Lower‐limb risk factors for falls in people with diabetes mellitus

MacGilchrist, Claire; Paul, Lorna; Ellis, Brian; Howe, Tracey; Kennon, Brian; Godwin, Jon

doi:10.1111/j.1464-5491.2009.02914.x

Cited by 123 publications

(90 citation statements)

References 31 publications

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“…Tinetti test, together with tests of muscle strength, tests for neuropathy and foot deformity, could point to the risk for falls in diabetic patients, so that preventive measures could be undertaken on time 10 . Patients suffering from diabetes type 2, whether they live in rural or urban settings, share similar risk factors for chronic falling, namely similar comorbidities and take similar kind and number of drugs.…”

Section: Discussionmentioning

confidence: 99%

Assessment of risk for falls in elderly

Stanetić¹,

Marković²,

Tešanović³

et al. 2014

Opsta med

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Introduction: Elderly persons have higher risk for falls, compared to younger population. Although no single risk factor causes all falls, a great deal of risk factors to which an individual is exposed, i.e. osteoporosis, lack of physical activity, impaired vision, usage of drugs, living settings etc, can be treated.Objective: To investigate the risk for falls in elderly patients treated in Family medicine teaching center (ECPM), Primary Health Care Center Banja Luka.Method: This prospective study was conducted in June 2012. The study included 150 patients aged 65 years and older. Patients were chosen randomly. In study were included patients who have visited their family doctors on every of Mondays in June 2012. The Tinetti Gait and Balance Instrument was used to asses the risk for falls. Patients were examined to asses gait and balance according to Tinetti questionnaire, and supplementary questionnaire was created to record data about age, sex, chronic diseases and drugs that patients take.Results: The study included 91 (60.7%) female and 59 (39.3%) male patients. The average age of patients was 74.71 years. 77 (51.3%) were aged 65 to 75 years and 73 (48.7%) were more than 75 years old. Results of Tinetti Gait and Balance Instrument showed that the risk for falls was high in 55 (36.7%), moderate in 31 (20.7%) and low in 64 (42.7%) patients.Conclusion: Approximately, one third of investigated patients had high risk for falls, what indicates that family doctors should be more involved in fall prevention in elderly and in constant educating of older adults and their families.

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Section: Discussionmentioning

confidence: 99%

Assessment of risk for falls in elderly

Stanetić¹,

Marković²,

Tešanović³

et al. 2014

Opsta med

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show abstract

“…This fact can be explained by increased double support values associated with decreased single support values, confirming the difficulty in maintaining the gait swing phase, which may indicate a balance deficit and hence, a greater risk of falling 18,19 . A previous study found a longer period of support in the gait of patients with DPN, suggesting that this was due to the generation of compensatory mechanisms of a musculoskeletal nature, as well as finding aggravations of other variables related to gait 4 .…”

Section: Discussionmentioning

confidence: 88%

Vasculopathy associated with peripheral neuropathy in gait parameters of diabetic people

Mantovani

Savian

Palma

et al. 2016

Motriz: rev. educ. fis.

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-Diabetic peripheral neuropathy (DPN) is a common complication of diabetes mellitus when glycemic levels are poorly controlled. Sometimes DPN is accompanied by vasculopathy (DPV), which can worsen the clinical prognosis. The aim of this study was to analyze the gait parameters of nondiabetic individuals and diabetic individuals with DPN with or without DPV. Method: The study included 68 individuals (50 to 65 years old) divided into three groups: people without diabetes mellitus (n = 33), diabetic patients with DPN (n = 18), and diabetic patients with both DPN and DVP (n = 17). The participants underwent a gait evaluation using electronic baropodometry to obtain the single and double support, velocity, and pressure-time integral. Results: The pressure-time integral, velocity, and single support variables were lower, and the double support and double support/single support ratio were higher in the diabetic neuropathy and vasculopathy group. The velocity was lower the greater the degree of impairment of the diabetic foot. Some correlations were identified with velocity. Conclusion: In diabetic individuals, there was a significant worsening of the gait parameters analyzed according to increasing degree of clinical impairment.

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“…poor cardiorespiratory functions, metabolic risk and poor quality of life) (Barbat-Artigas et al, 2010;Levinger et al, 2009;MacGilchrist et al, 2010). Abdominal muscle endurance is an essential component of fitness for health, maintaining proper alignment, prevents low back pain and supporting movements of both the lower and upper extremities in activities of daily living and work performance (Hildenbrand & Noble, 2004;McNeil et al, 1980).…”

Section: Disscusionmentioning

confidence: 99%

“…Low muscle strength has been shown to be associated with poor cardiorespiratory functions and an increased risk of falling (Barbat-Artigas et al, 2010;MacGilchrist et al, 2010). Levinger et al (2009) also described low muscle strength may also be associated with an unfavorable metabolic risk profile, which may affect exercise capacity, and the capacity to perform activities of daily living and quality of life.…”

Section: Introductionmentioning

confidence: 99%

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2016

JPES

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Problem statement: Work-related musculoskeletal pain can also impact on quality of life in office workers. Approach: This study adopted the Polestar TM Pilates method to explore the effect of Pilates exercise on the lower limb strength and abdominal endurance of workplace employees. Participants were selected from six workplaces and the quasi-experimental design was used. Only the experimental group received Polestar TM Pilates exercise training, which was given by a certified Pilates trainer. Both groups received a pretest and posttest of lower limb strength and abdominal endurance. Results: After 12 weeks of Pilates training, the lower limb strength and abdominal endurance of the experimental group was significantly enhanced. Conclusions: This current study provides an example of Pilates exercise intervention for workplace health promotion of preventing chronic disease, lower back pain and serves as an important reference for tracking the progress of preventing chronic disease, musculoskeletal pain and inhance the quality of life in workplaces.

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Lower‐limb risk factors for falls in people with diabetes mellitus

Abstract: Simple clinical measures of gait velocity and ankle muscle strength may be used to identify people with DM at risk of falling, allowing preventative strategies to be implemented.

Cited by 123 publications

References 31 publications

Assessment of risk for falls in elderly

Assessment of risk for falls in elderly

Vasculopathy associated with peripheral neuropathy in gait parameters of diabetic people

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