在2型糖尿病患者中与外围神经病变或没有外围神经病变的平衡评估
Luciana Rocha Nunes Nogueira1, Claudio Mardey Nogueira2, Alex Eduardo da Silva3
1Department of Applied Physiotherapy UNICERP, Cerrado University Center Patrocínio and Federal University of Triangulo Mineiro, Brazil.
Journal of bodywork and movement therapies
|November 27, 2024
概括
周围糖尿病神经病变 (PDN) 在糖尿病患者中显著破坏平衡. 即使没有PDN,糖尿病也会影响平衡,增加跌倒风险和功能残疾.
科学领域:
- 神经学 神经学
- 糖尿病学 糖尿病学
- 生物力学 生物力学
背景情况:
- 周围糖尿病神经病变 (PDN) 是一种主要的糖尿病并发症.
- 在PDN中的感官运动障碍会损害平衡,增加跌倒风险.
- 跌倒可能导致糖尿病患者显著的功能障碍.
研究的目的:
- 评估2型糖尿病患者平衡的感觉和运动方面.
- 为了比较患有PDN和没有PDN的糖尿病患者的平衡.
- 为了评估糖尿病个体与非糖尿病对照组之间的平衡.
主要方法:
- 这是一项涉及51名参与者的横截面研究.
- 三组:PDN (G1),没有PDN的糖尿病 (G2),没有糖尿病 (G3).
- 使用MiniBESTest和经过修改的平衡感官整合临床测试 (mCTSIB) 评估平衡.
主要成果:
- 与G2和G3相比,PDN集团 (G1) 在mCTSIB和MiniBESTest中表现出余额削减,而G2和G3则表现出余额削减.
- 没有PDN的糖尿病组 (G2) 在不稳定的表面上减少了双重立场时间.
- 此外,G2的预期性姿势调整 (APA) 和反应性姿势反应 (RPR) 比G3更差.
结论:
- PDN显著损害静态和动态平衡,影响感官定向,APA和RPR.
- 糖尿病,即使没有PDN,也会导致特定平衡任务的表现较差.
- 研究结果强调了糖尿病对平衡控制的广泛影响.
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