Vibration Perception Threshold and Related Factors for Balance Assessment in Patients with Type 2 Diabetes Mellitus
| Autor: | KyungWan Min, Hyoseon Choi, Kyung-Ah Han, Youn-Joo Kang, Min-Gyu Kim, Jisang Jung |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Health Toxicology and Mutagenesis 030209 endocrinology & metabolism Timed Up and Go test Vibration Fear of falling Article 03 medical and health sciences Vibration perception 0302 clinical medicine Physical medicine and rehabilitation Humans Medicine fear of falling 030212 general & internal medicine Postural Balance Balance (ability) Proprioception business.industry vibration perception threshold Posturography Public Health Environmental and Occupational Health posturography Type 2 Diabetes Mellitus balance Fear Diabetes Mellitus Type 2 Time and Motion Studies Berg Balance Scale diabetes mellitus Accidental Falls Perception neuropathy medicine.symptom business |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 18 Issue 11 International Journal of Environmental Research and Public Health, Vol 18, Iss 6046, p 6046 (2021) |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph18116046 |
| Popis: | Diabetic peripheral neuropathy (DPN) is a common complication of type 2 diabetes mellitus (DM). DPN causes a decrease in proprioception, which could reduce balance ability. We investigated the association of impaired vibration sense, based on vibration perception threshold (VPT), with assessments of balance and other factors affecting balance impairment and fear of falling in patients with type 2 DM. Sixty-three patients with DM aged > 50 years were categorized as having normal vibration sense (NVS n = 34) or impaired vibration sense (IVS n = 29) according to a VPT value of 8.9 μm. The following parameters were evaluated for all patients: postural steadiness through the fall index using posturography, functional balance through the Berg Balance Scale (BBS), the Timed Up and Go test (TUG), and fear of falling through the Falls Efficacy Scale-International (FES-I). The IVS group showed a significantly greater balance impairment in fall index, BBS, and TUG, as well as greater fear of falling on the FES-I than the NVS group. The linear regression analysis showed that the fall index was associated only with the VPT, whereas BBS, TUG, and FES-I were associated with the VPT, age, and/or lower extremity muscle strength. VPT, age, and/or muscle strength were identified as predictors of balance and fear of falling in patients with type 2 DM. Therefore, along with age and lower extremity strength, the VPT can be useful for balance assessment in patients with type 2 DM. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|