Substantial Aspects of Balance in Patients with Diabetic Neuropathy: A Physical Therapist’s Perspective
Journal Title: International Scientific Research Organization Journal - Year 2016, Vol 1, Issue 9
Abstract
INTRODUCTION DIABETIC NEUROPATHY Diabetic neuropathy is defined as the presence of symptoms and or signs of peripheral nerve dysfunction in people with diabetes after the exclusion of other causes. The neuropathic disorder includes manifestations in the somatic and or autonomic parts of the peripheral nervous system. Neuropathy, a common complication of diabetes mellitus, is generally considered to be related to duration and severity of hyperglycemia. However, it may also occur acutely even with hypoglycaemia. Usually more than 50% of patients with duration of diabetes of 25 years or more are affected, making it as one of the most common disease of the nervous system. It is estimated that at least 50% of diabetic patients will develop neuropathy in their lifetime. Neuropathy is the most common “life-spoiling” complication of diabetes mellitus and may lead to painful foot ulceration, Charcot neuroarthropathy, and symptomatic autonomic dysfunction. Diabetic neuropathies are a heterogeneous group of disorders with different mechanisms. They can be proximal or distal, focal or diffuse, affecting both peripheral and autonomic nervous systems, causing pathological changes with great impact on the quality of life of the patients, resulting in early mortality. Diabetic neuropathies also appear to be more common in people who have problems controlling their blood glucose, also called blood sugar, as well as those with high levels of blood fat and blood pressure and those who are overweight. Diabetic neuropathy affects the longest nerves which send messages about touch, pain and temperature sensations to the brain from the feet and lower legs. In some people it can affect the hands as well. It may interfere with general activity, mood, mobility, work, social relations, sleep, leisure activities, and enjoyment of life. People with peripheral neuropathy caused by diabetes often experience balance disorder. Postural sway in these patients is increased
Authors and Affiliations
Rathish Manickam P. T Thrishala Noronha P. T, Ilona Gracie De Souza P. T. A
Keywords
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