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07:52
Evaluating Postural Control and Lower-extremity Muscle Activation in Individuals with Chronic Ankle Instability
Published on: September 18, 2020
Diabetes and postural stability: review and hypotheses.
Cédrick Bonnet1, Claudia Carello, M T Turvey
1The Institute of Movement Sciences, Université of Mediterranean, Marseille, France. cedrick.bonnet@univmed.fr
Journal of Motor Behavior
|February 10, 2009
Summary
People with diabetes, particularly those with neuropathy, exhibit greater postural sway. This review highlights the need for better assessments of neuropathy and postural control in diabetes management.
Area of Science:
- Neurology
- Diabetology
- Biomechanics
Background:
- Diabetes mellitus is a complex condition with numerous complications.
- Postural control is frequently impaired in individuals with diabetes.
- Neuropathy, particularly peripheral sensory neuropathy, is a significant factor in this impairment.
Purpose of the Study:
- To review and synthesize findings from studies examining postural sway in individuals with and without diabetes.
- To identify the primary contributors to increased postural sway in diabetic populations.
- To highlight areas for future research in diabetes-related postural instability.
Main Methods:
- Systematic literature review of 28 studies.
- Analysis of studies comparing postural sway measures between diabetic and non-diabetic individuals.
- Evaluation of factors influencing postural control, including neuropathy type and sensory information processing.
Main Results:
- Individuals with diabetes generally exhibit greater postural sway compared to controls.
- Postural sway is significantly increased in diabetic individuals with neuropathy.
- Peripheral sensory neuropathy is identified as a key factor, though other neuropathies and sensory processing deficits cannot be excluded.
Conclusions:
- Increased postural sway is a notable complication of diabetes, especially when associated with neuropathy.
- Further research is needed to refine neuropathy assessments and postural task methodologies.
- The role of foot disorders and potential adaptive functions of increased sway warrant further investigation.
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