Authors :
Dr. Smati Sambyal; Dr. Sandeep Kumar; Kanchan; Kulvinder Kaur
Volume/Issue :
Volume 9 - 2024, Issue 8 - August
Google Scholar :
https://tinyurl.com/yn425cxr
Scribd :
https://tinyurl.com/5xhbkwet
DOI :
https://doi.org/10.38124/ijisrt/IJISRT24AUG642
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Introduction
Diabetes mellitus (DM) is the most common endocrine
disorder, affecting over 100 million people globally. Type 2
diabetes mellitus (T2DM) is particularly prevalent, with
projections indicating a rise in global prevalence from
8.8% in 2017 to 9.9% by 2045. India, in particular, has the
highest number of diabetic patients. T2DM patients often
experience peripheral neuropathy and muscle weakness,
leading to postural instability and gait issues. This study
aims to assess the dynamic postural stability in T2DM
patients and its correlation with the duration of diabetes.
Methods
An observational study was conducted from February
2024 to June 2024 at the University College of
Physiotherapy and the Department of Medicine, Guru
Gobind Singh Medical College and Hospital, Faridkot.
Thirty patients with T2DM, aged 40-60, were enrolled. The
Y-Balance Test (YBT) was used to evaluate dynamic
postural stability. Patients performed reach tests in three
directions: anterior (AN), posteromedial (PM), and
posterolateral (PL). The composite reach distance was
calculated for each leg, and the composite percentage was
determined.
Results
The study included 16 males and 14 females with a
mean age of 53.2 years and an average diabetes duration of
5.723 years. The composite reach percentages for the left
and right legs were 68.43% and 68.37%, respectively.
Significant correlations were found between the reach
distances of both legs, particularly in the AN, PM, and PL
directions. A negative correlation was observed between
diabetes duration and composite reach percentages,
indicating that longer diabetes duration is associated with
greater impairment in dynamic postural stability.
Discussion
The findings suggest that patients with longer
durations of T2DM have compromised dynamic postural
control, increasing their risk of falls and lower limb
injuries. The YBT, derived from the Star Excursion
Balance Test (SEBT), is effective in assessing these deficits.
The results align with previous studies, confirming the
impact of diabetes on postural stability.
Conclusion
Dynamic postural stability declines with the
increasing duration of T2DM, regardless of the presence of
diabetic complications. Regular assessment using the YBT
can help in early identification and management of
postural instability in T2DM patients, potentially reducing
fall risk and associated injuries.
References :
- Najafi B, Horn D, Marclay S, Crews RT, Wu S, Wrobel JS. Assessing postural control and postural control strategy in diabetes patients using innovative and wearable technology. J Diabetes Sci Technol. 2010 Jul 1;4(4):780-91. doi: 10.1177/193229681000400403. PMID: 20663438; PMCID: PMC2909506
- Mohan V, Sandeep S, Deepa R, Shah B, Varghese C. Epidemiology of type 2 diabetes: Indian scenario. Indian J Med Res. 2007 Mar;125(3):217-30. PMID: 17496352.
- Mehmood, Momina & Shaheen, Farah & Izhar, Nabira & Rehman, Hafiz & Ehsan, Afifa & Rehman, Anam. (2022). Analysis of Dynamic Postural Stability through Y-Balance Test among Patients with Type-II Diabetes Mellitus: An Observational Study. Pakistan Journal of Medical and Health Sciences. 16. 227-229. 10.53350/pjmhs20221612227.
- Bonnet C, Carello C, Turvey MT. Diabetes and postural stability: review and hypotheses. J Mot Behav. 2009 Mar;41(2):172-90. doi: 10.3200/JMBR.41.2.172-192. PMID: 19201687
Introduction
Diabetes mellitus (DM) is the most common endocrine
disorder, affecting over 100 million people globally. Type 2
diabetes mellitus (T2DM) is particularly prevalent, with
projections indicating a rise in global prevalence from
8.8% in 2017 to 9.9% by 2045. India, in particular, has the
highest number of diabetic patients. T2DM patients often
experience peripheral neuropathy and muscle weakness,
leading to postural instability and gait issues. This study
aims to assess the dynamic postural stability in T2DM
patients and its correlation with the duration of diabetes.
Methods
An observational study was conducted from February
2024 to June 2024 at the University College of
Physiotherapy and the Department of Medicine, Guru
Gobind Singh Medical College and Hospital, Faridkot.
Thirty patients with T2DM, aged 40-60, were enrolled. The
Y-Balance Test (YBT) was used to evaluate dynamic
postural stability. Patients performed reach tests in three
directions: anterior (AN), posteromedial (PM), and
posterolateral (PL). The composite reach distance was
calculated for each leg, and the composite percentage was
determined.
Results
The study included 16 males and 14 females with a
mean age of 53.2 years and an average diabetes duration of
5.723 years. The composite reach percentages for the left
and right legs were 68.43% and 68.37%, respectively.
Significant correlations were found between the reach
distances of both legs, particularly in the AN, PM, and PL
directions. A negative correlation was observed between
diabetes duration and composite reach percentages,
indicating that longer diabetes duration is associated with
greater impairment in dynamic postural stability.
Discussion
The findings suggest that patients with longer
durations of T2DM have compromised dynamic postural
control, increasing their risk of falls and lower limb
injuries. The YBT, derived from the Star Excursion
Balance Test (SEBT), is effective in assessing these deficits.
The results align with previous studies, confirming the
impact of diabetes on postural stability.
Conclusion
Dynamic postural stability declines with the
increasing duration of T2DM, regardless of the presence of
diabetic complications. Regular assessment using the YBT
can help in early identification and management of
postural instability in T2DM patients, potentially reducing
fall risk and associated injuries.
