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首页> 外文期刊>Archives of Physical Medicine and Rehabilitation >Postural control and functional strength in patients with type 2 diabetes mellitus with and without peripheral neuropathy
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Postural control and functional strength in patients with type 2 diabetes mellitus with and without peripheral neuropathy

机译:2型糖尿病患者的姿势控制与功能强度,无周围神经病变

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摘要

Objective To assess the influence of diabetic neuropathy (DN) on balance and functional strength in patients with diabetes mellitus type 2 (DM2). Design Cross-sectional study. Setting Diabetes outpatient unit. Participants Adults (N=62; age range, 40-65y): 32 with DM2 (19 subjects without DN and 13 with DN) and 30 without DM2 (control group). Interventions Not applicable. Main Outcome Measures Upright balance, evaluated in 4 situations (fixed platform, unstable platform, with eyes open, with eyes closed), and functional strength, assessed with a five-times-sit-to-stand test, were analyzed using an electromagnetic system, with a sensor placed over C7 to allow maximum trunk displacements in the anterior-posterior and medial-lateral directions. The Berg Balance Scale and the Timed Up & Go test were also used. Results Subjects with DM2 had greater anterior-posterior displacement (P<.05) in the unstable platform with eyes closed condition compared with those without DM2, whereas no difference in medial-lateral displacement was observed between these groups. A difference in time was observed in the five-times-sit-to-stand test (P<.05), with subjects in the control group performing the tasks faster than either group of subjects with DM2. Additionally, subjects in the control group showed a higher score in the Berg Balance Scale and performed the Timed Up & Go test in less time compared with subjects in other groups. Conclusions Subjects with DM2, with or without DN, showed deficits in postural control and functional strength compared with healthy individuals of the same age group.
机译:目的评价糖尿病神经病变(DN)对糖尿病患者2(DM2)患者平衡和功能强度的影响。设计横断面研究。设置糖尿病门诊单位。参与者成年人(n = 62;年龄范围,40-65Y):32具有DM2(19个受试者,没有DN和DN的13个),30个没有DM2(对照组)。干预不适用。主要结果测量直立平衡,在4个情况下评估(固定平台,不稳定平台,眼睛闭合,眼睛闭合),使用电磁系统分析了用五次位于待机测试评估的功能强度,传感器放置在C7上方,以允许前后侧和内侧方向上的最大躯干位移。也使用了BERG平衡标度和定时上升和去测试。结果DM2的受试者在不稳定平台中具有更大的前后位移(P <.05),与没有DM2的人相比,眼睛闭合条件,而这些组之间没有观察到内侧横向位移的差异。在五次位于待机测试(P <0.05)中观察到时间差异,对照组中的受试者执行比DM2的任一组受试者更快地执行任务。此外,对照组的受试者在Berg平衡标尺中显示出更高的分数,并在与其他组中的受试者相比的时间内进行定时上升和去测试。结论DM2,具有或不具有DN的受试者,与同一年龄组的健康个体相比,姿势控制和功能强度的缺陷表现出缺陷。

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  • 作者单位

    Physiotherapy Course Department of Biomechanics Medicine and Rehabilitation of the Locomotor;

    Physiotherapy Course Department of Biomechanics Medicine and Rehabilitation of the Locomotor;

    Physiotherapy Course Department of Biomechanics Medicine and Rehabilitation of the Locomotor;

    Department of Neuroscience and Behavioral Sciences University of S?o Paulo School of Medicine;

    Department of Clinical Medicine University of S?o Paulo School of Medicine Ribeir?o Preto SP;

    Physiotherapy Course Department of Biomechanics Medicine and Rehabilitation of the Locomotor;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 康复医学;
  • 关键词

    Diabetic neuropathies; Rehabilitation;

    机译:糖尿病神经病;康复;

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