Sensory Functions, Balance, and Mobility in Older Adults With Type 2 Diabetes Without Overt Diabetic Peripheral Neuropathy: A Brief Report

Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society
Nandini DeshpandeAlison Aldred

Abstract

This study examined possible subtle degradation in sensory functions, balance, and mobility in older adults with type 2 diabetes (T2D) prior to overt development of diabetic peripheral neuropathy (DPN). Twenty-five healthy controls (HC group, age = 74.6 ± 5.4) and 35 T2D elderly without DPN (T2D group, age = 70.6 ± 4.7) were recruited. Sensory assessment included vibrotactile sensitivity, bilateral caloric weakness, and visual contrast sensitivity. Self-report measures comprised of Activity-Specific Balance Confidence (ABC), Human Activity Profile-adjusted activity scores (HAP-AAS), falls, and mobility disability. Performance measures included modified Timed-Up and Go (mTUG), Clinical Test of Sensory Integration for Balance (mCTSIB), and Frailty and Injuries (FICSIT-4) balance test. T2D group demonstrated significantly worse bilateral caloric weakness, marginally higher threshold of vibrotactile sensitivity and lower visual contrast sensitivity, and as well as signifcantly lower HAP-AAS. A significantly higher proportion of the T2D group failed mCTSIB Condition 4 than in the HC group. Subtle changes in multiple sensory systems of older adults with T2D may reduce redundancy available for balance control while performing challeng...Continue Reading

References

Feb 1, 1991·Journal of the American Geriatrics Society·D Podsiadlo, S Richardson
Oct 1, 1986·Physical Therapy·A Shumway-Cook, F B Horak
Nov 1, 1995·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·J E Rossiter-FornoffD M Buchner
Jan 1, 1995·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·L E Powell, A M Myers
Sep 8, 2000·Diabetes Care·E W GreggK M Narayan
Feb 28, 2001·Journal of Cataract and Refractive Surgery·M Mäntyjärvi, T Laitinen
Dec 26, 2001·Muscle & Nerve·Helaine E ResnickAaron I Vinik
Jan 5, 2002·Diabetes Care·Edward W GreggUNKNOWN Study of Osteoporotic Fractures Research Group
Apr 2, 2002·Neuroreport·Martha NicholsonCynthia L Darlington
Feb 18, 2004·Archives of Physical Medicine and Rehabilitation·Hylton B MenzRichard C Fitzpatrick
Jun 2, 2005·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Kuniharu InamiYoshiaki Toyama
Sep 27, 2005·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Soham Al SnihJames S Goodwin
Oct 7, 2005·Arthritis and Rheumatism·Laura D BilekJane L Meza
Jan 21, 2006·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Stefano VolpatoJack M Guralnik
Feb 8, 2006·Journal of the American Geriatrics Society·Thomas M GillZhenchao Guo
Apr 25, 2006·Journal of Diabetes and Its Complications·Lindsey M TillingMary Britton
Jul 27, 2006·Journal of the American Geriatrics Society·Nandini DeshpandeAftab E Patla
Sep 14, 2007·Disability and Rehabilitation·Luci Fuscaldi Teixeira-SalmelaSandra Jean Olney
Mar 21, 2008·Diabetes/metabolism Research and Reviews·Carine H M van Schie
Feb 10, 2009·Journal of Motor Behavior·Cédrick BonnetM T Turvey
May 27, 2010·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Yuri AgrawalHoward W Francis
Sep 22, 2010·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Yuri AgrawalLloyd B Minor
Dec 2, 2011·Diabetes Research and Clinical Practice·Tabassom GhanavatiAli-Asghar Arastoo
May 16, 2014·Canadian Journal of Diabetes·Shelley R BoydFrank Stockl
Mar 22, 2014·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Leland M CoxeSherry McCullough
Nov 5, 2014·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Sara A QuandtThomas A Arcury
Dec 9, 2014·Journal of the American Geriatrics Society·Rachel E WardUNKNOWN Health, Aging and Body Composition Study
Dec 21, 2014·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Xinyi NgDonna Harrington

❮ Previous
Next ❯

Software Mentioned

SPSS

Related Concepts

Related Feeds

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.