Sensory Functions, Balance, and Mobility in Older Adults With Type 2 Diabetes Without Overt Diabetic Peripheral Neuropathy: A Brief Report
Autor: | Patricia Hewston, Alison Aldred, Nandini Deshpande |
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Rok vydání: | 2015 |
Předmět: |
Male
medicine.medical_specialty Weakness Sensation 030209 endocrinology & metabolism Sensory system Type 2 diabetes Severity of Illness Index 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Diabetic Neuropathies medicine Postural Balance Humans 030212 general & internal medicine Mobility Limitation Aged Balance (ability) Caloric theory medicine.disease Logistic Models Peripheral neuropathy Diabetes Mellitus Type 2 Case-Control Studies Sensation Disorders Female Self Report Geriatrics and Gerontology medicine.symptom Psychology Gerontology |
Zdroj: | Journal of Applied Gerontology. 36:1032-1044 |
ISSN: | 1552-4523 0733-4648 |
Popis: | This study examined possible subtle degradation in sensory functions, balance, and mobility in older adults with type 2 diabetes (T2D) prior to overt development of diabetic peripheral neuropathy (DPN). Twenty-five healthy controls (HC group, age = 74.6 ± 5.4) and 35 T2D elderly without DPN (T2D group, age = 70.6 ± 4.7) were recruited. Sensory assessment included vibrotactile sensitivity, bilateral caloric weakness, and visual contrast sensitivity. Self-report measures comprised of Activity-Specific Balance Confidence (ABC), Human Activity Profile–adjusted activity scores (HAP-AAS), falls, and mobility disability. Performance measures included modified Timed-Up and Go (mTUG), Clinical Test of Sensory Integration for Balance (mCTSIB), and Frailty and Injuries (FICSIT-4) balance test. T2D group demonstrated significantly worse bilateral caloric weakness, marginally higher threshold of vibrotactile sensitivity and lower visual contrast sensitivity, and as well as signifcantly lower HAP-AAS. A significantly higher proportion of the T2D group failed mCTSIB Condition 4 than in the HC group. Subtle changes in multiple sensory systems of older adults with T2D may reduce redundancy available for balance control while performing challenging activities much before DPN development. |
Databáze: | OpenAIRE |
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