Title:Therapeutic Interventions to Improve Static Balance in Type 2 Diabetes
Mellitus: A Systematic Review and Meta-Analysis
Volume: 20
Issue: 10
Author(s): Ana Cristina Marques Pedro, Bruna Larysse Diógenes Campelo, Wellington Costa Souza, Fernanda Mello da Silva Sousa, Rebeca Barbosa da Rocha and Vinicius Saura Cardoso*
Affiliation:
- BioSignal Laboratory, School of Physical Therapy, Parnaiba Delta Federal University (UFDPar), Parnaíba, Piauí,
Brazil
- Postgraduate Program in Biomedical Sciences, Parnaiba Delta Federal University (UFDPar), Parnaíba, Piauí,
Brazil
- Diabetic Foot Clinic, Center of Medical Specialties, Parnaíba, Piauí, Brazil
Keywords:
Diabetes mellitus, exercise therapy, diabetic neuropathies, postural balance, rehabilitation, diabetic peripheral neuropathy.
Abstract:
Introduction: Diabetes mellitus (DM) is a metabolic disorder characterized by an abnormal
increase in blood glucose levels resulting from insulin secretion and/or dysfunctional activity
that can lead to several serious complications in addition to decreased postural balance.
Objective: This study aimed to identify and analyze the main interventions used to improve static
balance in patients with DM.
Methods: For the selection of articles, a bibliographic search was performed using PubMed,
Scopus, Web of Science, Embase, and Cochrane databases. Only clinical trials that investigated
the effect of training on static balance in adults with type 2 DM were selected, and 34 studies
were included.
Results: The search resulted in the identification of 2681 articles, and of these, 31 were eligible
for the study. The identified interventions were proprioceptive, aerobic, resistance training on
platforms, in virtual reality, and Tai Chi. The main results obtained were an increase in time in
the one-leg stance, Romberg test, and tandem position, a significant increase in the Berg Balance
Scale score and balance index, and a reduction in the variables of postural sway.
Conclusion: There are a variety of effective training methods for improving static balance, and
the choice of intervention to be applied goes beyond proven effectiveness, depending on reproducibility
and/or financial cost.