Fear of Falling, Lower Extremity Strength, and Physical and Balance Performance in Older Adults with Diabetes Mellitus

Vongsirinavarat et al (J Diabetes Res 2020, 8573817 (2020)) compared fear of falling, lower extremity strength, and physical balance performance in participants with and without type 2 diabetes mellitus. Participants with type 2 diabetes mellitus were twice as likely to report a fear of falling than their peers, and results suggest these patients’ fear of falling is founded. The
number of times a participant failed the modified clinical test of sensory interaction and balance (mCTSIB) predicted their likelihood of reporting a fear of falling. Unfortunately, this fear is itself a driver of these patients’ elevated risk of falling. The authors recommend routine balance screenings as a means of identifying patients with diabetes who are at the greatest risk
of falling.

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