Author/Authors :
de Cássia Ernandes, Rita Universidade São Judas Tadeu, São Paulo, SP, Brazil , Carlos Brech, Guilherme Universidade São Judas Tadeu, São Paulo, SP, Brazil , Mariana Silva Luna, Natália Universidade São Judas Tadeu, São Paulo, SP, Brazil , Bega, Armando Universidade Anhembi Morumbi, São Paulo, SP, Brazil , Serra Guimarães, Danielle Universidade Federal do Espírito Santo - Physiology and Experimental Biochemistry Laboratory of Physical Education Sport Center, Vitória, ES, Brazil , Sales Bocalini, Danilo Universidade Federal do Espírito Santo - Physiology and Experimental Biochemistry Laboratory of Physical Education Sport Center, Vitória, ES, Brazil , Scherrer Júnior, Gerson Universidade Federal de São Paulo, São Paulo, SP, Brazil , Maria D’Andrea Greve, Julia Universidade de São Paulo - Hospital das Clínicas - Medical School - Institute of Orthopedics and Traumatology, São Paulo, SP, Brazil , Eugênio Garcez Leme, Luiz Universidade de São Paulo - Hospital das Clínicas - Medical School - Institute of Orthopedics and Traumatology, São Paulo, SP, Brazil , Castilho Alonso, Angélica Universidade de São Paulo - Hospital das Clínicas - Medical School - Institute of Orthopedics and Traumatology, São Paulo, SP, Brazil
Abstract :
Objective: To analyze the impact of the Peripheral Diabetic Neuropathy
(PDN) on the postural and functional balance and quality of life of
Brazilian older adults. Methods: A cross-sectional study. Sixty older
men and women (60-79 years) were divided into three groups:
control, DM without and with PDN. The following parameters were
evaluated: anthropometry; quality of life; postural balance (BESTest);
functional balance in force plate (NeuroCom Balance). Results:
PDN group presented significant differences compared with the
other groups, with the worst performance in quality of life than DM2
without PDN in: sensory functioning (p = 0.030); past and future
(p = 0.036); death and dying (p = 0.035). Postural balance deficit
in the total score (p = 0.025) and biomedical constraints section
(p = 0.043) of the BESTest, compared with DM2 without PDN (p = 0.007).
In the functional balance (Neurocom), PDN group presented a worse
performance in the time spent on the left side (p = 0.030) than the
control group. During step up over test, the control group performed
the task faster than the group with PDN (p = 0.004). Conclusion: This
study showed that neuropaths presented worse physical performance
and postural balance deficits, sensorial limitations, affecting the
daily tasks and, as a consequence, decreasing the quality of life
in Brazilian older adults. Level of Evidence II, Cross-sectional
observational study.
