Analysis of static balance function in patients with type 2 diabetes mellitus

doi:10.3969/j.issn.1006-7795.2019.01.002

Abstract

Abstract: Objective To evaluate the postural stability in a group of patients with diabetes mellitus. Methods The subjects were divided into control group (30 cases) and diabetes mellitus group (30 cases). General baseline data and endocrine-related test results were collected. Balance function tests were performed with eyes opened or closed and standing on hard platforms with a PC708 static balancing apparatus to evaluate the balanced function of diabetes mellitus patients. Results When the diabetic group was standing on a firm surface with open eyes, the total length of the track, the surface of the statokinesigram (SSKG) area and the Romberg quotient were greater than the control group, with statistically significant difference (P<0.05). When the diabetic group was standing on a firm surface with eyes closed, the total length of the track, and the SSKG area of diabetes mellitus subjects were greater than the control group, with statistically significant difference (P<0.05). The statokinesigram length (LFS) index was smaller than the control group, and the Romberg quotient was greater than the control group, both with statistically significant difference. (P<0.05). Conclusion The static balance function of type 2 diabetes mellitus patients decreased:The ability of diabetic patients to maintain static balance and stability in standing position with open eyes was lower than that of the control group. With eyes closed, the ability of diabetic patients to maintain static equilibrium and balance control in standing position was lower than that of normal people. The increase of Romberg rate indicates that the maintenance of standing static balance function in diabetic patients depends more on visual information.

Key words: diabetes mellitus, balance function, fall down

CLC Number:

R587.1

Jia Jia, Meng Yan, Zhang Lili, Zhuang Xiaoming. Analysis of static balance function in patients with type 2 diabetes mellitus[J]. Journal of Capital Medical University, 2019, 40(1): 6-10.

0
/ / Recommend

Add to citation manager EndNote|Reference Manager|ProCite|BibTeX|RefWorks

URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2019.01.002

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2019/V40/I1/6

References

[1] 葛均波,徐永健.内科学[M].8版. 北京:人民卫生出版社,2013:733.
[2] Hewston P, Deshpande N. Falls and Balance impairments in older adults with type 2 diabetes:thinking beyond diabetic peripheral neuropathy[J]. Can J Diabetes,2016,40(1):6-9.
[3] Toosizadeh N, Mohler J, Armstrong D G, et al. The influence of diabetic peripheral neuropathy on local postural nuscle and central sensory feedback balance control[J]. PLoS One, 2015,10(8):1-12.
[4] Azidah A K, Hasniza H, Zunaina E. Prevalence of Falls and its associated factors among elderly diabetes in a tertiary center[J]. Malaysia Curr Gerontol Geriatr Res,2012,2012(5):1-5.
[5] 于学忠,于晓初.物理医学康复科诊疗常规[M].北京:人民卫生出版社,2012:152-156.
[6] 王红梅,徐秀林.人体动静态姿势平衡能力测试的理论与应用[J].中国组织工程研究与临床康复,2010,14(43):8095-8098.
[7] 刘博,刘鋌.内耳病[M].北京:人民卫生出版社,2006:59-60.
[8] Steven J, Brown M. Diabetic peripheral neuropathy compromises balance during daily activities[J].Diabetes Care,2015,38(6):1116-1122.
[9] Chau R M, Ng T K, Kwan R L, et al. Risk of fall for people with diabetes[J].Disabil Rehabil, 2013,35(23):1975-1980.
[10] 黄小兵,刘博,孙敬武,等. 型糖尿病患者平衡功能的分析与评价[J].临床耳鼻咽喉头颈外科杂志,2016,30(1):27-30.
[11] 沈晔,白姣姣,孙皎,等.老年糖尿病周围神经病变患者平衡功能的调查分析[J].老年医学与保健,2015,21(5):299-303.
[12] 周芸,刘博.糖尿病患者平衡功能障碍的发生机制[J].中华耳科学志,2011,9(4):365-368.
[13] Riandini T, Wee H L, Khoo E Y H, et al. Functional status mediates the association between peripheral neuropathy and healthrelated quality of life in individuals with diabetes[J]. Acta Diabetol,2018,55(2):155-164.
[14] Crews R T, Yalla S V, Fleischer A E, et al. A growing troubling triad:diabetes, aging, and falls[J]. J Aging Res,2013,34(2):61-65.
[15] Agrawal Y, Carey J P, Della Santina C C, et al. Disorders of balance and vestibular function in US adults:data from the national health and nutrition examination survey, 2001-2004[J].Arch Intern Med, 2009,169(10):938-944.
[16] Diabetes Prevention Program Research Group. The prevalence of retinopathy in impaired glucose tolerance and recent-onset diabetes in the Diabetes Prevention Program[J].Diabet Med, 2007, 24(2):137-144.
[17] Morimoto A, Sonoda N, Ugi S,et al. Association between symptoms of bilateral numbness and/or paresthesia in the feet and postural instability in Japanese patients with diabetes[J]. Diabetol Int,2016,7(1):69-76.
[18] Allen L, Powell-Cope G, Mbah A, et al. A retrospective review of adverse events related to diabetic foot ulcers[J].Ostomy Wound Manage,2017,63(6):30-33.