Turkiye Klinikleri Journal of Medical Sciences

.: ORIGINAL RESEARCH
Effectiveness of Proprioceptive Exercise on Balance and Sensory Function in Nursing Home Geriatric Individuals with Diabetes: Randomized Controlled Trial
Huzurevindeki Geriatrik Diyabetli Bireylerde Proprioseptif Egzersizin Denge ve Duyusal Fonksiyona Etkisi: Randomize Kontrollü Çalışma
Fatma DEMİRa, Mustafa ŞAHİNb, Gizem ERGEZENa,c
aDepartment of Physical Therapy and Rehabilitation, İstanbul Medipol University Institute of Health Sciences, İstanbul, TURKIYE
bDepartment of Orthopaedic and Traumatology, İstanbul Medipol University Faculty of Medicine, İstanbul, TURKIYE
cDepartment of Physiotherapy and Rehabilitation, İstanbul Medipol University Faculty of Health Science, İstanbul, TURKIYE
Turkiye Klinikleri J Med Sci. 2022;42(1):27-34
doi: 10.5336/medsci.2021-86357
Article Language: EN
Full Text
ABSTRACT
 Objective: Diabetes is a chronic disease whose prevalence increases with age and causes severe damages in all systems of the body. The aim of our study was to assess the effects of proprioceptive exercises on balance and sensory function in the geriatric adults with Type 2 diabetes mellitus. Material and Methods: Forty individuals aged 65 and over with Type 2 diabetes mellitus were divided as a study group (n=20) and as a control group (n=20). All patients were evaluated at the baseline and after 8 weeks training. Balance was measured using Berg Balance Scale and Nintendo Wii system. Balance and gait were evaluated by Tinetti Balance and Gait Test. Semmes-Weinstein monofilament test was used for assessing tactile sensory, diapason for vibration and active matching test for joint position sense. Study group received 45 minutes long proprioceptive exercise training 3 times/week for 8 weeks and the control group only received diabetic patient education. Results: Study group demonstrated significant differences in Berg Balance Scale, Wii Fit balance age and Tinetti Balance and Gait Test scores (p<0.05). Vibration perception duration yielded a higher duration in the study group after treatment (p<0.05). Active matching movement and tactile sensory of the sole showed statistically improvement in the study group (p<0.05). Conclusion: Proprioceptive exercises recommended to individuals with geriatric diabetes can be a beneficial approach to increase balance ability to prevent falling and somatosensory loss.

Keywords: Diabetes mellitus; geriatrics; postural balance; proprioception; sensation
ÖZET
 Amaç: Diyabet, prevalansı yaşla birlikte artan ve vücudun tüm sistemlerinde ciddi hasarlara neden olan kronik bir hastalıktır. Çalışmamızın amacı, Tip 2 diabetes mellituslu geriatrik erişkinlerde proprioseptif egzersizlerin denge ve duyusal fonksiyon üzerine etkilerini değerlendirmektir. Gereç ve Yöntemler: Tip 2 diabetes mellituslu 65 yaş ve üzeri 40 birey çalışma grubu (n=20) ve kontrol grubu (n=20) olarak ayrıldı. Tüm hastalar başlangıçta ve 8 haftalık eğitimden sonra değerlendirildi. Denge, Berg Denge Ölçeği ve Nintendo Wii sistemi kullanılarak ölçüldü. Denge ve yürüme, Tinetti Denge ve Yürüyüş Testi ile değerlendirildi. Dokunma duyusunu değerlendirmek için Semmes- Weinstein monofilament testi, titreşim için diyapazon ve eklem pozisyon duyusu için aktif eşleştirme testi kullanıldı. Çalışma grubu 8 hafta boyunca haftada 3 kez 45 dk'lık proprioseptif egzersiz eğitimi aldı ve kontrol grubuna sadece diyabetik hasta eğitimi verildi. Bulgular: Çalışma grubu, Berg Denge Ölçeği, Wii Fit denge yaşı ve Tinetti Denge ve Yürüyüş Testi puanlarında anlamlı farklılıklar gösterdi (p<0,05). Titreşim algılama süresi, tedaviden sonra çalışma grubunda daha yüksek bir süre ile sonuçlandı (p<0,05). Aktif eşleştirme hareketi ve tabanın taktil duyusu, çalışma grubunda istatistiksel olarak gelişme gösterdi (p<0,05). Sonuç: Geriatrik diyabetli bireylere önerilen proprioseptif egzersizler, düşme ve somatosensoriyel kaybı önlemek için denge becerisini artırmada faydalı bir yaklaşım olabilir.

Anahtar Kelimeler: Diabetes mellitus; geriatri; postural denge; propriosepsiyon; duyu
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