24Jan 2019

ANALYSIS OF BALANCE DYSFUNTION AND FALL RISK IN PATIENTS WITH DAIBETES : AN OBSERVATIONAL STUDY.

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Background: Diabetes Mellitus (DM) it is metabolic disorder in which there are high blood sugar levels over a prolonged period. Neuropathies are one of the most common complication of DM. DN may compromise balance during daily activities. Patients with DN have a fivefold increased risk of falling and the consequences include decline in mobility, activity avoidance, institutionalization and mortality. Aims and Objectives: the aim of the study to analysis of balance dysfunction and fall risk in diabetic patients. Material and method: An observational study was conducted in Dr.VitthalraoVikhePatil Memorial Hospital, Ahmednagar. Also door-to-door patients were taken with type 2 DM in Bhingar. Camps were also held at Vadgoan Gupta &GulmoharRoad,Ahmednagar. This study also included patients with Type 2 DM attendingDr. Bharat?s Diabetic Clinic & Foot Care, Ahmednagar.80 patients with diabetes were taken.The presence and severity of DN was evaluated using the Michigan Neuropathy Screening Instrument, a tool which allows both diagnosing and severity staging of DN. The balance impairment and the risk of falls were evaluated using two validated and standardized tools: Berg Balance Scale (BBS), Timed-up and Go test (TUG). Result:According to our study which was done on 80 patients with daibetes with age group 40-50 and 51-60.we found out that there is extreamely significant result which shows patients with diabetic neuropathy had high risk of fall and balance impairment as compared to non neuropathic patients. Conclusion: The study concluded that there is higher chances of balance dysfunction and fall risk in diabetic neuropathy amongst diabetic people in Ahmednagar City and more and more awareness is necessary to reduce the chances of disability due to diabetic neuropathy.

  1. SeemaAbhijeet Kaveeshwar1, Jon Cornwall2. The current state of diabetes mellitus in India.1. Bangalore, India 2. University of Otago.Australasian Medical Journal [AMJ 2014, 7, 1, 45-48]
  2. Timar B, Timar R, Gaiță L, Oancea C, Levai C, Lungeanu D (2016) The Impact of Diabetic Neuropathy on Balance and on the Risk of Falls in Patients with Type 2 Diabetes Mellitus: A Cross- Sectional Study. PLoS ONE 11(4): e0154654.doi:10.1371/journal.pone.0154654
  3. Boulton AJ, Malik RA.?Diabetic neuropathy.?Med Clin North Am. July 1998;?82(4):909?29
  4. Muir SW, Berg K, Chesworth B, Klar N, Speechley M. Quantifying the magnitude of risk for balance
  5. impairment on falls in community-dwelling older adults: a systematic review and meta-analysis. J Clin
  6. 2010; 63(4): 389?406. doi: 10.1016/j.jclinepi.2009.06.010 PMID: 19744824
  7. Brown SJ, Handsaker JC, Bowling FL, Boulton AJ, Reeves ND. Diabetic peripheral neuropathy compromises
  8. balance during daily activities. Diabetes Care. 2015; 38(6): 1116?22. doi: 10.2337/dc14-
  9. 1982 PMID: 25765355
  10. Hewston P, Deshpande N. Falls and Balance Impairments in Older Adults with Type 2 Diabetes: Thinking
  11. Beyond Diabetic Peripheral Neuropathy. Can J Diabetes. 2016; 40(1):6?9. doi: 10.1016/j.jcjd.2015.
  12. 005 PMID: 26778679
  13. Hewston P, Deshpande N. Falls and Balance Impairments in Older Adults with Type 2 Diabetes: Thinking
  14. Beyond Diabetic Peripheral Neuropathy. Can J Diabetes. 2016; 40(1):6?9. doi: 10.1016/j.jcjd.2015.
  15. 005 PMID: 26778679
  16. Gauri Gharote1,Biradar Vijaykumar2,Ujawal Yeole3,Praveen Gawali4,Roshan Adikitte5.Prevalnce of balance alteration in geriatric population using balance scale.2016,vol 4(5):1679-83.ISSN 2321-1822.
  17. Greenberg SA. Analysis of measurement tools of fear of falling for high-risk, community-dwelling older
  18. ClinNurs Res. 2012; 21(1):113?30. doi: 10.1177/1054773811433824 PMID: 22373731
  19. Mathew S. Maurer, Joyce Burcham, and Huai Cheng Diabetes Mellitus Is Associated With an Increased Risk of Falls in Elderly Residents of a Long-Term Care Facility Journal of Gerontology: MEDICAL SCIENCES Copyright 2005 by The Gerontological Society of America
  20. 2005, Vol. 60A, No. 9, 1157?1162
  21. International Diabetes Federation. IDF Diabetes Atlas, 7 ed. Brussels, Belgium: International Diabetes Federation, 2015.
  22. Mota M, Popa SG, Mota E, Mitrea A, Catrinoiu D, Cheta DM, et al. Prevalence of diabetes mellitus and pre diabetes in the adult Romanian population: PREDATORR study. J Diabetes. 2015 Apr 7. doi: 10.
  23. 1111/1753-0407.12297
  24. Lagani V, Koumakis L, Chiarugi F, Lakasing E, Tsamardinos I. A systematic review of predictive risk models for diabetes complications based on large scale clinical studies. J Diabetes Complications. 2013; 27(4): 407?13. doi: 10.1016/j.jdiacomp.2012.11.003 PMID: 23273850
  25. Giacco F, Brownlee M. Oxidative stress and diabetic complications. Circ Res. 2010; 107(9): 1058? 1070. doi: 10.1161/CIRCRESAHA.110.223545 PMID: 21030723
  26. Boulton AJ, Malik RA. Diabetic neuropathy. Med Clin North Am. Jul 1998; 82(4):909?29. PMID: 9706126
  27. Dyck PJ, Kratz KM, Karnes JL, Litchy WJ, Klein R, Pach JM, et al. The prevalence by staged severity of various types of diabetic neuropathy, retinopathy, and nephropathy in a population-based cohort: the Rochester Diabetic Neuropathy Study. Neurology. 1993; 43(4): 817?24. PMID: 8469345
  28. Tesfaye S, Selvarajah D, Advances in the epidemiology, pathogenesis and management of diabetic peripheral neuropathy, Diabetes Metab Res Rev. 2012; Suppl 1: 8?14
  29. Tahrani AA, Dubb K, Raymond NT, Begum S, Altaf QA, Sadigi H, et al. Cardiac autonomic neuropathy predicts renal function decline in patients with type 2 diabetes: a cohort study. Diabetologia. 2014; 57 (6): 1249?56. doi: 10.1007/s00125-014-3211-2 PMID: 24623102
  30. ?Diabetes Mellitus?- Wikipedia https://en.m.wikipedia.org/wiki/Diabetes_mellitus Types of diabetes.

[Srushti v.kulkarni, Chetana Kunde and Suvarna Ganvir. (2019); ANALYSIS OF BALANCE DYSFUNTION AND FALL RISK IN PATIENTS WITH DAIBETES : AN OBSERVATIONAL STUDY. Int. J. of Adv. Res. 7 (Jan). 1300-1305] (ISSN 2320-5407). www.journalijar.com

Miss. Srushti Kulkarni
Intern

DOI:

Article DOI: 10.21474/IJAR01/8453      
DOI URL: https://dx.doi.org/10.21474/IJAR01/8453

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