Hifayati, Laily Maulida Nur
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Risk Factors of Falling in Patients with Type 2 Diabetes Mellitus Sari, Dwi Rosella Komala; Pratiwi, Rossy Eka; Safitri, Weni; Hifayati, Laily Maulida Nur
Annual Physiotherapy Scientific Meeting Proceeding 2022: Annual Physiotherapy Scientific Meeting Proceeding
Publisher : Ikatan Fisioterapi Indonesia

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Abstract

Background: type 2 diabetes mellitus (T2DM) is characterized by hyperglycemia. Prolonged hyperglycemia is noted impacting microvascular and macrovascular complications. Diabetic peripheral neuropathy (DPN) is the highest microvascular complication in T2DM, increasing the risk of falling. Factors of duration of DM and balance have a strong influence on the risk of falling. However, the risk factors for falls in T2DM have not been established recently. Purpose: the purpose of this study was to determine the correlation between glycemic level, DPN and postural balance in patients with T2DM, as well as to determine the dominant factor of high risk of falling in patients with T2DM. Methods: The participant in this study confirmed having T2DM by medical diagnosis for 5 years and more. The glycemic level (FGL) was measured by fasting for 8 hours glycemic level, DPN was clarified by physical examination of MNSI and postural balance was assessed by mCTSIB, BBS and TUG tests. The risk for falling was taken from the categorical score of The Timed Up and Go test with a cut score of >13.5 secs as a high risk of falling. This research used a cross-sectional study conducted in DM community in Surakarta, Central Java, Indonesia. Results: There was a correlation between FGL and DPN, DPN and static balance, as well static balance and dynamic balance. The logistic regression revealed duration of DM as a dominant factor of high risk to fall (OR 1.376, p-value+0.023, 95% CI=1.044 – 1.814). Conclusion: prolonged duration of DM combines with hyperglycemia status impact to DPN and reduces balance performance in patients with T2DM.
Dampak Durasi Menderita Diabetes Mellitus Tipe 2 dan Komplikasi Mikrovaskular Terhadap Keseimbangan Tubuh dan Kualitas Hidup Komalasari, Dwi Rosella; Susilo, Taufik Eko; Fatmarizka, Tiara; Hifayati, Laily Maulida Nur
Annual Physiotherapy Scientific Meeting Proceeding 2023: Annual Physiotherapy Scientific Meeting Proceeding
Publisher : Ikatan Fisioterapi Indonesia

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Latar Belakang: Diabetes melitus tipe 2 (DMT2) merupakan sekelompok penyakit metabolik yang ditandai dengan hiperglikemia kronis yang dapat menimbulkan komplikasi mikrovaskular meliputi neuropati perifer, retinopati, dan vestibulopati. Lamanya menderita DM merupakan salah satu faktor yang memperparah komplikasi mikrovaskular dan menurunkan kualitas hidup. Tujuan: Untuk mengetahui perbedaan komplikasi mikrovaskular DM terhadap kualitas hidup penderita DMT2 berdasarkan lama menderita DMT 5-10 tahun dan lebih dari 10 tahun. Metode: Penelitian ini merupakan penelitian cross-sectional dengan teknik purposive sampling. Responden yang memenuhi kriteria berjumlah 242 orang dan dibagi menjadi 2 kelompok. Hasil: Komplikasi mikrovaskular meningkat seiring dengan bertambahnya lama menderita DMT2. Komplikasi mikrovaskular berupa gangguan vestibular meningkat 2 kali lipat pada DMT2 dengan lama menderita DMT >10 tahun yang berdampak pada penurunan keseimbangan statis (berdiri di atas busa dengan mata tertutup) dan kualitas hidup. Kesimpulan: Pasien DM tipe 2 mengalami penurunan keseimbangan dan kualitas hidup yang signifikan dibandingkan dengan DM tipe 2 dengan durasi 5-10 tahun.