The effect of proprioceptive training on postural control in people with diabetes: A randomized clinical trial comparing delivery at home, under supervision, or no training
| Autor: | Fernanda Maria Ferreira da Cruz, Mariana Barbosa Buzato, Natalia Akemi Yamada Terada, Ariane Hidalgo Mansano Pletsch, Nathalia Cristina de Souza Borges, Rinaldo Roberto de Jesus Guirro |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty 030209 endocrinology & metabolism Physical Therapy Sports Therapy and Rehabilitation law.invention Postural control 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Gait (human) Randomized controlled trial law Diabetes mellitus medicine Humans Single-Blind Method In patient 030212 general & internal medicine Gait Postural Balance Proprioception business.industry Rehabilitation Type 2 Diabetes Mellitus Exercise therapy Middle Aged medicine.disease Exercise Therapy Diabetes Mellitus Type 2 Female business |
| Zdroj: | Clinical Rehabilitation. 35:988-998 |
| ISSN: | 1477-0873 0269-2155 |
| Popis: | Objective: Analyze postural control in the bipedal position as well as during gait and functional tests in patients with type 2 diabetes mellitus after supervised and unsupervised proprioceptive training. Design: A three-group randomized controlled trial. Setting: Physiotherapeutic Resources Lab, Department of Health Sciences, Ribeirão Preto Medical School, University of São Paulo Subjects: Eighty patients with type 2 diabetes allocated to three groups: control, home training, and supervised training. Interventions: The supervised and home training groups performed two weekly sessions of proprioceptive exercises for 12 weeks. The control group was not submitted to any of treatment. Main measures: Bipedal balance, gait, and performance on functional tests were evaluated before and after 12 weeks using the Balance Evaluation Systems Test (BESTest) and the force plate. Results: No significant improvements were found regarding postural control, gait, or performance on the functional tests, as evidenced by the inter-group comparisons of the total BESTest score [control: 90.7 (81.5–92.6); home training: 85.2 (77.8–90.3); supervised training: 88.4 (82.6–91.4), P > 0.05] as well as the tests performed on the force plate ( P > 0.05). The clinical effect size of the proposed intervention was less than 0.2, demonstrating no effect for the main outcome variable evaluated by the “Sensory Orientation” item of the BESTest and by the mCTSIB (pressure plate). Conclusions: The proposed proprioceptive training did not lead to improvements in postural control in patients with type 2 diabetes with no clinical signs of diabetic distal polyneuropathy when analyzed using the BESTest clinical evaluation and a force plate. Trial registration: NCT01861392 (clinicaltrials.gov). |
| Databáze: | OpenAIRE |
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