][7][8][9][10][11][12][13][14][15][16][17] Obesity has reached 27.50% of subjects and was not considered an associated risk factor. However, it is known that obesity increases insulin resistance and glucose intolerance, exacerbating metabolic abnormalities in type 2 diabetes, increasing cardiovascular risk.…”

Section: Discussionmentioning

confidence: 99%

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Prevalência e fatores associados à neuropatia periférica em indivíduos com diabetes mellitus Prevalence and factors associated with peripheral neuropathy in individuals with diabetes mellitus

Brinati

Diogo²,

Moreira

et al. 2017

R. pesq. cuid. fundam. online

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Prevalência e fatores associados à neuropatia periférica em indivíduos com diabetes mellitusPrevalence and factors associated with peripheral neuropathy in individuals with diabetes mellitus Prevalencia y factores asociados con la neuropatía periférica en individuos con diabetes mellitus ABSTRACTObjective: To estimate the prevalence of polyneuropathy (PND) in type 2 diabetic individuals assisted at the Center for Health Hiperdia in Viçosa and to identify factors associated with a positive diagnosis of PND through the score of neuropathic symptoms and susceptibility testing. Methods: Cross-sectional quantitative study performed from December 2013 to June 2014, through secondary source. The prevalence of PND and its association with each variable was assessed using the chi-square test and the Fisher exact test. In the logistic regression it was used the method of disposal backward by the Wald test. Results: It was found the prevalence of PND: 36.89%, higher in males, in patients with delayed diagnosis of diabetes mellitus (DM) and with the absence of protective sensation plant (SPP). Conclusion: The study found a high prevalence of PND, reinforcing the need for early diagnosis in order to prevent ulcers and improving the quality of life of diabetic patients. 36.89%, mayor en los hombres, en los pacientes con diagnóstico tardío de la diabetes mellitus (DM) y la ausencia de plantas sensación protectora (SPP). Conclusión: El estudio encontró una alta prevalencia de PND, lo que refuerza la necesidad de un diagnóstico precoz para prevenir las úlceras, la mejora de la calidad de vida de los pacientes diabéticos. Descriptors

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Section: Discussionsupporting

confidence: 51%

Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Prevalência e fatores associados à neuropatia periférica em indivíduos com diabetes mellitus Prevalence and factors associated with peripheral neuropathy in individuals with diabetes mellitus

Brinati

Diogo²,

Moreira

et al. 2017

R. pesq. cuid. fundam. online

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“…Este grupo é o que mais desenvolve complicações relativas à danos neurológicos, desencadeando assim, a neuropatia diabética (ND). A mesma é resultado da atrofia e degeneração axonal associadas a alterações nas células de Schwann, que culminam em diminuição da velocidade de condução nervosa e/ou interrupção da propagação do impulso, relacionados a desequilíbrios nos níveis de glicose extracelular 5 . O quadro da ND no sistema nervoso periférico, é denominado polineuropatia sensório-motora e se manifesta por meio de sintomas de caráter sensitivo prevalentes nas extremidades inferiores 6 .…”

Section: Introductionunclassified

Fisioterapia convencional versus conceito Balance sobre alterações sensório-motoras da neuropatia diabética

Magno¹,

Moraes²,

Cruz³

et al. 2017

PRMJ

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FisioterapiaEste é um artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons Attribution, que permite uso, distribuição e reprodução em qualquer meio, sem restrições desde que o trabalho original seja corretamente citado. Resumo Objetivo: Avaliar sensibilidade, equilíbrio e qualidade de vida em diabéticos neuropatas, comparando os efeitos de dois protocolos de Fisioterapia. Método: Dez voluntários divididos em dois grupos -Grupo Fisioterapia Convencional (GC) e Grupo Balance (GB), submetidos a dois protocolos distintos com duração de 1 hora/dia, totalizando 12 sessões, avaliados em dois momentos pelos instrumentos: Teste de Marcha Tandem (TMT) e Escala de Equilíbrio de Berg (EEB) para o equilíbrio; estesiometria, a fim de delinear a sensibilidade periférica e a escala Neuroqol, para qualidade de vida (QV). A análise estatística foi realizada por meio dos testes T de Student e Qui-quadrado no pré e pós-tratamento (p≤0,05). Resultados: O GC obteve resultado significante no pós-tratamento somente na avaliação da EEB (p=0,03), enquanto o GB apresentou valores maiores no período pós-tratamento em todas as variáveis avaliadas, com melhoras quantitativas na sensibilidade (p=0,02), equilíbrio pelo TMT (p=0,03) e EEB (p=0,04), além da QV (p=0,04). No que diz respeito à comparação entre os grupos, os resultados significativos foram apenas para variáveis EEB (p=0,03) e TMT (p=0,04) no pós-tratamento. Conclusão: A Fisioterapia possui grande valia no tratamento da neuropatia diabética, interferindo sobre as disfunções de sensibilidade e equilíbrio, perpassando pela qualidade de vida. Dessa forma, a utilização de novas técnicas, como o Balance, apresenta boa efetividade e deve ser estimulada, a fim de prevenir complicações inerentes à doença e garantir qualidade de vida aos indivíduos diabéticos. ARTIGO DE Descritores: Diabetes Mellitus; neuropatias diabéticas; reabilitação.Summary Objective: To evaluate sensitivity, balance and quality of life in neuropathic diabetics, comparing the effects of two Physiotherapy protocols. Method: Ten volunteers divided into two groups -Group: Conventional Physical Therapy (GC) and Balance Group (GB), submitted to two different protocols with duration of 1 hour/day, totaling 12 sessions, evaluated in two moments by the instruments: Tandem Testing (TT) and Berg Balance Scale (BSE) for balance; In order to delineate the peripheral sensitivity and the Neuroqol scale, for quality of life (QoL). Statistical analysis was performed using the Student's T and Chi-square tests in the pre and posttreatment (p≤0.05). Results: The GC had a significant post treatment result only in the evaluation of BSE (p = 0.03), while GB presented higher values in the post-treatment period in all the variables evaluated, with quantitative improvements in sensitivity (p = 0 (P = 0.03) and BSE (p = 0.04), in addition to the QOL (p = 0.04). Regarding the comparison between the groups, the significant results were only for BSE variables (p = 0.03) and TMT (p = 0.04) in post treatment. Conclusion: Phy...

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Using the ICF framework to evaluate the effects of environmental factors on physical disability among people with diabetes mellitus

Souza

et al. 2018

Physiotherapy Theory and Practice

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Comprometimento sensório-motor dos membros inferiores em diabéticos do tipo 2

Cited by 12 publications

References 17 publications

Prevalência e fatores associados à neuropatia periférica em indivíduos com diabetes mellitus Prevalence and factors associated with peripheral neuropathy in individuals with diabetes mellitus

Prevalência e fatores associados à neuropatia periférica em indivíduos com diabetes mellitus Prevalence and factors associated with peripheral neuropathy in individuals with diabetes mellitus

Fisioterapia convencional versus conceito Balance sobre alterações sensório-motoras da neuropatia diabética

Using the ICF framework to evaluate the effects of environmental factors on physical disability among people with diabetes mellitus

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