Moré CJK, Moré CCX, Rodríguez VR, Nieto FMJ, Gatorno LC

Language: Spanish
References: 13
Page: 19-25
PDF size: 125.87 Kb.

ABSTRACT

Introduction: In patients with non-insulin dependant diabetes, undergoing rehabilitation, electrophysiological and metabolic changes can be confirmed. Objective: To correlate the electrophysiological and metabolic changes with the validism level of non-insulin diabetic patients undergoing sistematically rehabilitation. Methods: 30 non-insulin-dependent diabetic patients undergoing rehabilitation treatment were studied by using laboratory tests in order to determine the following values: glycosylated hemoglobin, fasting glucose, cholesterol, LDL, HDL and triglycerides. Also nerve conduction study was applied to them, which included the following nerves, on both sides: median, ulnar, radial, peroneal, tibial and sural. Also, the parameters for sensory and motor amplitudes as well as sensory and motor latencies, motor nerve conduction velocity, and F-wave minimum latency, were determined. Validism level was measured by the Lawton and Brody and Handicap scales from London, for instrumented and Advanced Activities of Daily Living (AADL). The number of abnormal nerves was compared with parameters of metabolic control and the results of independence scales applied through measures of central tendency and Pearson's correlation coefficient. Results: All the subjects were studied suffered from polyneuropathy, regardless of their metabolic control, years of diagnosis and level of validism. The most common cause of impairment in these patients was the motor impairment in lower extremities. Conclusions: No statistically significant correlation was found between the electrophysiological findings of neurological condition with respect to metabolic control values, neither with respect to years of diagnosis and patient autonomy.

REFERENCES

1. Partida Castillo Z, Rinza González M. Cambios electrofisiológicos en el paciente diabético. Rev Mex Med Fís Rehabil. 2006;18(2):49-54.

2. De Lisa J. Manual de conducción nerviosa y potenciales evocados somatosensoriales 4ta ed. New York: Raven Press; 2006.

3. Balladares M. Escalas de calidad de vida. Rev IREP. 2006;10(1):33-8.

4. Secundini R, Drueta S. Escalas de evaluación del accidente cerebrovascular

5. Rev IREP. 2006;10(1):46-9.

6. Salmond CH, Menon DK, Charfield DA, Williams GB, Pena A, Sahakian BJ, et al. Diffusion tensor imaging in chronic head injury survivors: correlations with learning and memory indices. Neuroimage. 2006;29:117-24.

7. Partanen J. Natural history of peripheral in patients with non-insulin-dependant diabetes mellitus. N Engl J Med. 2006;333(2):89-94.

8. Ruiz-Iban M. Lesión del nervio ciático tras colocación de férula cruropédica. Patol Aparato Locomotor. 2007;2(4):259-63.

9. Lorenzo Agudo M, Díaz Lifante F, Collado Cañas A. Análisis evolutivo del patrón funcional de marcha en pacientes con fractura de calcáneo. TRAUMA. 2008;19(4):225-34.

10. Licea Puig M. Diabetes tipo 2 en niños y adolescentes: aspectos clínicos, epidemiológicos, patogénicos y terapéuticos. Rev Cubana Endocrinol. 2008;19(1):152-60.

11. Ares Camerino A, Sainz Vera B, Marchena Aparicio JC. Diagnóstico del síndrome metabólico a través de la vigilancia de la salud. MAPFRE MEDICINA. 2004;15(4):266-9.

12. García R, Suárez R. La educación a personas con diabetes mellitus en la atención primaria de salud: Enfoque actual. Rev Cubana Endocrinol. 2007;18(1):45-53.

13. García R, Suárez R. Eficacia de un seguimiento a largo plazo con educación interactiva en diabéticos tipo 1. Rev Cubana Endocrinol. 2006;17(3):14-21.