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Differences in the level of functional ability between diabetic peripheral neuropathy patients both with and without functional limitations |
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| รหัสดีโอไอ | |
| Creator | Piyanuch Techo |
| Title | Differences in the level of functional ability between diabetic peripheral neuropathy patients both with and without functional limitations |
| Contributor | Sugalya Amatachaya, Wanida Donpunha, Thiwabhorn Thaweewannakij |
| Publisher | Faculty of Associated Medical Sciences, Khon Kaen University, Thailand |
| Publication Year | 2563 |
| Journal Title | Archives of Allied Health Sciences |
| Journal Vol. | 32 |
| Journal No. | 2 |
| Page no. | 58-69 |
| Keyword | Diabetic mellitus, Diabetic peripheral neuropathy, Physical function, Functional limitation |
| URL Website | https://he01.tci-thaijo.org/index.php/ams/about |
| Website title | Archives of Allied Health Sciences (Arch AHS) |
| ISSN | 2730-1990 |
| Abstract | Diabetic Peripheral Neuropathy (DPN) is an important complicationof diabetic mellitus. The primary symptom of DPN disrupts the integrationof the somatosensory system contributing to both static and dynamicbalance ability. Furthermore, muscles progressively decline in distal to proximal parts of the body. The combination of muscle weakness and balance impairment obviously leads to gait abnormality, then it is directly linked to functional limitations. The study aimed to compare the functional ability, both with and without functional limitations, in type 2-diabetes mellitus (T2DM) with diabetic peripheral neuropathy (DPN). This study was cross- sectionally collected the data in DPN patients from 25 sub-district health promoting hospital, Nakhon Phanom Province inthe Northeastern of Thailand. They were diagnosed as DPN using theMichigan Neuropathy Screening Instrument (MNSI). Then, they werescreened for functional limitation using the late-life function anddisability instrument (Late-life FDI) questionnaire. The eligibleparticipants were assessed by hand grip dynamometer (HGD), toe grip dynamometer (TGD), five times sit-to-stand test (FTSST), single leg stance test (SLS), timed up and go test (TUG), and 10-meter walk test (10MWT). Sixty-four eligible subjects were divided into two groups: a non- functional limitations group (45 subjects) and a functionallimitations group (19 subjects). According to the findings, approximately 30% of the DPN patients were reported with functional limitations. The DPN patients with functional limitations were reported with significantly poorer muscle strength (hand grip and toe grip strength,and leg muscle strength), static and dynamic balance ability, and gaitspeed than the other group (p-value < 0. 05). The present study suggested the level of functional ability in these individuals could be meaningful for health practitioners in preventing severe complications and disability from functional limitation conditions |
