Login Register Cart 0
Generic placeholder image

Current Aging Science

Editor-in-Chief

ISSN (Print): 1874-6098
ISSN (Online): 1874-6128

Back
Journal Home About Journal Editorial Board Journal Insight Current Issue Volumes/Issues
Subscribe
Research Article

Evaluating the Balancing Ability of Older Adults with Diabetes Mellitus Using the Multi-directional Reach Test

Author(s): Patchareeya Amput*, Sirima Wongphon and Patcharin Phrompao

Volume 17, Issue 2, 2024

Published on: 01 November, 2023

Page: [113 - 117] Pages: 5

DOI: 10.2174/0118746098253144231024052312

Price: $65

Abstract

Background: The incidence of elderly people experiencing falls is currently increasing, which results in serious medical issues, such as fear of falling, limited physical activity, disability, and bone fractures, especially hip fractures. This study aimed to investigate balancing ability using a multi-directional reach test (MDRT) in older adults with and without diabetes mellitus.

Methods: 72 older adults with and without diabetes mellitus were recruited, and divided into two groups, including older adults without diabetes mellitus (n = 36) and older adults with diabetes mellitus (n = 36). All subjects completed all directions of the MDRT.

Results: There were no significant differences in MDRT scores in all directions between the two groups (p>0.05). Both groups achieved the highest MDRT scores in the forward direction. In contrast, the two groups had the lowest scores of MDRT in a backward direction. Furthermore, older adults with diabetes mellitus had lower MDRT scores in all directions than older adults without diabetes mellitus.

Conclusion: The current study indicated that MDRT could be used to investigate the ability of balance in individuals with diabetes mellitus.

« Previous Next »
Graphical Abstract

[1]
Sharif SI, Al-Harbi AB, Al-Shihabi AM, Al-Daour DS, Sharif RS. Falls in the elderly: Assessment of prevalence and risk factors. Pharm Pract (Granada) 2018; 16(3): 1206.
[http://dx.doi.org/10.18549/PharmPract.2018.03.1206] [PMID: 30416623]
[2]
Soriano TA, DeCherrie LV, Thomas DC. Falls in the communitydwelling older adult: a review for primary-care providers. Clin Interv Aging 2007; 2(4): 545-54.
[PMID: 18225454]
[3]
Vitorino LM, Teixeira CAB, Boas ELV, Pereira RL, Santos NO, Rozendo CA. Fear of falling in older adults living at home: associated factors. Rev Esc Enferm USP 2017; 51(0): e03215.
[http://dx.doi.org/10.1590/s1980-220x2016223703215] [PMID: 28403369]
[4]
Khow KSF, Visvanathan R. Falls in the aging population. Clin Geriatr Med 2017; 33(3): 357-68.
[http://dx.doi.org/10.1016/j.cger.2017.03.002] [PMID: 28689568]
[5]
Deandrea S, Lucenteforte E, Bravi F, Foschi R, La Vecchia C, Negri E. Risk factors for falls in community-dwelling older people: a systematic review and meta-analysis. Epidemiology 2010; 21(5): 658-68.
[http://dx.doi.org/10.1097/EDE.0b013e3181e89905] [PMID: 20585256]
[6]
Bourque LB, Shen H, Dean BB, Kraus JF. Intrinsic risk factors for falls by community-based seniors: implications for prevention. Int J Inj Contr Saf Promot 2007; 14(4): 267-70.
[http://dx.doi.org/10.1080/17457300701726651] [PMID: 18075878]
[7]
de Menezes RL, Bachion MM. [Study of intrinsic risk factors for falls in institutionalized elderly people]. Cien Saude Colet 2008; 13(4): 1209-18.
[PMID: 18813620]
[8]
Bittencourt VLL, Graube SL, Stumm EMF, Battisti IDE, Loro MM, Winkelmann ER. Factors associated with the risk of falls in hospitalized adult patients. Rev Esc Enferm USP 2017; 51(0): e03237.
[http://dx.doi.org/10.1590/s1980-220x2016037403237] [PMID: 28746559]
[9]
Kwan MMS, Close JCT, Wong AKW, Lord SR. Falls incidence, risk factors, and consequences in Chinese older people: a systematic review. J Am Geriatr Soc 2011; 59(3): 536-43.
[http://dx.doi.org/10.1111/j.1532-5415.2010.03286.x] [PMID: 21361880]
[10]
Lin MR, Hwang HF, Hu MH, Wu HDI, Wang YW, Huang FC. Psychometric comparisons of the timed up and go, one-leg stand, functional reach, and Tinetti balance measures in communitydwelling older people. J Am Geriatr Soc 2004; 52(8): 1343-8.
[http://dx.doi.org/10.1111/j.1532-5415.2004.52366.x] [PMID: 15271124]
[11]
Michikawa T, Nishiwaki Y, Takebayashi T, Toyama Y. One-leg standing test for elderly populations. J Orthop Sci 2009; 14(5): 675-85.
[http://dx.doi.org/10.1007/s00776-009-1371-6] [PMID: 19802686]
[12]
Newton RA. Validity of the multi-directional reach test: a practical measure for limits of stability in older adults. J Gerontol A Biol Sci Med Sci 2001; 56(4): M248-52.
[http://dx.doi.org/10.1093/gerona/56.4.M248] [PMID: 11283199]
[13]
Tantisuwat A, Chamonchant D, Boonyong S. Multi-directional reach test: An investigation of the limits of stability of people aged between 20–79 years. J Phys Ther Sci 2014; 26(6): 877-80.
[http://dx.doi.org/10.1589/jpts.26.877] [PMID: 25013287]
[14]
Amput P, Wongphon S, Naravejsakul KJJOTMAOT. Balance Assessment Using Multi-Directional Reach Test in Community-Dwelling Elderly People with Different Body Mass Index 2021; 104(12): 1908-12.
[15]
D’Silva LJ, Lin J, Staecker H, Whitney SL, Kluding PM. Impact of diabetic complications on balance and falls: Contribution of the vestibular system. Phys Ther 2016; 96(3): 400-9.
[http://dx.doi.org/10.2522/ptj.20140604] [PMID: 26251477]
[16]
Rosario MG, Hyder A, Orozco E, Vélez Bartolomei JG, Quiñones CL, Bayron F. Evaluating static postural control in subjects with controlled-diabetes mellitus II. J Hum Sport Exerc 2020; 15(2): 344-54.
[http://dx.doi.org/10.14198/jhse.2020.152.09]
[17]
Yoon SJ, Kim K. Frailty and disability in diabetes. Annal Geriat Medi Res 2019; 23(4): 165-9.
[http://dx.doi.org/10.4235/agmr.19.0036] [PMID: 32743307]
[18]
Barbosa MH, Bolina AF, Luiz RB, et al. Body mass index as discriminator of the lean mass deficit and excess body fat in institutionalized elderly people. Geriatr Nurs 2015; 36(3): 202-6.
[http://dx.doi.org/10.1016/j.gerinurse.2015.02.001] [PMID: 25771958]
[19]
Lu FP, Lin KP, Kuo HK. Diabetes and the risk of multi-system aging phenotypes: a systematic review and meta-analysis. PLoS One 2009; 4(1): e4144.
[http://dx.doi.org/10.1371/journal.pone.0004144] [PMID: 19127292]
[20]
Hughes MA, Duncan PW, Rose DK, Chandler JM, Studenski SA. The relationship of postural sway to sensorimotor function, functional performance, and disability in the elderly. Arch Phys Med Rehabil 1996; 77(6): 567-72.
[http://dx.doi.org/10.1016/S0003-9993(96)90296-8] [PMID: 8831473]
[21]
Lord SR, Clark RD, Webster IW. Postural stability and associated physiological factors in a population of aged persons. J Gerontol 1991; 46(3): M69-76.
[http://dx.doi.org/10.1093/geronj/46.3.M69] [PMID: 2030269]
[22]
Melzer I, Benjuya N, Kaplanski J, Alexander N. Association between ankle muscle strength and limit of stability in older adults. Age Ageing 2008; 38(1): 119-23.
[http://dx.doi.org/10.1093/ageing/afn249] [PMID: 19029102]
[23]
Öztürk B, Angın E, Güçhan Z, Yurt Y, Malkoç MJ. Assessment of the plantar pressure, muscle strength and balance in patients with type 2 diabetes mellitus in cyprus. Open J Endocr Metab Disord 2016; 6(5): 151-8.
[24]
Robinson CC, Balbinot LF, Silva MF, Achaval M, Zaro MA. Plantar pressure distribution patterns of individuals with prediabetes in comparison with healthy individuals and individuals with diabetes. J Diabetes Sci Technol 2013; 7(5): 1113-21.
[http://dx.doi.org/10.1177/193229681300700503] [PMID: 24124936]
[25]
Sacco ICN, Hamamoto AN, Tonicelli LMG, Watari R, Ortega NRS, Sartor CD. Abnormalities of plantar pressure distribution in early, intermediate, and late stages of diabetic neuropathy. Gait Posture 2014; 40(4): 570-4.
[http://dx.doi.org/10.1016/j.gaitpost.2014.06.018] [PMID: 25086801]
[26]
Hewston P, Deshpande N. Falls and balance impairments in older adults with type 2 diabetes: Thinking beyond diabetic peripheral neuropathy. Can J Diabetes 2016; 40(1): 6-9.
[http://dx.doi.org/10.1016/j.jcjd.2015.08.005] [PMID: 26778679]
[27]
Yang Y, Hu X, Zhang Q, Zou R. Diabetes mellitus and risk of falls in older adults: a systematic review and meta-analysis. Age Ageing 2016; 45(6): 761-7.
[http://dx.doi.org/10.1093/ageing/afw140] [PMID: 27515679]
[28]
Wilson SJ, Garner JC, Loprinzi PD. The influence of multiple sensory impairments on functional balance and difficulty with falls among U.S. adults. Prev Med 2016; 87: 41-6.
[http://dx.doi.org/10.1016/j.ypmed.2016.02.023] [PMID: 26896633]
[29]
Nomura T, Kawae T, Kataoka H, Ikeda Y. Assessment of lower extremity muscle mass, muscle strength, and exercise therapy in elderly patients with diabetes mellitus. Environ Health Prev Med 2018; 23(1): 20.
[http://dx.doi.org/10.1186/s12199-018-0710-7] [PMID: 29776338]
[30]
Horak FB. Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls? Age Ageing 2006; 35 (Suppl. 2): ii7-ii11.
[http://dx.doi.org/10.1093/ageing/afl077] [PMID: 16926210]
[31]
Kim Y, Lee M, Son J, Kim J, Hwang S. Gait mechanism of the backward walking. Conference: 23rd Congress of International Society of Biomechanics (ISB) 2011.

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy