Ufuk ŞEKİR, Yavuz YILDIZ, Taner AYDIN, Bülent HAZNECİ, Ferhat DENİZ, Tolga SAKA

Postural Stability and Functional Capacity in Recreational Athletes with Type 1 Diabetes Mellitus

Aims: The aim of this study was to evaluate postural stability and functional capacity in recreational athletes with type 1 diabetes mellitus (T1 DM) and to compare them with healthy recreational athletes. Materials and Methods: Sixteen recreational athletes with T1 DM (21.4 ± 2.1 years of age, 174.3 ± 7 cm height, 64.5 ± 10.1 kg weight, 10.9 ± 5.3 body fat percentage [BFP]) and 19 healthy recreational athletes (21.9 ± 2.5 years of age, 173.1 ± 5.2 cm height, 66.1 ± 4 kg weight, 14.4 ± 1.5 BFP) participated in this study. Postural stability was measured by using the one leg standing test (OLST) (static test) and single limb hopping course (SLHC) test (dynamic test). Functional capacity was evaluated by using the isokinetic muscle strength test, one-legged and triple-legged hop for distance tests, and six meter (6-m) and cross 6-m hop for time tests. Mann-Whitney U test was used to compare mean values of the diabetic group (DG) with those of the control group (CG). Results: There was no difference between groups with regards to anthropometric data except in BFP (P < 0.01) and functional capacity tests (P > 0.05). OLST (P < 0.05) and SLHC tests (P < 0.01) were significantly lower in the DG. Conclusions: These results suggest that diabetic athletes have reduced postural stability.

Anahtar Kelimeler:

Postural stability, functional capacity, type 1 diabetes mellitus, recreational athletes

Postural Stability and Functional Capacity in Recreational Athletes with Type 1 Diabetes Mellitus

Keywords:

Postural stability, functional capacity, type 1 diabetes mellitus, recreational athletes,

PDF

___

The effect of intensive diabetes therapy on the development and progression of neuropathy. The Diabetes Control and Complications Trial Research Group. Ann Intern Med 1995; 122: 561–8. 2.
Greene DA, Sima AAF, Albers JF, Albers JW. Diabetic neuropathy.
In: Rifkin H, Porte D Jr, editors. Ellenberg and Rifkin’s Diabetes
Mellitus, Theory and Practice. New York: Elsevier; 1990. pp.710–55.
Macpherson JM, Fung J, Jacobs R. Postural orientation, equilibrium, and the spinal cord. Adv Neurol 1997; 72: 227–32. 4. Horak FB, Macpherson JM. Postural orientation and equilibrium. In: Rowell LG, Shepherd JT, editors. Handbook of Physiology. Exercise: Regulation and Integration of Multiple Systems. New York: Oxford University Press; 1996. pp. 255-92.
Cavanagh PR, Derr JA, Ulbrecht JS, Maser RE, Orchard TJ. Problems with gait and posture in neuropathic patients with insulin-dependent diabetes mellitus. Diabet Med 1992; 9: 469–74. 6. Huang HC, Gau ML, Lin WC, George K. Assessing risk of falling in older adults. Public Health Nurs 2003; 20: 399–411.
Huroyuki S, Uchiyama Y, Kakurai S. Specific effects of balance and gait exercises on physical function among the frail elderly. Clin Rehabil 2003; 17: 472–9.
Andersen H, Poulsen PL, Mogensen CE, Jakobsen J. Isokinetic muscle strength in long-term IDDM patients in relation to diabetic complications. Diabetes 1996; 45: 440-5.
Boucher P, Teasdale N, Courtemanche R, Bard C, Fleury M. Postural stability in diabetic polyneuropathy. Diabetes Care 1995; 18: 638–45.
Simoneau GG, Ulbrecht JS, Derr JA, Becker MB, Cavanagh PR. Postural instability in patients with diabetic sensory neuropathy. Diabetes Care 1994; 17: 1411–21.
Corriveau H, Prince F, Hebert R, Raiche M, Tessier D, Maheux P et al. Evaluation of postural stability in elderly with diabetic neuropathy. Diabetes Care 2000; 23: 1187–91.
Yamamoto R, Kinoshita T, Momoki T, Arai T, Okamura A, Hirao K et al. Postural sway and diabetic peripheral neuropathy. Diabetes Res Clin Pract 2001; 52: 213-21.
Aydin T, Yildiz Y, Yildiz C, Atesalp S, Kalyon TA. Proprioception of the ankle: a comparison between female teenaged gymnasts and controls. Foot Ankle Int 2002; 23: 123-9.
Yildiz Y, Aydin T, Sekir U, Cetin C, Ors F, Alp Kalyon T. Relation between isokinetic muscle strength and functional capacity in recreational athletes with chondromalacia patellae. Br J Sports Med 2003; 37(6): 475-9.
Currier DP. Elements of research in physical therapy. 3rd ed. Baltimore, MD: Williams and Wilkins; 1990.
Andersen H. Muscular endurance in long-term IDDM patients. Diabetes Care 1998; 21(4): 604-9.
Cimbiz A, Cakir O. Evaluation of balance and physical fitness in diabetic neuropathic patients. J Diabetes Complications 2005; 19: 160-4.
Winegrad AI. Does a common mechanism induce the diverse complications of diabetes? Diabetes 1987; 36: 396-406.
Predel HG, Tokarski W. Influence of physical activity on human health. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2005; 48(8): 833-40.
Holten MK, Zacho M, Gaster M, Juel C, Wojtaszewski JF, Dela F. Strength training increases insulin-mediated glucose uptake, GLUT4 content, and insulin signaling in skeletal muscle in patients with type 2 diabetes. Diabetes 2004; 53(2): 294-305.
Grigg P. Athletic Injuries and Rehabilitation. In: Zachazewski JE, Magee DJ, Quillen WS, editors. USA: WB Saunders Company; 1996. pp. 152-69.
Menz HB, Lord SR, St George R, Fitzpatrick RC. Walking stability and sensorimotor function in older people with diabetic peripheral neuropathy. Arch Phys Med Rehabil 2004; 85(2): 245-52.