Disorders of Posture, Gait and Walking in Diabetes Mellitus

Year 2012, Volume: 21 Issue: 3, 151 - 162, 01.09.2012

M. Taylan Peköz Yakup Sarıca

Abstract

There are several different complications of diabetes mellitus in many body systems. Diabetic neuropathy is one of the most important neurological complication of diabetes mellitus. Neurological complications of diabetes mellitus are predisposing factors for the development of posture, gait and balance disorders and falls. These issues have been briefly reviewed in this article.

Keywords

Diabetes Mellitus, Gait, Balance, Posturography, Falls

Diyabetes Mellitusta Postür, Denge ve Yürüme Bozuklukları

Abstract

Diabetes mellitus vücudun birçok sisteminde çeşitli komplikasyonlara yol açar. Diyabetik nöropati, diyabetin önemli nörolojik komplikasyonlarından biridir. Diyabete bağlı nörolojik bozukluklar postür, denge ve yürüme bozukluklarının ve düşmelerin gelişiminde predispozan faktörlerdir. Bu konular bu derlemede kısaca gözden geçirilmiştir.

Keywords

Diyabetes Mellitus, Yürüme, Denge, Postürografi, Düşme

References

• Peksen Y. Diyabetik Ayak. In: Diabetes Mellitus Epidemiyolojisi. Gülman B, Ed. 2.Baskı Ofset, Samsun. 2000: 11-26.
• Laakso M. Tip 2 diyabetin epidemiyolojisi ve tanısı. Çeviri editörü: Akman A C. Tip 2 Diyabet.1.baskı. ADA Ltd. Şti. İstanbul. 2004: 1-12. 3. Alvin C. Diabetes Mellitus. Braunwald E, Fauci A, Kasper D, Hauser S, Lango D, Harrison. 15thEd., McGraw-Hill Company, New York. 2000: 2114-2125.
• American Diabetes Association. Diagnosis and Clasification of Diabetes Mellitus. Diabetes Care. 2004; 27:5-14.
• American Diabetes Association. Screening for type 2 diabetes. Diabetes Care. 2004; 27:Suppl 1:11-14.
• Ritz E, Reinhold S, Nephropathy in Patients with Type 2 Diabetes Mellitus. N Engl J Med .1999; 341:1127-1133. 7. Boultan AJM, Malik RA. Diabetic neuropathy. Prevention and treatment of diabetes and its complications. Med Clin North Am. 1998; 82:909-929. 8. Boulton AJ, Vinik I, Arezzo JC, Bril V, Feldman EL, Freeman R et al. Diabetic Neuropathies. Diabetes Care. 2005; 28:956-962.
• Tunçbay T, Tunçbay E. Nöromusküler Hastalıklar. 1. Baskı, Ege Üniversitesi, İzmir., 2000: 357-371.
• 10. O’Sullivan S.B. Assessment of motor functions. In: Physical Rehabilitation Assessment and Treatment, O’Sullivan SB, Schmitz TJ, editors. F.A. Davis Company, Philadelphia. 2001: 177-212.
• Allison L, Fuller K. Balance and vestibular disorders. In: Neurological Rehabilitation Umphred D (eds), Aharcourt Health Sciences Company, New York. 2000; 116: 616-660.
• Karatas M. Denge ve Koordinasyon, In: Temel ve Uygulanan Kinezyoloji. Editör: Akman N, Karatas M., Haberal Eğitim Vakfı, Ankara. 2003: 281-288.
• Guyton AC. Beyin sapı ve bazal gangliyonların motor fonksiyonları, Retiküler formasyon, vestibüler aparey, denge ve beyin sapı refleksleri. In:Textbook of Medical Physiology , Merk Yayıncılık, Guyton AC. (Ed) Ankara. 1986: 887-905.
• Nutt JG, Horak, FB. Gait and balance disorders. In: Watts RL, Koller WC, editors. Movement Disorders. McGraw-Hill Companies, New York. 1997: 649-660.
• 15. Berg KO, Kairy D. Balance interventions to prevent falls. Generation 2003; 26: 75-78.
• 16. American Geriatrics Society, British Geriatrics Society and American Academy of Orthopedic Surgeons Panel on Falls Preventation. Guideline for prevention of falls in older persons. J Am Geriatr Soc 2001; 49: 664-672.
• Vellas BJ, Rubenstein LZ , Ousset PJ, Faisant C, Kostek V, Nourhashemi F, et al. One-leg standing balance and functional status in a population of 512 community living elderly persons. Aging(Milano). 1997; 9: 95-98.
• Üneri A. Bilgisayarlı dinamik postürografi. In: Vertigo, Editör: Ardıç FN, Güven Kitapevi, İzmir. 2005: 95-108.
• Nashner LM, Peters JF. Dynamic posturography in the diagnosis and management of dizziness and balance disorders. Neurol Clin. 1990; 2: 331- 349.
• Adams RD, Victor M, Brown RH, Ropper AH. Principles of Neurology. 9th Ed Mc Graw Hill, New York. 2005: 110-114.
• Camicioli R, Panzer VP, Balance in the Healthy Elderly, Arch Neurol. 1997; 54(8):976-981.
• Dagmar Timmann, Hans Christoph Diener. Coordination and Ataxia. In Goetz C, Textbook of Clinical Neurology, 3rd ed, Saunders, New York. 2007: Chapter 17.
• Kwon OY, Minor SD, Maluf KS, Mueller MJ. Comparison of mucle activity during wolking in subjects with and without diabetic neuropathy. Gait and posture. 2003; 18:102-11.
• Abbound RJ, Rowley DI, Newton RW.Lower limb muscle dysfunction may contribute to foot ulceration in diabetic patients..Clinical biomechanics. 2000 Jan; 15(1) :37-45.
• Sacco ICN, Amadio AC, Influenca of the diabetic neuropathy on the behavior of electromyographic and sensorial responses in treadmill gait. Clinical Biomechanics. 2003; 18:426-434.