Acta clinica Croatica, Vol. 60. No. 2., 2021.
Original scientific paper
https://doi.org/10.20471/acc.2021.60.02.04
Plantar Sensation and Balance in Patients with Type 2 Diabetes Mellitus with and without Peripheral Neuropathy
Eylem Tütün Yümin
; Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bolu Abant İzzet Baysal University, Bolu, Turkey;
Tülay Tarsuslu Şimşek
; School of Physical Therapy and Rehabilitation, Dokuz Eylül University, İzmir, Turkey
Yeşim Bakar
; Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, İzmir Bakırçay University, İzmir, Turkey
Abstract
The aim of the study was to investigate the effect of diabetes on plantar sense and
balance in patients with type 2 diabetes mellitus (T2DM). The study included 300 subjects divided
into three groups: 100 T2DM patients with diabetic peripheral neuropathy (group 1); 100 T2DM
patients without peripheral neuropathy (group 2); and 100 subjects without DM (group 3). Berg Balance
Scale (BBS), Timed Up and Go test (TUG), single leg test with eyes open and closed, and
plantar sensory tests were applied in the subjects. Study results showed significant differences in plantar
sensory tests, BBS, TUG and single leg test among the three groups (p<0.05). In addition, duration
of DM and medication were negatively correlated with single leg test both with eyes open and closed,
but showed positive correlation with plantar sense and TUG test. Furthermore, the length of insulin
therapy showed positive correlation with plantar sense and TUG test and negative correlation with
BBS (p<0.05). In conclusion, DM has an effect on plantar sense and balance, and there is a relation
between the duration of DM and balance problems. Balance problems are observed more often in
patients with neuropathy.
Keywords
Balance; Diabetes mellitus; Plantar sense; Diabetic neuropathy; Semmes-Weinstein monofilaments
Hrčak ID:
263324
URI
Publication date:
1.6.2021.
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