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Published on: October 23, 2020
Association between sensorimotor function and forward reach in patients with diabetes.
1Department of Physical Therapy, National Cheng Kung University, Tainan, Taiwan. lin31@mail.ncku.edu.tw
Gait & Posture
|September 11, 2010
Summary
Diabetic sensorimotor function impacts balance. Reduced foot sensation and plantarflexion strength in Type 2 diabetes patients correlate with poorer forward reach ability and balance control.
Area of Science:
- Biomechanics
- Neurology
- Diabetology
Background:
- Sensorimotor system decline is common in diabetes, potentially causing balance issues.
- Understanding this link is crucial for fall prevention in diabetic populations.
Purpose of the Study:
- To investigate the relationship between sensorimotor function and forward reach capacity in individuals with diabetes.
- To identify specific sensorimotor deficits predictive of impaired balance and reach.
Main Methods:
- Thirty-one Type 2 diabetes patients underwent sensory (monofilament test) and proprioceptive (joint reposition test) assessments.
- Lower leg strength and forward reach tests (measuring reach distance and center of mass displacement) were performed using motion analysis.
- Correlational and regression analyses examined sensorimotor-balance associations.
Main Results:
- Increased reach distance and center of mass displacement were linked to lower plantar touch-pressure thresholds and greater plantarflexion strength.
- Plantar touch-pressure sensitivity and plantarflexion strength significantly predicted forward reach and balance control, even after accounting for other factors.
Conclusions:
- Plantar sensitivity and strength are key determinants of forward reach and balance in diabetic patients.
- Routine assessment of foot sensation and comprehensive balance/fall risk evaluations are recommended for individuals with diabetes and impaired plantar insensitivity.
