Cargando…

Fear of Falling, Lower Extremity Strength, and Physical and Balance Performance in Older Adults with Diabetes Mellitus

Fear of falling (FoF) is known to affect the physical activities and quality of life of older adults with type 2 diabetes mellitus (DM). Many complications of DM, especially ones distressing lower extremity (LE), could lead to increased fall risk and FoF. This study aimed to explore the relationship...

Descripción completa

Detalles Bibliográficos
Autores principales: Vongsirinavarat, Mantana, Mathiyakom, Witaya, Kraiwong, Ratchanok, Hiengkaew, Vimonwan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7293747/
https://www.ncbi.nlm.nih.gov/pubmed/32587870
http://dx.doi.org/10.1155/2020/8573817
_version_ 1783546352911777792
author Vongsirinavarat, Mantana
Mathiyakom, Witaya
Kraiwong, Ratchanok
Hiengkaew, Vimonwan
author_facet Vongsirinavarat, Mantana
Mathiyakom, Witaya
Kraiwong, Ratchanok
Hiengkaew, Vimonwan
author_sort Vongsirinavarat, Mantana
collection PubMed
description Fear of falling (FoF) is known to affect the physical activities and quality of life of older adults with type 2 diabetes mellitus (DM). Many complications of DM, especially ones distressing lower extremity (LE), could lead to increased fall risk and FoF. This study aimed to explore the relationship between FoF, LE muscle strength, and physical performance in older adults without diabetes mellitus (ONDM) and with DM (ODM) with varying degrees of balance impairment. The participants comprised 20 ONDM and 110 ODM. The ODM was grouped by the number of failed performances of the modified clinical test of sensory interaction and balance (mCTSIB). The scores of FoF, balance performance of mCTSIB, physical performance of TUG, and LE muscle strength were compared between groups. The results showed that FoF was present in 30% and 60% of the ONDM and ODM, respectively. Forty percent of the ODM failed one condition of the mCTSIB, while 18% and 16% failed two and three conditions, respectively. As the number of failed performances on the mCTSIB increased, the proportions of participants with FoF significantly increased. The psychosocial domain of FoF, LE muscle strength, and TUG score was significantly different between groups and more affected in the ODM with a greater number of failed performances on the mCTSIB. In conclusion, the mCTSIB can differentiate the varying degrees of balance impairment among ODM. FoF, LE muscle strength, and physical performance are more affected as the degree of balance impairment increases. Comprehensive management related to balance and falls in the ODM should include a regular evaluation and monitoring of standing balance, LE muscle strength, physical performance, and FoF.
format Online
Article
Text
id pubmed-7293747
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Hindawi
record_format MEDLINE/PubMed
spelling pubmed-72937472020-06-24 Fear of Falling, Lower Extremity Strength, and Physical and Balance Performance in Older Adults with Diabetes Mellitus Vongsirinavarat, Mantana Mathiyakom, Witaya Kraiwong, Ratchanok Hiengkaew, Vimonwan J Diabetes Res Research Article Fear of falling (FoF) is known to affect the physical activities and quality of life of older adults with type 2 diabetes mellitus (DM). Many complications of DM, especially ones distressing lower extremity (LE), could lead to increased fall risk and FoF. This study aimed to explore the relationship between FoF, LE muscle strength, and physical performance in older adults without diabetes mellitus (ONDM) and with DM (ODM) with varying degrees of balance impairment. The participants comprised 20 ONDM and 110 ODM. The ODM was grouped by the number of failed performances of the modified clinical test of sensory interaction and balance (mCTSIB). The scores of FoF, balance performance of mCTSIB, physical performance of TUG, and LE muscle strength were compared between groups. The results showed that FoF was present in 30% and 60% of the ONDM and ODM, respectively. Forty percent of the ODM failed one condition of the mCTSIB, while 18% and 16% failed two and three conditions, respectively. As the number of failed performances on the mCTSIB increased, the proportions of participants with FoF significantly increased. The psychosocial domain of FoF, LE muscle strength, and TUG score was significantly different between groups and more affected in the ODM with a greater number of failed performances on the mCTSIB. In conclusion, the mCTSIB can differentiate the varying degrees of balance impairment among ODM. FoF, LE muscle strength, and physical performance are more affected as the degree of balance impairment increases. Comprehensive management related to balance and falls in the ODM should include a regular evaluation and monitoring of standing balance, LE muscle strength, physical performance, and FoF. Hindawi 2020-06-03 /pmc/articles/PMC7293747/ /pubmed/32587870 http://dx.doi.org/10.1155/2020/8573817 Text en Copyright © 2020 Mantana Vongsirinavarat et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Vongsirinavarat, Mantana
Mathiyakom, Witaya
Kraiwong, Ratchanok
Hiengkaew, Vimonwan
Fear of Falling, Lower Extremity Strength, and Physical and Balance Performance in Older Adults with Diabetes Mellitus
title Fear of Falling, Lower Extremity Strength, and Physical and Balance Performance in Older Adults with Diabetes Mellitus
title_full Fear of Falling, Lower Extremity Strength, and Physical and Balance Performance in Older Adults with Diabetes Mellitus
title_fullStr Fear of Falling, Lower Extremity Strength, and Physical and Balance Performance in Older Adults with Diabetes Mellitus
title_full_unstemmed Fear of Falling, Lower Extremity Strength, and Physical and Balance Performance in Older Adults with Diabetes Mellitus
title_short Fear of Falling, Lower Extremity Strength, and Physical and Balance Performance in Older Adults with Diabetes Mellitus
title_sort fear of falling, lower extremity strength, and physical and balance performance in older adults with diabetes mellitus
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7293747/
https://www.ncbi.nlm.nih.gov/pubmed/32587870
http://dx.doi.org/10.1155/2020/8573817
work_keys_str_mv AT vongsirinavaratmantana fearoffallinglowerextremitystrengthandphysicalandbalanceperformanceinolderadultswithdiabetesmellitus
AT mathiyakomwitaya fearoffallinglowerextremitystrengthandphysicalandbalanceperformanceinolderadultswithdiabetesmellitus
AT kraiwongratchanok fearoffallinglowerextremitystrengthandphysicalandbalanceperformanceinolderadultswithdiabetesmellitus
AT hiengkaewvimonwan fearoffallinglowerextremitystrengthandphysicalandbalanceperformanceinolderadultswithdiabetesmellitus