糖尿病外围神经病变患者的平衡和步态
Süleyman Korkusuz1, Büşra Seçkinoğulları2, Zeliha Özlem Yürük3
1Atılım University, Department of Physiotherapy and Rehabilitation, Ankara, Turkey.
Neurological research
|September 15, 2023
概括
糖尿病外围神经病 (DPN) 影响平衡和步态,增加跌倒风险. 这项研究发现,DPN改变了步幅等步态参数,但神经病痛 (NP) 对DPN患者的平衡或步态没有显著影响.
科学领域:
- 神经学 神经学
- 生物医学工程 生物医学工程
- 物理疗法物理治疗
背景情况:
- 糖尿病外围神经病变 (DPN) 是糖尿病的常见并发症,导致感觉丧失和跌倒风险增加.
- DPN可能会导致严重的身体挑战,包括在站立和走路时失去平衡和协调.
- 在DPN中的感官缺陷有助于对受伤的更高易感性.
研究的目的:
- 研究DPN患者的神经病痛 (NP) 对其平衡和步态的影响.
- 为了比较具有DPN和NP的个体,没有NP的DPN和健康的对照组之间的平衡和步态参数.
主要方法:
- 一项前性受控研究涉及42名成年人 (40-65岁),分为三个组:DPN与NP (n=14),DPN没有NP (n=14) 和对照组 (n=14).
- 利用力板和核心平衡系统来评估静态和动态姿势平衡和稳定性限制.
- 采用计算机化的步态评估系统进行步态分析和动态脚部压力分布.
主要成果:
- 患有DPN的个体表现出改变的步态,包括增加的步幅和减少左侧单支时间.
- 与对照组相比,这两组DPN都显示出最大脚跟力降低.
- 神经病痛 (NP) 并没有显著影响平衡参数或大多数步态指标.
结论:
- DPN显著影响步态参数,如步幅和脚跟力,独立于神经病痛.
- 虽然DPN会影响步行机制,但神经病痛的存在并没有在本研究中引入额外的平衡或步行的显著损害.
- 研究结果强调了与DPN相关的步态生物力学变化,强调了针对性干预的必要性.
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