Postural sway in diabetic peripheral neuropathy among Indian elderly.
Identifieur interne : 000804 ( Main/Exploration ); précédent : 000803; suivant : 000805Postural sway in diabetic peripheral neuropathy among Indian elderly.
Auteurs : Snehil Dixit [Inde] ; Arun Maiya ; B A Shasthry ; D Senthil Kumaran ; Vasudeva GuddattuSource :
- The Indian journal of medical research [ 0971-5916 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
- physiopathologie : Neuropathies diabétiques.
- Adulte d'âge moyen, Femelle, Humains, Inde, Mâle, Posture, Sujet âgé, Études transversales.
English descriptors
- KwdEn :
- MESH :
- physiopathology : Diabetic Neuropathies.
- Aged, Cross-Sectional Studies, Female, Humans, India, Male, Middle Aged, Posture.
Abstract
BACKGROUND & OBJECTIVES
Diabetic peripheral neuropathy (DPN) is a major complication of type 2 diabetes and have long term complications on the postural control of the affected population. The objectives of this study were to evaluate postural stability in patients with DPN and to examine correlation of Michigan Neuropathy Screening Instrument (MNSI) with duration of diabetes, age and postural stability measures.
METHODS
Participants were included if they had clinical neuropathy which was defined by MNSI. Sixty one patients gave their consent to participate in the study and were evaluated on posturography for postural stability measures in four conditions. Repeated measures of analysis of variance (RANOVA) was used to analyze the changes in postural stability measures in different conditions.
RESULTS
An increase in mean value of postural stability measures was observed for velocity moment 20.4±1.3, 24.3±2.2, 42.3±20.7, 59±43.03, mediolateral displacement 0.21±0.10, 0.22±0.18, 0.03±0.11, 0.34±0.18, and anteroposterior displacement 0.39 ± 0.09, 0.45±0.12, 0.47±0.13, 0.51±0.20 from EO to EC, EOF, and ECF, respectively. There was a significant difference (P<0.05) in participants with DPN, with greater sway amplitude on firm and foam surface in all the conditions. Moderate correlation of MNSI with age (r=0.43) and postural stability measures were also observed.
INTERPRETATION & CONCLUSIONS
Evaluation of postural stability in Indian DPN population suggests balance impairments on either firm and foam surfaces, with greater likelihood of fall being on foam or deformable surfaces among elderly adults with neuropathy (CTRI/2011/07/001884).
DOI: 10.4103/0971-5916.174562
PubMed: 26831420
PubMed Central: PMC4774068
Affiliations:
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The objectives of this study were to evaluate postural stability in patients with DPN and to examine correlation of Michigan Neuropathy Screening Instrument (MNSI) with duration of diabetes, age and postural stability measures.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Participants were included if they had clinical neuropathy which was defined by MNSI. Sixty one patients gave their consent to participate in the study and were evaluated on posturography for postural stability measures in four conditions. Repeated measures of analysis of variance (RANOVA) was used to analyze the changes in postural stability measures in different conditions.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>An increase in mean value of postural stability measures was observed for velocity moment 20.4±1.3, 24.3±2.2, 42.3±20.7, 59±43.03, mediolateral displacement 0.21±0.10, 0.22±0.18, 0.03±0.11, 0.34±0.18, and anteroposterior displacement 0.39 ± 0.09, 0.45±0.12, 0.47±0.13, 0.51±0.20 from EO to EC, EOF, and ECF, respectively. There was a significant difference (P<0.05) in participants with DPN, with greater sway amplitude on firm and foam surface in all the conditions. Moderate correlation of MNSI with age (r=0.43) and postural stability measures were also observed.</p></div><div type="abstract" xml:lang="en"><p><b>INTERPRETATION & CONCLUSIONS</b></p><p>Evaluation of postural stability in Indian DPN population suggests balance impairments on either firm and foam surfaces, with greater likelihood of fall being on foam or deformable surfaces among elderly adults with neuropathy (CTRI/2011/07/001884).</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26831420</PMID><DateCompleted><Year>2016</Year><Month>10</Month><Day>31</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0971-5916</ISSN><JournalIssue CitedMedium="Internet"><Volume>142</Volume><Issue>6</Issue><PubDate><Year>2015</Year><Month>Dec</Month></PubDate></JournalIssue><Title>The Indian journal of medical research</Title><ISOAbbreviation>Indian J Med Res</ISOAbbreviation></Journal><ArticleTitle>Postural sway in diabetic peripheral neuropathy among Indian elderly.</ArticleTitle><Pagination><MedlinePgn>713-20</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.4103/0971-5916.174562</ELocationID><Abstract><AbstractText Label="BACKGROUND & OBJECTIVES" NlmCategory="OBJECTIVE">Diabetic peripheral neuropathy (DPN) is a major complication of type 2 diabetes and have long term complications on the postural control of the affected population. The objectives of this study were to evaluate postural stability in patients with DPN and to examine correlation of Michigan Neuropathy Screening Instrument (MNSI) with duration of diabetes, age and postural stability measures.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Participants were included if they had clinical neuropathy which was defined by MNSI. Sixty one patients gave their consent to participate in the study and were evaluated on posturography for postural stability measures in four conditions. Repeated measures of analysis of variance (RANOVA) was used to analyze the changes in postural stability measures in different conditions.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">An increase in mean value of postural stability measures was observed for velocity moment 20.4±1.3, 24.3±2.2, 42.3±20.7, 59±43.03, mediolateral displacement 0.21±0.10, 0.22±0.18, 0.03±0.11, 0.34±0.18, and anteroposterior displacement 0.39 ± 0.09, 0.45±0.12, 0.47±0.13, 0.51±0.20 from EO to EC, EOF, and ECF, respectively. There was a significant difference (P<0.05) in participants with DPN, with greater sway amplitude on firm and foam surface in all the conditions. Moderate correlation of MNSI with age (r=0.43) and postural stability measures were also observed.</AbstractText><AbstractText Label="INTERPRETATION & CONCLUSIONS" NlmCategory="CONCLUSIONS">Evaluation of postural stability in Indian DPN population suggests balance impairments on either firm and foam surfaces, with greater likelihood of fall being on foam or deformable surfaces among elderly adults with neuropathy (CTRI/2011/07/001884).</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dixit</LastName><ForeName>Snehil</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Physiotherapy, School of Allied Health Sciences, Manipal University, Manipal, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Maiya</LastName><ForeName>Arun</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Shasthry</LastName><ForeName>B A</ForeName><Initials>BA</Initials></Author><Author 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