Author/Authors :
MOSA, GEHAN Cairo University - Faculty of Physical Therapy - Departement of Physical Therapy for Neuromuscular Disorders and Its Surgery, Egypt , ELGOHARI, AMIRA Cairo University - Faculty of Medicine - Department of Clinical Neurophysiology, Egypt , ELNASSAG, BASSAM Cairo University - Faculty of Physical Therapy - Departement of Physical Therapy for Neuromuscular Disorders and Its Surgery, Egypt , MIDAN, MAHMOUD E. Cairo University - Faculty of Physical Therapy - Departement of Physical Therapy for Neuromuscular Disorders and Its Surgery, Egypt , ATTIA, MOHAMMED Cairo University - Faculty of Engineering - Department of Systems and Biomedical Engineering, Egypt
Abstract :
Background: Diabetic polyneuropathy (DPN) is one of the most common complications of diabetic patients that thought to have an effect on gait and balance resulting from; deficiency of the sensory feedback and poor neuromuscular control mainly in distal structures. Hence, measurement of center of pressure (COP) is valuable evaluation that gives an indication about foot rocking movement and postural stability during walking.Objectives: The current study was designed to compare between COP trajectory and balance amongst diabetic (D) and diabetic Neuropathic (DN) patients and to correlates between them.Patients and Methods: Thirty diabetic patients participated in this study from both sexes with age ranged between 50-60 years and body mass index (BMI) between 30-35kg/m². Fifteen patients with polyneuropathy group (DN) the rest of the patients without polyneuropathy group (D). Each group consists of (11 females and 4 males). The study was done at Rehab and Bionics Lab at Systems and Biomedical Engineering Department College of Engineering Cairo University in the period between November 2015 and March 2016. Balance was evaluated with Berg balance scale while COP excursion and velocity were measured by pressure measuring insole system. Results: There were significant decrease in anteroposterior COP excursion and velocity together with decreased stability in DN group as compared with D group in addition, there were weak and moderate correlation between balance and velocity of mediolateral and anteroposterior COP respectively in both group.Conclusion: DPN has a direct effect on COP trajectory and stability in diabetic patients, based on that, DPN patients may have higher demand on proximal strategies for acceleration and maintaining balance also it increases incidence of fall in these patients.
