Relationship of Diabetic Polyneuropathy Severity with Various Balance Parameters.

, Lee, Jun Ho; , Kim, Chang Hwan; , Kim, Sang Hyun; , Jeong, Hyung Jun; , Kim, Myeong Ok

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2010;34(5):550-553.

Lee, Jun Ho , Kim, Chang Hwan , Kim, Sang Hyun , Jeong, Hyung Jun , Kim, Myeong Ok

Department of Physical & Rehabilitation Medicine, Inha University School of Medicine, Korea. rmkmo@inha.ac.kr

당뇨병성 신경병증의 중증도와 균형지표들의 상관관계

이준호, 김창환, 김상현, 정형준, 김명옥

인하대학교 의과대학 재활의학교실

Abstract

Objective
To compare the balance parameters, the diabetes mellitus (DM) composite score representing the severity of diabetic polyneuropathy, and the neuropathy impairment score-lower limb (NIS-LL).
Method
Thirty patients with DM were studied. Subjects were evaluated with nerve conduction study in upper and lower extremities, DM composite score, and NIS-LL, various balance parameters such as plantar pressure difference of both sides and unipedal standing time. The subjects who could not stand without support by any reasons were excluded.
Results
NIS-LL showed strong correlation with DM composite score (r_s=0.683) and unipedal standing time (r_s=0.663) (p＜0.01). NIS-LL also revealed moderate correlation with plantar pressure difference of both sides (r_s=0.512) (p＜0.05). DM composite score showed strong correlation with unipedal standing time (r_s=0.646) (p＜0.01), but revealed no significant correlation with plantar pressure difference of both sides (r_s=0.137) (p＞0.05).
Conclusion
NIS-LL was considered to have clinical usefulness in the evaluation of balance problems related to DM. (J Korean Acad Rehab Med 2010; 34: 550-553)

Key Words: Diabetes mellitus, Neuropathy impairment score, Composite score, Plantar pressure