Luciana Rocha Nunes Nogueira , Claudio Mardey Nogueira , Alex Eduardo da Silva , Gustavo José Luvizutto , Luciane Aparecida Pascucci Sande de Sousa
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As for the instruments used to evaluate balance, specific tests based on model system approach were applied: MiniBESTest and the modified Clinical Test of Sensory Integration of Balance (mCTSIB).</p></div><div><h3>Results</h3><p>It was observed that individuals in G1 showed balance impairment in mCTSIB and MiniBESTest compared to G2 and G3. In individuals with diabetics without PDN (G2) there was a reduction in tandem position time on the unstable surface and worse anticipatory postural adjustments (APA) and reactive postural response (RPR) compared to individuals without diabetes (G3).</p></div><div><h3>Conclusion</h3><p>PDN showed impairments in both static and dynamic balance, with alterations in sensory orientation, decreased anticipatory and reactive postural response. However, individuals with diabetes and without PDN also present worsening response in tandem position time on the unstable surface, APA and RPR tasks.</p></div>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":null,"pages":null},"PeriodicalIF":16.4000,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Balance evaluation in individuals with type 2 diabetes mellitus with and without peripheral neuropathy\",\"authors\":\"Luciana Rocha Nunes Nogueira , Claudio Mardey Nogueira , Alex Eduardo da Silva , Gustavo José Luvizutto , Luciane Aparecida Pascucci Sande de Sousa\",\"doi\":\"10.1016/j.jbmt.2024.05.010\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background and aims</h3><p>Peripheral Diabetic Neuropathy (PDN) is the major complication of diabetes, and sensory-motor impairments can compromise balance, increasing the risk of falls and consequently can lead to functional disability. Thus, this study aims to evaluate the sensory and motor aspects of balance in individuals with type 2 diabetes mellitus with and without PDN.</p></div><div><h3>Methods</h3><p>This is a cross-sectional study which analyzed balance in 51 individuals, divided into three groups: G1 – individuals with Peripheral Diabetic Neuropathy; G2 - individuals with diabetics and without PDN; and G3 – individuals without Diabetes Mellitus. As for the instruments used to evaluate balance, specific tests based on model system approach were applied: MiniBESTest and the modified Clinical Test of Sensory Integration of Balance (mCTSIB).</p></div><div><h3>Results</h3><p>It was observed that individuals in G1 showed balance impairment in mCTSIB and MiniBESTest compared to G2 and G3. In individuals with diabetics without PDN (G2) there was a reduction in tandem position time on the unstable surface and worse anticipatory postural adjustments (APA) and reactive postural response (RPR) compared to individuals without diabetes (G3).</p></div><div><h3>Conclusion</h3><p>PDN showed impairments in both static and dynamic balance, with alterations in sensory orientation, decreased anticipatory and reactive postural response. However, individuals with diabetes and without PDN also present worsening response in tandem position time on the unstable surface, APA and RPR tasks.</p></div>\",\"PeriodicalId\":1,\"journal\":{\"name\":\"Accounts of Chemical Research\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":16.4000,\"publicationDate\":\"2024-05-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Accounts of Chemical Research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1360859224002572\",\"RegionNum\":1,\"RegionCategory\":\"化学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"CHEMISTRY, MULTIDISCIPLINARY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Accounts of Chemical Research","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1360859224002572","RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CHEMISTRY, MULTIDISCIPLINARY","Score":null,"Total":0}
Balance evaluation in individuals with type 2 diabetes mellitus with and without peripheral neuropathy
Background and aims
Peripheral Diabetic Neuropathy (PDN) is the major complication of diabetes, and sensory-motor impairments can compromise balance, increasing the risk of falls and consequently can lead to functional disability. Thus, this study aims to evaluate the sensory and motor aspects of balance in individuals with type 2 diabetes mellitus with and without PDN.
Methods
This is a cross-sectional study which analyzed balance in 51 individuals, divided into three groups: G1 – individuals with Peripheral Diabetic Neuropathy; G2 - individuals with diabetics and without PDN; and G3 – individuals without Diabetes Mellitus. As for the instruments used to evaluate balance, specific tests based on model system approach were applied: MiniBESTest and the modified Clinical Test of Sensory Integration of Balance (mCTSIB).
Results
It was observed that individuals in G1 showed balance impairment in mCTSIB and MiniBESTest compared to G2 and G3. In individuals with diabetics without PDN (G2) there was a reduction in tandem position time on the unstable surface and worse anticipatory postural adjustments (APA) and reactive postural response (RPR) compared to individuals without diabetes (G3).
Conclusion
PDN showed impairments in both static and dynamic balance, with alterations in sensory orientation, decreased anticipatory and reactive postural response. However, individuals with diabetes and without PDN also present worsening response in tandem position time on the unstable surface, APA and RPR tasks.
期刊介绍：
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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