Specific training can improve sensorimotor control in type 2 diabetic patients

Thorwesten L, Eichler A, Sperlbaum C, Eils E, Rosenbaum D, Völker K

Abstract in digital collection (conference)

Abstract

Introduction: Diabetes mellitus often is associated with proprioceptive and sensory defi cits as a result of distal diabetic polyneuropathy (DPN). The aim of this prospective controlled longitudinal trial was to evaluate a specific sport intervention program regarding sensorimotor capabilities in type 2 diabetic patients compared to healthy controls. Methods: 15 type 2 diabetic patients (7 female, 8 male; age 64 +/-10 years) whose disease is known since Ø 9,5 years, and 14 healthy volunteers (7 woman, 7 man; age Ø56 +/-7 years) participated in this study. Using Semmes-Weinstein-Monofilaments (SMW) 5,07 log10(g) the diabetic patients were divided into diabetic PN as well as diabetic non PN group (non-DPN group n=9, DPN group n=6). 5 different measuring systems were used in test and retest: Sensibility threshold testing using SWM, postural balance testing with force plate, active angle-reproduction test of the ankle, plantar foot pressure measuring (Emed ST) dynamic stability testing (Biodex-Stability-System). A 90-minute special training program has to be completed once a week over a 8 month period. Results: Comparing test-retest results of the sensiblity threshold testing with SMW all plantar measuring points showed a slight increasing sensibility in the DNP group. Significant changes in threshold testing could be demonstrated in lateral forefoot and hallux area. Joint position sense measured with the angle reproduction test showed significant reduction of reproduction error in the diabetic group. For all other measuring methods no significant changes could be found. Discussion & Conclusion: A specific training can lead to positive changes in sensorimotor capabilities in type 2 diabetic patients. These results demonstrate the possibility of modulating proprioceptive deficits in diabetic patients during therapeutic intervention. Basic cause of this modulation could be found in an increasing cerebral processing using the given reafferent sensory input.

Details zur Publikation

Release year: 2008
Language in which the publication is written: English
Link to the full text: http://archivosdemedicinadeldeporte.com/articulos/upload/comunicaciones_orales_437_128.pdf