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KMID : 0361019980410080988
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Korean Journal of Otolaryngology - Head and Neck Surgery
1998 Volume.41 No. 8 p.988 ~ p.993
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Usefulness of Motor Control Test(MCT) to Evaluate Balance Function in Diabetic Patients with Neuropathy
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박현민/Hyun Min Park
김한균/현민환/김상진*/Han Gyun Kim/Min Hwan Hyun/Sang Jin Kim*
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Abstract
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Background and Objectives: It is important to adequately estimate the functional handicap of the patient with polyneuropathy. Computerized dynamic postrography(CDP) can be utilized in those patients to evaluate balance performance. But, so
far,
the majority of data are about sensory organization test(SOT) and the efficacy of motor control test(MCT) is not established. We performed this study in an attempt to estimate balance function in diabetic neuropathy patients using MCT, thereby
confirm
the usefulness of MCT in evaluating balance ability. Subjects and Methods: Seventeen diabetic neuropathy patients(DM-NP), 9 non-neuropathy diabetic patients(DM-nonNP), and 22 non-diabetic normal persons as controls(nonDM) were included in
this
study. Postural responses to horizontal translation were assessed according to the MCT paradigm. The results were compared with the sway energy obtained during toes-up or toes-down perturbation. Results: Latencies of backward translation
were
prolonged in DM-NP but not in DM-nonNP. Latencies of forward translation were prolonged both in DM-NP and DM-nonNP. No definite correlation could be drawn between the MCT and EMG latencies. DM-NP showed increased sway energy in toes-up and
toes-down
perturbation. MCT latencies and sway energy in perturbation showed significant correlation. Conclusion: MCT proved to be useful in evaluating balance performance in the patients with defective postural response as in diabetic neuropathy.
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KEYWORD
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