Fear of Falling, Lower Extremity Strength, and Physical and Balance Performance in Older Adults with Diabetes Mellitus

Vongsirinavarat, Mantana; Mathiyakom, Witaya; Kraiwong, Ratchanok; Hiengkaew, Vimonwan

doi:10.1155/2020/8573817

Cited by 18 publications

(10 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Further, Renata et al reported that advanced age, absence of proprioceptive sense assessed by a 128 Hz tuning fork, disability, and absence of step strategy were associated with abnormal balance and mobility in elderly patients with type 2 DM [ 52 ]. Although there is a debate over whether the strength of the lower extremities affects balance ability in older people [ 53 , 54 , 55 ], lower extremity muscle strength of diabetic patients also affected the TUG test results in our study. The loss of muscle strength in these patients may have a significant impact on TUG test results, not on BBS.…”

Section: Discussionmentioning

confidence: 77%

Vibration Perception Threshold and Related Factors for Balance Assessment in Patients with Type 2 Diabetes Mellitus

Jung

Kim

Kang

et al. 2021

IJERPH

View full text Add to dashboard Cite

Diabetic peripheral neuropathy (DPN) is a common complication of type 2 diabetes mellitus (DM). DPN causes a decrease in proprioception, which could reduce balance ability. We investigated the association of impaired vibration sense, based on vibration perception threshold (VPT), with assessments of balance and other factors affecting balance impairment and fear of falling in patients with type 2 DM. Sixty-three patients with DM aged >50 years were categorized as having normal vibration sense (NVS; n = 34) or impaired vibration sense (IVS; n = 29) according to a VPT value of 8.9 μm. The following parameters were evaluated for all patients: postural steadiness through the fall index using posturography, functional balance through the Berg Balance Scale (BBS), the Timed Up and Go test (TUG), and fear of falling through the Falls Efficacy Scale-International (FES-I). The IVS group showed a significantly greater balance impairment in fall index, BBS, and TUG, as well as greater fear of falling on the FES-I than the NVS group. The linear regression analysis showed that the fall index was associated only with the VPT, whereas BBS, TUG, and FES-I were associated with the VPT, age, and/or lower extremity muscle strength. VPT, age, and/or muscle strength were identified as predictors of balance and fear of falling in patients with type 2 DM. Therefore, along with age and lower extremity strength, the VPT can be useful for balance assessment in patients with type 2 DM.

show abstract

Section: Discussionmentioning

confidence: 77%

Vibration Perception Threshold and Related Factors for Balance Assessment in Patients with Type 2 Diabetes Mellitus

Jung

Kim

Kang

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…Fall efficacy or balance confidence, which defined as a person's belief of their ability to maintain balance, were known to affect the quality of life and physical activities of older adults with T2DM. 48,49 Fear of falling, lower limb strength and physical performance were more influenced when the balance function decreased. 48 A comprehensive treatment for increasing T2DM patients balance capacity should include assessment of balance performance and balance confidence.…”

Section: Discussionmentioning

confidence: 99%

“…48,49 Fear of falling, lower limb strength and physical performance were more influenced when the balance function decreased. 48 A comprehensive treatment for increasing T2DM patients balance capacity should include assessment of balance performance and balance confidence. The pooled results of our review demonstrated that exercise intervention group had no significant improvements of fall efficacy compared with the control group.…”

Section: Discussionmentioning

confidence: 99%

The Effects of Exercise Interventions on Balance Capacity in Patients with Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis

Qin

Zhao²,

Chen

et al. 2021

INQUIRY

View full text Add to dashboard Cite

The effect of exercise intervention on balance capacity among type 2 diabetes mellitus (T2DM) patients has not been evaluated. The objective of this systematic review and meta-analysis is to investigate the effect of exercise intervention on balance capacity among T2DM patients compared to the control group (usual care, waitlist, no-treatment, education). We conducted a comprehensive literature search through PubMed, EMBASE, Physiotherapy Evidence Database (PEDro), Cochrane library, Web of Science (WOS) from inception to August 2020. The literature language was limited to English. Randomized controlled trials (RCTs) or quasi-experimental (Q-E) trials that examined the effect of exercise intervention on balance capacity among T2DM patients were included. We used the standard methods of meta-analysis to evaluate the outcomes of exercise intervention for balance capacity of T2DM patients. A total of 14 trials (11 RCTs and 3 Q-E trials) involving 883 participants were eligible. The meta-analysis of some studies demonstrated that exercise intervention could significantly improve Berg Balance Scale (BBS) (MD = 2.56; 95%CI [0.35, 4.77]; P = .02), SLST (Single Leg Stance Test) under the eyes-open (EO) condition (MD = 3.63; 95%CI [1.79, 5.47]; P = .0001) and eyes-close (EC) condition (MD = 0.41; 95%CI [0.10, 0.72]; P = .01) compared to control group. There was no significant difference in Time Up and Go Test (TUGT) (MD = −0.75; 95%CI [−1.69, 0.19]; P = .12) and fall efficacy (SMD = −0.44; 95%CI [−0.86, −0.01]; P = .05). Narrative review of some studies indicated that exercise intervention could improve postural stability measured by Sensory Organization Test (SOT) and Center of Pressure (COP) variables, etc. This systematic review and meta-analysis summarized that exercise intervention could improve balance capacity in T2DM patients. However, further studies with high quality are required to evaluate its effect.

show abstract

“…Specifically, type 2 DM (T2DM) is known to be directly linked to the lifestyle factors and becomes a key health issue due to various complications [ 1 ]. Some of the common complications such as the peripheral neuropathy and retinopathy are well documented in their contributions to falling [ 2 ] and fear of falling [ 3 ] and significantly degrade the quality of life [ 1 ]. Moreover, these complications were reportedly impacting increased disability, lost productivity, mortality, and amplified health-care costs [ 4 ].…”

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

Self Cite

View full text Add to dashboard Cite

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.

show abstract

Fear of Falling, Lower Extremity Strength, and Physical and Balance Performance in Older Adults with Diabetes Mellitus

Cited by 18 publications

References 39 publications

Vibration Perception Threshold and Related Factors for Balance Assessment in Patients with Type 2 Diabetes Mellitus

Vibration Perception Threshold and Related Factors for Balance Assessment in Patients with Type 2 Diabetes Mellitus

The Effects of Exercise Interventions on Balance Capacity in Patients with Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis

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

Contact Info

Product

Resources

About