COP Analysis in Type 2 Diabetics with Peripheral Diabetic Neuropathy

Peripheral Diabetic Neuropathy (PDN) produces nerve damage in lower limps and foot, and therefore, a decrease of information by the proprioceptive system to maintain postural stability denoting greater body sway. Due to postural stability pilot study was develop by using the anteroposterior center of pressure in 60 participants from Bogota, Colombia: 30 diabetics (19 female and 11 male) with PDN and 30 healthy controls (19 female and 11 male) matched by gender, age, height and weight. Wilcoxon test (p < 0.05) was used to find significant differences in linear parameters such as: excursion, velocity, Root mean square RMS, maximum and minimum amplitude. Plantar sensitivity was evaluated with the monofilament test of Semmes-Weinstein 5.0. All Diabetic Peripheral Patient DPN participants showed higher values in all parameters with maximum in excursion and RMS values and all DPN presented at least one insensitive zone at the plantar level. In static position DPN participants showed higher body sway and tends to stay on the anterior axis to maintain postural stability. This pilot study stablished what other previous literature have report that DPN disease directly impacts in postural stability becoming an important risk factor for falls.