Evaluation of Cervical Proprioception in Type 2 Diabetes Individuals in Comparison to Healthy Individuals

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics Pub Date : 2025-01-01 Epub Date: 2025-11-06 DOI:10.1016/j.jmpt.2025.10.042

Maryam Homafar MSc , Leila Abbasi PhD , Iman Rezaei PhD , Marzieh Mohamadi PhD , Fatemeh Jabari Fard MSc

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Abstract

Objective

This study aimed to assess cervical proprioception and Kinesthesia in individuals with Type 2 diabetes (T2D) compared to healthy subjects.

Methods

This observational-descriptive study was conducted using a cross-sectional approach. The study comprised 20 individuals with type 2 diabetes (10 females, 10 males, aged 40 to 65, diabetes duration ≥5 years, no prior neck issues) and 20 age- and sex-matched healthy individuals Participants underwent 3 sensorimotor tests: (1) the JPET to assess joint position sense, (2) the CCFT to evaluate the activation and endurance of deep cervical flexors, and (3) the Cervical Movement Sense Test to measure movement accuracy using a computer-based laser tracking system.

Results

The T2DM group demonstrated significantly greater joint position errors in flexion (mean ± SD: 5.01° ± 0.66), extension (6.92° ± 4.39), right rotation (6.70° ± 1.05), and left rotation (6.14° ± 2.41) compared to controls (all P < .05). In the CCFT, diabetic participants had a significantly lower cumulative performance index (58.50 ± 5.88) than healthy individuals (107.80 ± 9.07, P < .0001). The Movement Sense Test revealed significantly worse error scores in both zigzag and figure-8 patterns (eg, Zigzag/Right: −3.12 ± 2.43 in T2D vs −1.12 ± 0.76 in controls, P = .001).

Conclusion

Individuals with T2DM exhibited substantial impairments in cervical proprioception and kinesthesia, including deficits in joint position sense, deep cervical muscle activation, and movement accuracy. These impairments may contribute to balance dysfunction and increased fall risk, suggesting that early identification and targeted rehabilitation strategies may be implicated for improving postural stability in this population. While our findings support the presence of cervical sensorimotor impairments in T2DM, we acknowledge that causation cannot be established due to the cross-sectional nature of this study.

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2型糖尿病患者与健康人颈椎本体感觉的比较

目的：本研究旨在评估2型糖尿病（T2D）患者与健康人的颈椎本体感觉和运动感。方法：本观察描述性研究采用横断面方法进行。该研究包括20名2型糖尿病患者（10名女性，10名男性，年龄40至65岁，糖尿病病程≥5年，无既往颈部问题）和20名年龄和性别匹配的健康个体，参与者进行了3项感觉运动测试：(1)JPET评估关节位置感，(2)CCFT评估颈深屈肌的激活和耐力，(3)颈椎运动感觉测试使用基于计算机的激光跟踪系统测量运动准确性。结果：T2DM组屈曲（平均±SD: 5.01°±0.66）、伸展（6.92°±4.39）、右旋（6.70°±1.05）、左旋（6.14°±2.41）关节位置误差明显大于对照组（均P < 0.05）。在CCFT中，糖尿病参与者的累积表现指数（58.50±5.88）显著低于健康者（107.80±9.07,P < 0.0001）。运动感觉测试显示，锯齿形和8字形图案的误差得分明显更差（例如，锯齿形/右：T2D组为-3.12±2.43，对照组为-1.12±0.76,P = .001）。结论：T2DM患者表现出颈椎本体感觉和运动感的严重损伤，包括关节位置感、颈深肌激活和运动准确性的缺陷。这些损伤可能导致平衡功能障碍和跌倒风险增加，提示早期识别和有针对性的康复策略可能与改善该人群的姿势稳定性有关。虽然我们的研究结果支持T2DM患者存在宫颈感觉运动障碍，但我们承认，由于本研究的横断面性质，无法确定因果关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Manipulative and Physiological Therapeutics 医学-康复医学

CiteScore

3.00

自引率

7.70%

发文量

审稿时长

29 weeks

期刊介绍： The Journal of Manipulative and Physiological Therapeutics (JMPT) is an international and interdisciplinary journal dedicated to the advancement of conservative health care principles and practices. The JMPT is the premier biomedical publication in the chiropractic profession and publishes peer reviewed, research articles and the Journal''s editorial board includes leading researchers from around the world. The Journal publishes original primary research and review articles of the highest quality in relevant topic areas. The JMPT addresses practitioners and researchers needs by adding to their clinical and basic science knowledge and by informing them about relevant issues that influence health care practices.