Reactive balance control in older adults with diabetes

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Diabetes mellitus is a major health problem for older adults worldwide and could be associated with impaired ability to recover balance after postural disturbances. This study compared reactive balance control in three groups of adults, young (YA), healthy non-diabetes older (nonDM-OA) and diabetes older (DM-OA). Twenty participants in each group completed a series of vision, plantar cutaneous sensitivity, grip power and lower limb strength tests. In the reactive balance test, participants stood on a force platform and used the dominant hand to pull the handle of a cord that could be suddenly released to create an imbalancing force. The anteroposterior (AP) and mediolateral (ML) motion of the center of pressure (COP) immediately after the sudden release was calculated to represent the level of imbalance experienced by the participants. Regression analysis entering big toe plantar sensitivity and grip power as independent variable was conducted for COP range for the three groups separately. The results showed that, except for the knee extensor, DM-OA had significantly poorer muscle strength and plantar sensitivity, and greater COP ML motion than YA and nonDM-OA. DM-OA also had significantly greater COP AP motion than YA. Grip power alone and together with plantar sensitivity explained a significant amount of variance in the AP and ML COP motion respectively (r2 = 0.334 and 0.582, respectively) for DM-OA. These findings indicated that diabetes in older adults was associated with declines in reactive balance control, and these changes may be related to muscle weakness and plantar insensitivity.

Original languageEnglish
Pages (from-to)67-72
Number of pages6
JournalGait and Posture
Volume61
DOIs
Publication statusPublished - 2018 Mar 1

Fingerprint

Pressure
Hand Strength
Postural Balance
Hallux
Aptitude
Muscle Weakness
Muscle Strength
Young Adult
Lower Extremity
Knee
Diabetes Mellitus
Hand
Regression Analysis
Skin
Health
Power (Psychology)

All Science Journal Classification (ASJC) codes

  • Biophysics
  • Orthopedics and Sports Medicine
  • Rehabilitation

Cite this

@article{7339cec6d28b41e29f56e72a69ce4dd6,
title = "Reactive balance control in older adults with diabetes",
abstract = "Diabetes mellitus is a major health problem for older adults worldwide and could be associated with impaired ability to recover balance after postural disturbances. This study compared reactive balance control in three groups of adults, young (YA), healthy non-diabetes older (nonDM-OA) and diabetes older (DM-OA). Twenty participants in each group completed a series of vision, plantar cutaneous sensitivity, grip power and lower limb strength tests. In the reactive balance test, participants stood on a force platform and used the dominant hand to pull the handle of a cord that could be suddenly released to create an imbalancing force. The anteroposterior (AP) and mediolateral (ML) motion of the center of pressure (COP) immediately after the sudden release was calculated to represent the level of imbalance experienced by the participants. Regression analysis entering big toe plantar sensitivity and grip power as independent variable was conducted for COP range for the three groups separately. The results showed that, except for the knee extensor, DM-OA had significantly poorer muscle strength and plantar sensitivity, and greater COP ML motion than YA and nonDM-OA. DM-OA also had significantly greater COP AP motion than YA. Grip power alone and together with plantar sensitivity explained a significant amount of variance in the AP and ML COP motion respectively (r2 = 0.334 and 0.582, respectively) for DM-OA. These findings indicated that diabetes in older adults was associated with declines in reactive balance control, and these changes may be related to muscle weakness and plantar insensitivity.",
author = "Pei-Yun Lee and Yi-Ju Tsai and Liao, {Yu Ting} and Yi-Ching Yang and Feng-Hwa Lu and Sang-I Lin",
year = "2018",
month = "3",
day = "1",
doi = "10.1016/j.gaitpost.2017.12.030",
language = "English",
volume = "61",
pages = "67--72",
journal = "Gait and Posture",
issn = "0966-6362",
publisher = "Elsevier",

}

Reactive balance control in older adults with diabetes. / Lee, Pei-Yun; Tsai, Yi-Ju; Liao, Yu Ting; Yang, Yi-Ching; Lu, Feng-Hwa; Lin, Sang-I.

In: Gait and Posture, Vol. 61, 01.03.2018, p. 67-72.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Reactive balance control in older adults with diabetes

AU - Lee, Pei-Yun

AU - Tsai, Yi-Ju

AU - Liao, Yu Ting

AU - Yang, Yi-Ching

AU - Lu, Feng-Hwa

AU - Lin, Sang-I

PY - 2018/3/1

Y1 - 2018/3/1

N2 - Diabetes mellitus is a major health problem for older adults worldwide and could be associated with impaired ability to recover balance after postural disturbances. This study compared reactive balance control in three groups of adults, young (YA), healthy non-diabetes older (nonDM-OA) and diabetes older (DM-OA). Twenty participants in each group completed a series of vision, plantar cutaneous sensitivity, grip power and lower limb strength tests. In the reactive balance test, participants stood on a force platform and used the dominant hand to pull the handle of a cord that could be suddenly released to create an imbalancing force. The anteroposterior (AP) and mediolateral (ML) motion of the center of pressure (COP) immediately after the sudden release was calculated to represent the level of imbalance experienced by the participants. Regression analysis entering big toe plantar sensitivity and grip power as independent variable was conducted for COP range for the three groups separately. The results showed that, except for the knee extensor, DM-OA had significantly poorer muscle strength and plantar sensitivity, and greater COP ML motion than YA and nonDM-OA. DM-OA also had significantly greater COP AP motion than YA. Grip power alone and together with plantar sensitivity explained a significant amount of variance in the AP and ML COP motion respectively (r2 = 0.334 and 0.582, respectively) for DM-OA. These findings indicated that diabetes in older adults was associated with declines in reactive balance control, and these changes may be related to muscle weakness and plantar insensitivity.

AB - Diabetes mellitus is a major health problem for older adults worldwide and could be associated with impaired ability to recover balance after postural disturbances. This study compared reactive balance control in three groups of adults, young (YA), healthy non-diabetes older (nonDM-OA) and diabetes older (DM-OA). Twenty participants in each group completed a series of vision, plantar cutaneous sensitivity, grip power and lower limb strength tests. In the reactive balance test, participants stood on a force platform and used the dominant hand to pull the handle of a cord that could be suddenly released to create an imbalancing force. The anteroposterior (AP) and mediolateral (ML) motion of the center of pressure (COP) immediately after the sudden release was calculated to represent the level of imbalance experienced by the participants. Regression analysis entering big toe plantar sensitivity and grip power as independent variable was conducted for COP range for the three groups separately. The results showed that, except for the knee extensor, DM-OA had significantly poorer muscle strength and plantar sensitivity, and greater COP ML motion than YA and nonDM-OA. DM-OA also had significantly greater COP AP motion than YA. Grip power alone and together with plantar sensitivity explained a significant amount of variance in the AP and ML COP motion respectively (r2 = 0.334 and 0.582, respectively) for DM-OA. These findings indicated that diabetes in older adults was associated with declines in reactive balance control, and these changes may be related to muscle weakness and plantar insensitivity.

UR - http://www.scopus.com/inward/record.url?scp=85039854040&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85039854040&partnerID=8YFLogxK

U2 - 10.1016/j.gaitpost.2017.12.030

DO - 10.1016/j.gaitpost.2017.12.030

M3 - Article

C2 - 29306146

AN - SCOPUS:85039854040

VL - 61

SP - 67

EP - 72

JO - Gait and Posture

JF - Gait and Posture

SN - 0966-6362

ER -