GERİATRİK TİP 2 DİYABETES MELLİTUS OLAN HASTALARDA DENGE PARAMETRELERİ VE DÜŞME KORKUSUNUN İLİŞKİSİ

Year 2018, Volume: 29 Issue: 3, 53 - 58, 17.12.2018

Meltem Işıntaş Arık Hümeyra Kiloatar , Kevser Onbaşı

https://doi.org/10.21653/tfrd.390337

Abstract

Purpose: The
purpose of this study is to investigate the effects of FOF on balance in
elderly with Type 2 DM.

Methods: The study included 31 Type-2 DM patients who were
diagnosed by a specialist doctor and 29 healthy control groups over aged of 55
years. Fear of falling was assessed by International Fall Efficacy Scale. The balance
parameters about center of the pressure which are COP length and COP velocity were
measured and recorded by the Zebris FDM-2 instrument in standing position. Mobility
of the individuals was assessed by timed up and go test. 

Results:There was significant difference between diabetic
and control groups regarding COP parameters (p<0.05).
In the diabetic patients, there was a statistically significant relationship
between fear of falling, COP length and COP velocity (p<0.05). There was significant correlation between COP velocity, COP
length and TUG (p<0.05).

Conclusion: In elderly with Type 2 DM, more balance disturbances
occurs compared to age matched individuals without DM and fear of falling can
affect balance negatively in geriatric type 2 diabetes patients.

RELATIONSHIP BETWEEN BALANCE AND FEAR OF FALLING IN GERIATRIC TYPE 2 DIABETES MELLITUS PATIENTS

Abstract

Purpose: The purpose of this study was to compare balance parameters
and fear of falling in geriatric individuals with and without type 2 diabetes
(DM), and to investigate the relationship between balance and fear of falling
in these groups.

Methods: The study
included 31 type 2 DM patients who were diagnosed by a specialist doctor and 29
age matched controls. Fear of falling was assessed using the International Fall
Efficacy Scale. The balance parameters including center of the pressure (COP) which
are the COP length and the COP velocity were measured and recorded using the gait
analysis system, Zebris FDM-2 instrument, in standing position. Balance was
also assessed using timed up and go test (TUG).

Results: There was
a significant difference between diabetic and control groups regarding COP
length (p=0.021) and COP velocity (p=0.028). In the diabetic patients, there was
a statistically significant relationship between fear of falling and COP length
(p=0.001) and COP velocity (p= 0.001). There was a significant correlation
between TUG and COP velocity (p<0.001) and COP length (p< 0.001) in type
2 DM patients.

Conclusion: In elderly
with type 2 DM, increased balance disturbances occurred compared to age matched
individuals without DM, and fear of falling was associated with balance in
geriatric type 2 DM patients. It is therefore important to understand the
changes occurring in balance so that future complications may be prevented,
early diagnosis and intervention may be achieved in the event of a problem, and
a decision about appropriate approaches for treatment can be made.

Keywords

Balance, Diabetes Mellitus, Fear of Falling

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