AI Article Synopsis
- A study assessed the effects of individual factors and multiple sensory inputs on the balance (postural sway) of 69 adults, including 48 with type 2 diabetes and 21 healthy individuals.
- Various evaluations, like physical activity levels and strength, alongside environmental conditions, were examined to understand their relationship with balance issues.
- The findings revealed that adults with diabetes experience different balance challenges based on their condition, indicating the need for tailored rehabilitation programs.
Article Abstract
To assess the interactions between individual cofactors and multisensory inputs on the postural sway of adults with type 2 diabetes and healthy subjects, 69 adults accepted to participate in the study (48 with/ 21 without diabetes). Assessments included neuro-otology (sinusoidal-rotation and unilateral-centrifugation), ophthalmology and physiatry evaluations, body mass index (BMI), physical activity, quadriceps strength, the ankle/brachial index and polypharmacy. Postural sway was recorded on hard/soft surface, either with eyes open/closed, or without/with 30° neck extension. The proportional differences from the baseline of each condition were analyzed using Multivariate and Multivariable analyses. Patients with polyneuropathy and no retinopathy showed visual dependence, while those with polyneuropathy and retinopathy showed adaptation. Across sensory challenges, the vestibulo-ocular gain at 1.28 Hz and the BMI were mainly related to changes in sway area, while the dynamic visual vertical was mainly related to changes in sway length. The ankle/brachial index was related to the effect of neck extension, with contributions from quadriceps strength/physical activity, polyneuropathy and polypharmacy. Across conditions, men showed less sway than women did. In conclusion, in adults with diabetes, sensory inputs and individual cofactors differently contribute to postural stability according to context. Rehabilitation programs for adults with diabetes may require an individualized approach.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9688443 | PMC |
| http://dx.doi.org/10.3390/brainsci12111489 | DOI Listing |
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