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Falls in individuals with type 2 diabetes; a cross‐sectional study on the impact of motor dysfunction, postural instability and diabetic polyneuropathy

Diabetic Medicine Dec 16, 2020

Khan KS, Pop‐Busui R, Devantier L, et al. - In this cross‐sectional study, researchers estimated the incidence of falls in individuals with type 2 diabetes relative to healthy controls and identified the features of fallers with type 2 diabetes in relation to motor dysfunction, postural instability and diabetic polyneuropathy (DPN). The sample consisted of people with type 2 diabetes with DPN (n = 54), without DPN (n = 38) and healthy controls (n = 39). Motor function was evaluated through a 6‐min walk test (6 MWT), five‐time sit‐to‐stand test (FTSST) and isokinetic dynamometry at the non‐dominant ankle and knee. In the preceding year, people with type 2 diabetes reported a higher number of falls relative to healthy controls, regardless of the presence of DPN. Increased postural instability, lower walking capacity and slower sit‐to‐stand movements were the key factors associated with falls. In prospective screening programs, 6 MWT, FTSST and posturography should be considered for the detection of individuals at risk of falls.

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