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BIOMECHANICAL CHANGES SEEN IN DIABETIC NEUROPATHY

Yıl 2018, Cilt: 32 Sayı: 2, 167 - 172, 27.08.2018
https://doi.org/10.5505/deutfd.2018.36449

Öz

Diabetic peripheral neuropathy is
an important and long-term complication of diabetes. Prolonged exposure to high
blood glucose levels in diabetic subjects, causes damage to the peripheral
nerves. Due to nerve damage in diabetic neuropathy decreased foot sensation and
muscle weakness occurs and as a result; gait and balance are affected.
Abnormalities in gait and balance  increases risk of fall incidence. The increase
in awareness and suitable approaches to the diabetic peripheral neuropathy has
led to reduced morbidity and substantial health care cost.

Kaynakça

  • World Health Organisation (WHO). Global Report on Diabetes 2016; 21.
  • http://www.diabetcemiyeti.org/c/turkiye-de-ve-bolge-ulkelerinde-diyabet-sorunu (Erişim tarihi 2 Aralık 2017).
  • Qureshi MS, Iqbal M, Zahoor S, Ali J, Javed MU. Ambulatory screening of diabetic neuropathy and predictors of its severity in outpatient settings. J Endocrinol Invest. 2016;40: 425-430.
  • Soltow HD. Diabetic Peripheral Neuropathy: Evaluation and Management. JNP. 2017;13:199-204.
  • Son HS. Early diagnosis of diabetes mellitus. Journal of the Korean Medical Association 2008;51:813-817.
  • Yang Z, Chen R, Zhang Y et al. Scoring systems to screen for diabetic peripheral neuropathy. Cochrane Database of Systematic Reviews. 2014:3.
  • Tesfaye S, Boulton AJ, Dyck PJ et al. Diabetic neuropathies: update on definitions, diagnostic criteria, estimation of severity, and treatments. Diabetes Care. 2010;33:2285-2293.
  • Boulton AJM, Vinik AI, Arezzo JC et al. Diabetic neuropathies. Diabetes Care. 2005;28:956-962
  • Tesfaye S, Vileikyte L, Rayman G et al. Painful diabetic peripheral neuropathy: consensus recommendations on diagnosis, assessment and management. Diabetes Metab Res Rev. 2011;27:629-638.
  • Treede RD, Jensen TS, Campbell JN et al. Neuropathic pain: redefinition and a grading system for clinical and research purposes. Neurology. 2008;70:1630-1635.
  • Skyler JS, Bakris GL, Bonifacio E et al. Differentiation of diabetes by pathophysiology, natural history, and prognosis. Diabetes. 2017;66:241-255.
  • Booya F, Bandarian F, Larijani B, Pajouhi M, Nooraei M, Lotfi J. Potential risk factors for diabetic neuropathy: a case control study. BMC Neurol. 2005;5:24.
  • Tesfaye S, Chaturvedi N, Eaton, SE et all. Vascular risk factors and diabetic neuropathy. N Engl J Med 2005;352:341-350.
  • Danik L, Corriveau H, Prince F. Postural control mechanisms during quiet standing in patients with diabetic sensory neuropathy. Diabetes Care. 2004;27:173-178.
  • Kanade RV, Van Deursen RWM, Harding KG, Price PE. Investigation of standing balance in patients with diabetic neuropathy at different stages of foot complications. Clin Biomech. 2008;23:1183-1191.
  • Yu G, Dennis SM. Are falls prevention programs effective at reducing the risk factors for falls in people with type-2 diabetes mellitus and peripheral neuropathy: A systematic review with narrative synthesis. J Diabetes Complications. 2017;31:504-516.
  • Paul, L, Ellis BM, Leese GP, McFadyen AK, McMurray B. The effect of a cognitive or motor task on gait parameters of diabetic patients, with and without neuropathy. Diabet Med 2009; 26:234-239.
  • Hazari A, Maiya, AG, Shivashankara KN, Agouris I, Monteiro A, Jadhav R. Kinetics and kinematics of diabetic foot in type 2 diabetes mellitus with and without peripheral neuropathy: a systematic review and meta-analysis. Springerplus. 2016;5: 1819.
  • Allen MD, Doherty TJ, Rice CL, Kimpinski K. Physiology in Medicine: Neuromuscular consequences of diabetic neuropathy. J Appl Physiol. 2016; 121: 1-6.
  • Amirah M, Justine, M, Mohd Mustafah N, Jamil N, Manaf, H. Postural Control and Gait Performance in the Diabetic Peripheral Neuropathy: A Systematic Review. Biomed Res Int. 2016;2016:14.
  • Wrobel JS, Najafi B. Diabetic foot biomechanics and gait dysfunction. J Diabetes Sci Technol. 2010; 4: 833-845.
  • Fernando M, Crowther R, Lazzarini P et all.. Biomechanical characteristics of peripheral diabetic neuropathy: a systematic review and meta-analysis of findings from the gait cycle, muscle activity and dynamic barefoot plantar pressure. Clin Biomech. 2013; 28: 831-845.
  • Lamola G, Venturi M, Martelli D et al. Quantitative assessment of early biomechanical modifications in diabetic foot patients: the role of foot kinematics and step width. J Neuroeng Rehabil. 2015;12: 98.
  • Handsaker JC, Brown SJ, Bowling FL, Marple-Horvat DE, Boulton AJ, Reeves ND. People with diabetic peripheral neuropathy display a decreased stepping accuracy during walking: potential implications for risk of tripping. Diabet Med. 2016;33: 644-649.
  • Brown SJ, Handsaker JC, Maganaris CN, Bowling FL, Boulton AJ, Reeves ND. Altered joint moment strategy during stair walking in diabetes patients with and without peripheral neuropathy. Gait Posture. 2016;46:188-193.
  • Di Liberto FE, Tome J, Baumhauer JF, Quinn JR, Houck J, Nawoczenski DA. Multi-joint foot kinetics during walking in people with diabetes mellitus and peripheral neuropathy. J Biomech. 2015; 48: 3679-3684.
  • Martinelli AR, Mantovani AM, Nozabieli AJ, Ferreira DM, Barela JA, Camargo MR. Muscle strength and ankle mobility for the gait parameters in diabetic neuropathies. Foot (Edinb) 2013;23:17-21.
  • Camargo MR, Barela JA, Nozabieli AJ, Mantovani AM, Martinelli AR, Fregonesi CE. Balance and ankle muscle strength predict spatiotemporal gait parameters in individuals with diabetic peripheral neuropathy. Diabetes Metab Syndr. 2015;9:79-84.
  • Hewston P, Nandini D. Falls and balance impairments in older adults with type 2 diabetes: thinking beyond diabetic peripheral neuropathy Can J Diabetes. 2016; 40: 6-9.
  • Pop-Busui R, Boulton AJ, Feldman EL, Bril V, Freeman R, Malik RA. Diabetic neuropathy: a position statement by the American Diabetes Association. Diabetes Care. 2017;40:136-154.
  • John SA, Solomon J, Mohan D. A Critical Review on the Normal Postural Control. POTJ 2015;8:71.
  • Bogdan T, Timar R, Gaiță L, Oancea C, Levai C, Lungeanu D. 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 2016; 11: e0154654.
  • Cadore Rodríguez-Mañas L, Sinclair A, Izquierdo M. Effects of different exercise interventions on risk of falls, gait ability, and balance in physically frail older adults: a systematic review. Rejuvenation Res. 2013;16:105-114.
  • Look AHEAD Research Group. Cardiovascular effects of intensive lifestyle intervention in type 2 diabetes. N Engl J Med. 2013;369:145-154.
  • Dobson JL, McMillan J, Li L. Benefits of exercise intervention in reducing neuropathic pain. Front Cell Neurosci. 2014;8:102.

Diyabetik Nöropatide görülen biyomekanik değişiklikler

Yıl 2018, Cilt: 32 Sayı: 2, 167 - 172, 27.08.2018
https://doi.org/10.5505/deutfd.2018.36449

Öz

Diyabetik periferal nöropati, diyabetin
uzun dönem ve önemli bir komplikasyonudur. Dyabetli olgularda yüksek glukoz
düzeyine uzun süreli maruz kalınması, periferal sinirlerin hasarlanmasına sebep
olur. Diyabetik nöropatide görülen sinir hasarları ile ayak duyusu azalması ve
kas zayıflığı ortaya çıkar ve sonuç olarak yürüyüş ile denge etkilenir. Yürüyüş
ve dengedeki bozulmalar düşme riski insidansını arttırır. Farkındalığın artması
ve diyabetik nöropatiye uygun yaklaşımların ortaya konması, morbiditenin ve
yüksek düzeydeki sağlık giderlerinin azaltılmasını sağlar.

Kaynakça

  • World Health Organisation (WHO). Global Report on Diabetes 2016; 21.
  • http://www.diabetcemiyeti.org/c/turkiye-de-ve-bolge-ulkelerinde-diyabet-sorunu (Erişim tarihi 2 Aralık 2017).
  • Qureshi MS, Iqbal M, Zahoor S, Ali J, Javed MU. Ambulatory screening of diabetic neuropathy and predictors of its severity in outpatient settings. J Endocrinol Invest. 2016;40: 425-430.
  • Soltow HD. Diabetic Peripheral Neuropathy: Evaluation and Management. JNP. 2017;13:199-204.
  • Son HS. Early diagnosis of diabetes mellitus. Journal of the Korean Medical Association 2008;51:813-817.
  • Yang Z, Chen R, Zhang Y et al. Scoring systems to screen for diabetic peripheral neuropathy. Cochrane Database of Systematic Reviews. 2014:3.
  • Tesfaye S, Boulton AJ, Dyck PJ et al. Diabetic neuropathies: update on definitions, diagnostic criteria, estimation of severity, and treatments. Diabetes Care. 2010;33:2285-2293.
  • Boulton AJM, Vinik AI, Arezzo JC et al. Diabetic neuropathies. Diabetes Care. 2005;28:956-962
  • Tesfaye S, Vileikyte L, Rayman G et al. Painful diabetic peripheral neuropathy: consensus recommendations on diagnosis, assessment and management. Diabetes Metab Res Rev. 2011;27:629-638.
  • Treede RD, Jensen TS, Campbell JN et al. Neuropathic pain: redefinition and a grading system for clinical and research purposes. Neurology. 2008;70:1630-1635.
  • Skyler JS, Bakris GL, Bonifacio E et al. Differentiation of diabetes by pathophysiology, natural history, and prognosis. Diabetes. 2017;66:241-255.
  • Booya F, Bandarian F, Larijani B, Pajouhi M, Nooraei M, Lotfi J. Potential risk factors for diabetic neuropathy: a case control study. BMC Neurol. 2005;5:24.
  • Tesfaye S, Chaturvedi N, Eaton, SE et all. Vascular risk factors and diabetic neuropathy. N Engl J Med 2005;352:341-350.
  • Danik L, Corriveau H, Prince F. Postural control mechanisms during quiet standing in patients with diabetic sensory neuropathy. Diabetes Care. 2004;27:173-178.
  • Kanade RV, Van Deursen RWM, Harding KG, Price PE. Investigation of standing balance in patients with diabetic neuropathy at different stages of foot complications. Clin Biomech. 2008;23:1183-1191.
  • Yu G, Dennis SM. Are falls prevention programs effective at reducing the risk factors for falls in people with type-2 diabetes mellitus and peripheral neuropathy: A systematic review with narrative synthesis. J Diabetes Complications. 2017;31:504-516.
  • Paul, L, Ellis BM, Leese GP, McFadyen AK, McMurray B. The effect of a cognitive or motor task on gait parameters of diabetic patients, with and without neuropathy. Diabet Med 2009; 26:234-239.
  • Hazari A, Maiya, AG, Shivashankara KN, Agouris I, Monteiro A, Jadhav R. Kinetics and kinematics of diabetic foot in type 2 diabetes mellitus with and without peripheral neuropathy: a systematic review and meta-analysis. Springerplus. 2016;5: 1819.
  • Allen MD, Doherty TJ, Rice CL, Kimpinski K. Physiology in Medicine: Neuromuscular consequences of diabetic neuropathy. J Appl Physiol. 2016; 121: 1-6.
  • Amirah M, Justine, M, Mohd Mustafah N, Jamil N, Manaf, H. Postural Control and Gait Performance in the Diabetic Peripheral Neuropathy: A Systematic Review. Biomed Res Int. 2016;2016:14.
  • Wrobel JS, Najafi B. Diabetic foot biomechanics and gait dysfunction. J Diabetes Sci Technol. 2010; 4: 833-845.
  • Fernando M, Crowther R, Lazzarini P et all.. Biomechanical characteristics of peripheral diabetic neuropathy: a systematic review and meta-analysis of findings from the gait cycle, muscle activity and dynamic barefoot plantar pressure. Clin Biomech. 2013; 28: 831-845.
  • Lamola G, Venturi M, Martelli D et al. Quantitative assessment of early biomechanical modifications in diabetic foot patients: the role of foot kinematics and step width. J Neuroeng Rehabil. 2015;12: 98.
  • Handsaker JC, Brown SJ, Bowling FL, Marple-Horvat DE, Boulton AJ, Reeves ND. People with diabetic peripheral neuropathy display a decreased stepping accuracy during walking: potential implications for risk of tripping. Diabet Med. 2016;33: 644-649.
  • Brown SJ, Handsaker JC, Maganaris CN, Bowling FL, Boulton AJ, Reeves ND. Altered joint moment strategy during stair walking in diabetes patients with and without peripheral neuropathy. Gait Posture. 2016;46:188-193.
  • Di Liberto FE, Tome J, Baumhauer JF, Quinn JR, Houck J, Nawoczenski DA. Multi-joint foot kinetics during walking in people with diabetes mellitus and peripheral neuropathy. J Biomech. 2015; 48: 3679-3684.
  • Martinelli AR, Mantovani AM, Nozabieli AJ, Ferreira DM, Barela JA, Camargo MR. Muscle strength and ankle mobility for the gait parameters in diabetic neuropathies. Foot (Edinb) 2013;23:17-21.
  • Camargo MR, Barela JA, Nozabieli AJ, Mantovani AM, Martinelli AR, Fregonesi CE. Balance and ankle muscle strength predict spatiotemporal gait parameters in individuals with diabetic peripheral neuropathy. Diabetes Metab Syndr. 2015;9:79-84.
  • Hewston P, Nandini D. Falls and balance impairments in older adults with type 2 diabetes: thinking beyond diabetic peripheral neuropathy Can J Diabetes. 2016; 40: 6-9.
  • Pop-Busui R, Boulton AJ, Feldman EL, Bril V, Freeman R, Malik RA. Diabetic neuropathy: a position statement by the American Diabetes Association. Diabetes Care. 2017;40:136-154.
  • John SA, Solomon J, Mohan D. A Critical Review on the Normal Postural Control. POTJ 2015;8:71.
  • Bogdan T, Timar R, Gaiță L, Oancea C, Levai C, Lungeanu D. 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 2016; 11: e0154654.
  • Cadore Rodríguez-Mañas L, Sinclair A, Izquierdo M. Effects of different exercise interventions on risk of falls, gait ability, and balance in physically frail older adults: a systematic review. Rejuvenation Res. 2013;16:105-114.
  • Look AHEAD Research Group. Cardiovascular effects of intensive lifestyle intervention in type 2 diabetes. N Engl J Med. 2013;369:145-154.
  • Dobson JL, McMillan J, Li L. Benefits of exercise intervention in reducing neuropathic pain. Front Cell Neurosci. 2014;8:102.
Toplam 35 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Duygu Aktar Reyhanoğlu 0000-0001-6633-8440

Bilge Kara Bu kişi benim

İhsan Şükrü Şengün Bu kişi benim

Gaye Yıldırım Bu kişi benim

Yayımlanma Tarihi 27 Ağustos 2018
Gönderilme Tarihi 1 Ekim 2017
Yayımlandığı Sayı Yıl 2018 Cilt: 32 Sayı: 2

Kaynak Göster

Vancouver Aktar Reyhanoğlu D, Kara B, Şengün İŞ, Yıldırım G. Diyabetik Nöropatide görülen biyomekanik değişiklikler. DEU Tıp Derg. 2018;32(2):167-72.