Document Type : Original Articles
Department of Physiotherapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
Background: Joint proprioception plays an important role in limb movement and awareness of position sense. Diabetes has a lot of complications such as lossof sensoryfunction, which canleadtoimpaired balance, thus the aim of this study to evaluated joint proprioception and balance in diabetic patients.Methods:Twenty type II diabetic patients and20healthy controls participated in this case-controlled study. Standing balance in various positions and ankle joint proprioception were measured. The data were analyzed using Mann-Whitney and chi-square test.Results:It was observed that the ankle joint proprioception and balance in diabetic patients were significantly less than control groups.(P<0.05)Conclusion: Joint proprioception and balance functions impair in diabetic patients. Thus improvement of joint proprioception for prevention of fall is important.
- Bonnet CdT, Ray C. Peripheral neuropathy may not be the only fundamental reason explaining increased sway in diabetic individuals. Clinical Biomechanics.26(7):699-706.
- Olaleye D, Perkins BA, Bril V. Evaluation of three screening tests and a risk assessment model for diagnosing peripheral neuropathy in the diabetes clinic. Diabetes research and clinical practice 2001;54(2):115-28.
- Feldman EL, Russell JW, Sullivan KA, Golovoy D. New insights into the pathogenesis of diabetic neuropathy. Current opinion in neurology1999;12(5):553-63.
- Lafond D, Corriveau Hln, Prince F. Postural control mechanisms during quiet standing in patients with diabetic sensory neuropathy. Diabetes care 2004;27(1):173-8.
- Ghanavati T, Yazdi MJS, Goharpey S, Arastoo A-A. Functional balance in elderly with diabetic neuropathy. Diabetes research and clinical practice.96(1):24-8.
- Ites KI, Anderson EJ, Cahill ML, Kearney JA, Post EC, Gilchrist LS. Balance interventions for diabetic peripheral neuropathy: a systematic review. Journal of Geriatric Physical Therapy 2011;34(3):109-16.
- Giacomozzi C, Caselli A, Macellari V, Giurato L, Lardieri L, Uccioli L. Walking strategy in diabetic patients with peripheral neuropathy. Diabetes care 2002;25(8):1451-7.
- Kanade R, Van Deursen R, Harding K, Price P. Walking performance in people with diabetic neuropathy: benefits and threats. Diabetologia 2006;49(8):1747-54.
- Andersen H, Mogensen P. Disordered Mobility of Large Joints in Association with Neuropathy in Patients with Long-standing Insulin-dependent Diabetes Mellitus. Diabetic medicine 1997;14(3):221-7.
- Van Deursen R, Sanchez MM, Ulbrecht JS, Cavanagh P. The role of muscle spindles in ankle movement perception in human subjects with diabetic neuropathy. Experimental brain research 1998;120(1):1-8.
- Vaz MM, Costa GC, Reis JG, Junior WM, de Paula FJA, Abreu DC. Postural control and functional strength in patients with type 2 diabetes mellitus with and without peripheral neuropathy. Archives of physical medicine and rehabilitation 2013;94(12):2465-70.
- Bloem B, Allum J, Carpenter M, Honegger F. Is lower leg proprioception essential for triggering human automatic postural responses? Experimental brain research 2000;130(3):375-91.
- Nardone A, Grasso M, Schieppati M. Balance control in peripheral neuropathy: are patients equally unstable under static and dynamic conditions? Gait & posture. 2006;23(3):364-73.
- Oppenheim U, Kohen-Raz R, Alex D, Kohen-Raz A, Azarya M. Postural characteristics of diabetic neuropathy. Diabetes care 1999;22(2):328-32.
- van Emmerik RE, van Wegen EE. On the functional aspects of variability in postural control. Exercise and sport sciences reviews 2002;30(4):177-83.