Evaluating static postural control in subjects with controlled-diabetes mellitus II

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Title: Evaluating static postural control in subjects with controlled-diabetes mellitus II
Authors: Rosario, Martin G. | Hyder, Aneesah | Orozco, Elizabeth | Vélez Bartolomei, José G. | Quiñones, Carlos Lebrón | Bayron, Flavia
Keywords: Diabetes | Static balance | Sways | Centre of pressure | Pressure mat | Weight distribution
Knowledge Area: Educación Física y Deportiva
Issue Date: 2019
Publisher: Universidad de Alicante. Área de Educación Física y Deporte
Citation: Journal of Human Sport and Exercise. 2020, 15(2), in press. doi:10.14198/jhse.2020.152.09
Abstract: Diabetes and neuropathy have been linked to postural instability. Aims: The purpose of this study is to determine how each system involved in balance is affected when challenged in a static standing posture. The goal was to identify postural instability by measuring balance through the amount of sway and weight bearing distribution in non-neuropathic controlled type II diabetics. Methods: Twelve participants (five males and seven females) with controlled type II diabetes mellitus and no history of peripheral neuropathy (Non-PN cDMII) formed the diabetic group, whereas eighteen participants (7 males and 11 females) without type II diabetes formed the control group. The exclusion criteria was applied via a series of screening tests (Berg Balance Scale, Five Times Sit To Stand Test, Functional Reach Test and Monofilament Test). Postural stability and weight distribution during quiet standing were measured using a Tekscan Matscan pressure mat, which measured the amount of sway and weight distribution. Static postural control was evaluated during eight sensory conditions that perturbed or stimulated the visual, proprioceptive, and vestibular systems. Results: Postural control was found to be significantly deficient when the vestibular system was stimulated, whereas the proprioceptive system was perturbed. After the data analysis, there was a significant difference in antero-posterior sway (P=0.05) with the following tasks: eyes open with head movements on an unstable surface, and eyes closed with head movements on a firm surface. Conclusions: The results revealed that the experimental group with type II diabetes had greater postural instability when compared to the control group during tasks with the vestibular system on an unstable surface. This demonstrates that, due to their deficits, individuals with non-PN cDMII are unable to maintain their balance when the vestibular and proprioceptive systems are challenged simultaneously.
URI: https://doi.org/10.14198/jhse.2020.152.09 | http://hdl.handle.net/10045/92927
ISSN: 1988-5202
DOI: 10.14198/jhse.2020.152.09
Language: eng
Type: info:eu-repo/semantics/article
Rights: Licencia Creative Commons Reconocimiento-NoComercial-SinObraDerivada 4.0
Peer Review: si
Publisher version: https://www.jhse.ua.es/
Appears in Collections:Revistas - Journal of Human Sport and Exercise - 2020, Vol. 15, No. 2, In Press

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