Oscilações no equilíbrio estático relacionadas a diabetes mellitus tipo 2 – uma revisão sistemática

Autores

DOI:

https://doi.org/10.17267/2238-2704rpf.2023.e5031

Palavras-chave:

Diabetes Mellitus, Equilíbrio Postural, Neuropatias Diabéticas, Revisão Sistemática

Resumo

INTRODUÇÃO: A diabetes mellitus tipo 2 (DM2) é uma doença crônica sistêmica ligada às mudanças no estilo de vida, fatores genéticos e ambientais, ocasionando complicações como a neuropatia diabética periférica (NDP). Além disso, pessoas com DM2 apresentam um retardo na condução nervosa das vias motoras e sensoriais, podendo levar a alterações no equilíbrio. OBJETIVO: Descrever as alterações de equilíbrio estático em pacientes com DM2. MATERIAIS E MÉTODOS: A revisão sistemática iniciou em outubro de 2021 ocorrendo a última busca em março de 2023, os artigos foram selecionados por dois autores de forma independente nas bases de dados Pubmed, Scopus e Web of Science. Seguindo o protocolo registrado no PROSPERO e descrito com base nas recomendações do PRISMA, foram selecionados estudos observacionais sem restrição a ano de publicação e idioma, envolvendo equilíbrio de DM em qualquer idade. RESULTADOS: Foram eleitos 20 artigos com indivíduos DM e NPD em um total de 1564 voluntários, demonstrando: DM causa mudança na velocidade e deslocamento do COP alterando o equilíbrio estático, a presença da NPD piora a estabilidade corporal devido as alterações sensitivo motoras. CONCLUSÃO: Indivíduos com DM e NPD demonstram alterações na estabilidade postural como velocidade e deslocamento do centro de pressão (COP) para as direções AP e ML, com ou sem informação visual e na presença da NPD.

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Referências

(1) García-Chapa EG, Leal-Ugarte E, Peralta-Leal V, Durán-González J, Meza-Espinoza JP. Genetic Epidemiology of Type 2 Diabetes in Mexican Mestizos. Biomed Res Int. 2017;2017:3937893. https://doi.org/10.1155/2017/3937893

(2) International Diabetes Federation. IDF Diabetes Atlas. 10a ed. Brussels: IDF; 2021. Available from: https://www.diabetesatlas.org

(3) Vongsirinavarat M, Mathiyakom W, Kraiwong R, Hiengkaew V. Fear of Falling, Lower Extremity Strength, and Physical and Balance Performance in Older Adults with Diabetes Mellitus. J Diabetes Res. 2020;2020:8573817. https://doi.org/10.1155/2020/8573817

(4) Paillard T. Plasticity of the postural function to sport and/or motor experience. Neurosci Biobehav Rev. 2017;72:129–52. https://doi.org/10.1016/j.neubiorev.2016.11.015

(5) Sales KLS, Souza LA, Cardoso VS. Static balance in individuals with diabetic peripheral neuropathy. Fisioter e Pesqui. 2012;19(2):122–7. https://doi.org/10.1590/S1809-29502012000200006

(6) Alonso AC, Mochizuki L, Silva Luna NM, Ayama S, Canonica AC, Greve JM. Relation between the Sensory and Anthropometric Variables in the Quiet Standing Postural Control: Is the Inverted Pendulum Important for the Static Balance Control? BioMed Research International. 2015;2015:1–5. https://doi.org/10.1155/2015/985312

(7) Rocha JVC, Araújo DRB, Rocha RB, Cardoso VS. Methods of equilibrium assessment and use in non-healthy individuals: a systematic review. Rev Pesqui Fisioter. 2019;9(3):409–20. https://doi.org/10.17267/2238-2704rpf.v9i3.2435

(8) Rosario MG, Hyder A, Orozco E, Bartolomei JGV, Quiñones CL, Bayron F. Evaluating static postural control in subjects with controlled-diabetes mellitus II. Journal of Human Sport and Exercise. 2020;15(2):344-54. https://doi.org/10.14198/jhse.2020.152.09.

(9) Teles JCMA, Sousa RS, Sousa AM, Gomes PXL, Júnior FFUS. Baropodometria como um método de avaliação do equilíbrio em pacientes diabéticos: revisão sistemática. Varia Scientia-Ciências da Saúde [Internet]. 2016;1(2):156-6. Available from: https://e-revista.unioeste.br/index.php/variasaude/article/view/12761

(10) Agostini CM, Rodrigues VS, Guimarães AC, Damázio LCM, Vasconcelos NN. Analysis of motor performance and corporal balance of active elderly with arterial hypertension and type 2 diabetes. Rev. Aten. Saúde. 2018;16(55):29-35. https://doi.org/10.13037/ras.vol16n55.4690

(11) Omar M, Abdul Wahat NH, Zulkafli MF, Husain NF, Sulaiman S. Does postural instability in type 2 diabetes relate to vestibular function? Indian J Otol [Internet]. 2018;24(3):172-8. Available from: https://journals.lww.com/ijoo/Fulltext/2018/24030/Does_Postural_Instability_in_Type_2_Diabetes.7.aspx

(12) Ites KI, Anderson EJ, Cahill ML, Kearney JA, Post EC, Gilchrist LS. Balance interventions for diabetic peripheral neuropathy: a systematic review. Journal of geriatric physical therapy. 2011;34(3):109–16. https://doi.org/10.1519/JPT.0b013e318212659a

(13) Diabetic neuropathy. Nat Rev Dis Primers. 2019;5(42). https://doi.org/10.1038/s41572-019-0097-9

(14) Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372(71). https://doi.org/10.1136/bmj.n71

(15) Mehdikhani M, Khalaj N, Chung TY, Mazlan M. The effect of feet position on standing balance in patients with diabetes. Proc Inst Mech Eng H. 2014;228(8):819-23. https://doi.org/10.1177/0954411914547714

(16) Lee PY, Tsai YJ, Liao YT, Yang YC, Lu FH, Lin SI. Reactive balance control in older adults with diabetes. Gait Posture. 2018;61:67-72. https://doi.org/10.1016/j.gaitpost.2017.12.030

(17) Chatzistergos PE, Healy A, Naemi R, Sundar L, Ramachandran A, Chockalingam N. The relationship between hallux grip force and balance in people with diabetes. Gait Posture. 2019;70:109-15. https://doi.org/10.1016/j.gaitpost.2019.02.020

(18) Boucher P, Teasdale N, Courtemanche R, Bard C, Fleury M. Postural stability in diabetic polyneuropathy. Diabetes Care. 1995;18(5):638-45. https://doi.org/10.2337/diacare.18.5.638

(19) Dixit S, Maiya A, Shasthry BA, Kumaran DS, Guddattu V. Postural sway in diabetic peripheral neuropathy among Indian elderly. Indian J Med Res. 2015;142(6):713-20. https://doi.org/10.4103/0971-5916.174562

(20) Vaz MM, Costa GC, Reis JG, Junior WM, Albuquerque de Paula FJ, Abreu DC. Postural control and functional strength in patients with type 2 diabetes mellitus with and without peripheral neuropathy. Arch Phys Med Rehabil. 2013;94(12):2465-470. https://doi.org/10.1016/j.apmr.2013.06.007

(21) Corriveau H, Prince F, Hebert R, Raiche M, Tessier D, Maheux P, et al. Evaluation Of Postural Stability In Elderly With Diabetic Neuropathy. Diabetes Care. 2000;23(8):1187-91. https://doi.org/10.2337/diacare.23.8.1187

(22) Lafond D, Corriveau H, Prince F. Postural control mechanisms during quiet standing in patients with diabetic sensory neuropathy. Diabetes Care. 2004;27(1):173-78. https://doi.org/10.2337/diacare.27.1.173

(23) Palma FH, Antigual DU, Martínez SF, Monrroy MA, Gajardo RE. Static balance in patients presenting diabetes mellitus type 2 with and without diabetic polyneuropathy. Arq Bras Endocrinol Metabol. 2013;57(9):722-26. https://doi.org/10.1590/s0004-27302013000900008

(24) Herrera-Rangel A, Aranda-Moreno C, Mantilla-Ochoa T, Zainos-Saucedo L, Jáuregui-Renaud K. The influence of peripheral neuropathy, gender, and obesity on the postural stability of patients with type 2 diabetes mellitus. J Diabetes Res. 2014;2014:787202. https://doi.org/10.1155/2014/787202

(25) Kim BBJ, Kim S. Adaptation of perturbation to postural control in individuals with diabetic peripheral neuropathy. Int J Occup Saf Ergon. 2020;26(3):589-94. https://doi.org/10.1080/10803548.2018.1494771

(26) Kukidome D, Nishikawa T, Sato M, Nishi Y, Shimamura R, Kawashima J, et al. Impaired balance is related to the progression of diabetic complications in both young and older adults. Journal of diabetes and its complications. 2017;31(8):1275-82. https://doi.org/10.1016/j.jdiacomp.2017.05.014

(27) Jiang X, Deng F, Rui S, Ma Y, Wang M, Deng B, et al. The Evaluation of Gait and Balance for Patients with Early Diabetic Peripheral Neuropathy: A Cross-Sectional Study. Risk management and healthcare policy. 2022;15:543-52. https://doi.org/10.2147%2FRMHP.S361698

(28) Fulk GD, Robinson CJ, Mondal S, Storey CM, Hollister AM. The effects of diabetes and/or peripheral neuropathy in detecting short postural perturbations in mature adults. J Neuroeng Rehabil. 2010;7:44. https://doi.org/10.1186/1743-0003-7-44

(29) Toosizadeh N, Mohler J, Armstrong DG, Talal TK, Najafi B. The influence of diabetic peripheral neuropathy on local postural muscle and central sensory feedback balance control. PLoS One. 2015;10(8):e0135255. https://doi.org/10.1371/journal.pone.0135255

(30) Timar B, 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(4):e0154654. https://doi.org/10.1371/journal.pone.0154654

(31) Goldberg A, Russell JW, Alexander NB. Standing balance and trunk position sense in impaired glucose tolerance (IGT)-related peripheral neuropathy. J Neurol Sci. 2008;270(1-2):165-71. https://doi.org/10.1016/j.jns.2008.03.002

(32) Cimbiz A, Cakir O. Evaluation of balance and physical fitness in diabetic neuropathic patients. J Diabetes Complications. 2005;19(3):160-64. https://doi.org/10.1016/j.jdiacomp.2004.06.005

(33) Lim KB, Kim DJ, Noh JH, Yoo J, Moon JW. Comparison of balance ability between patients with type 2 diabetes and with and without peripheral neuropathy. PM R. 2014;6(3):209-14. https://doi.org/10.1016/j.pmrj.2013.11.007

(34) Oppenheim U, Kohen-Raz R, Alex D, Kohen-Raz A, Azarya M. Postural characteristics of diabetic neuropathy. Diabetes Care. 1999;22(2):328-332. https://doi.org/10.2337/diacare.22.2.328

(35) Sacco ICN, Sartor CD, Gomes AA, João SMA, Cronfli R. Avaliação das perdas sensório-motoras do pé e tornozelo decorrentes da neuropatia diabética. Rev Bras Fisioter. 2007;11(1):27-33. https://doi.org/10.1590/S1413-35552007000100006

(36) Simmons RW, Richardson C, Pozos R. Postural stability of diabetic patients with and without cutaneous sensory deficit in the foot. Diabetes research and clinical practice. 1997;36(3):153-60. https://doi.org/10.1016/s0168-8227(97)00044-2

(37) Duarte M, Freitas SM. Revision of posturography based on force plate for balance evaluation. Rev Bras Fisioter. 2010;14(3);183-92. https://doi.org/10.1590/S1413-35552010000300003

(38) Ahmmed AU, Mackenzie IJ. Posture changes in diabetes mellitus. The Journal of Laryngology & Otology. 2003;117(5):358-64. https://doi.org/10.1258/002221503321626393

(39) Priplata A, Niemi J, Salen M, Harry J, Lipsitz LA, Collins J. Noise-enhanced human balance control. Physical Review Letters. 2002;89(23):238101. https://doi.org/10.1103/PhysRevLett.89.238101

(40) Gregg EW, Sorlie P, Paulose-Ram R, Gu Q, Eberhardt MS, Wolz M, Burt V, Curtin L, Engelgau M, Geiss L; 1999-2000 national health and nutrition examination survey. Prevalence of lower-extremity disease in the US adult population >=40 years of age with and without diabetes: 1999-2000 national health and nutrition examination survey. Diabetes Care. 2004;27(7):1591-7. https://doi.org/10.2337/diacare.27.7.1591

(41) Leinninger GM, Vincent AM, Feldman EL. The role of growth factors in diabetic peripheral neuropathy. J Peripher Nerv Syst. 2004;9(1):26-53. https://doi.org/10.1111/j.1085-9489.2004.09105

(42) Chau RM, Ng TK, Kwan RL, Choi CH, Cheing GL. Risk of fall for people with diabetes. Disabil Rehabil. 2013;35(23):1975-1980. https://doi.org/10.3109/09638288.2013.770079.

(43) Horak FB, Macpherson JM. Postural orientation and equilibrium. In: Rowell LB, Shepard JT. Handbook of Physiology: Section 12, Exercise regulation and integration of multiple systems. New York: Oxford University Press; 1996. p. 255-92.

(44) Gatev P, Thomas S, Kepple T, Hallett M. Feedforward ankle strategy of balance during quiet stance in adults. The Journal of physiology. 1999;514(3):915-28. https://doi.org/10.1111%2Fj.1469-7793.1999.915ad.x

(45) Horak FB. Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls? Age and ageing. 2006;35(suppl-2):ii7-ii11. https://doi.org/10.1093/ageing/afl077

Publicado

13.06.2023

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1.
Oliveira VS, Santos TES, Souza WC, Alves RF, da Rocha RB, Cardoso VS. Oscilações no equilíbrio estático relacionadas a diabetes mellitus tipo 2 – uma revisão sistemática. Rev Pesq Fisio [Internet]. 13º de junho de 2023 [citado 22º de novembro de 2024];13:e5031. Disponível em: https://www5.bahiana.edu.br/index.php/fisioterapia/article/view/5031