Diabetic Polyneuropathy May Increase the Handicap Related to Vestibular Disease

Aranda, Catalina; Meza, Anabel; Rodríguez, Ricardo Zamora; Mantilla, María Teresa; Jáuregui‐Renaud, Kathrine

doi:10.1016/j.arcmed.2009.02.011

Cited by 26 publications

(15 citation statements)

References 16 publications

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“…DHI and vertigo and dizziness visual analog scale used to characterize the sample, indicated the intensity, incapacity, and shortcomings these symptoms caused in daily life. The experimental group showed a moderate impairment in quality of life in DHI (10,11,13) ; the physical domain, which allowed for identification of the appearance of dizziness in certain positions or head movements (10) , was the most compromised, followed by the functional and emotional domains, similar to the findings of another study in patients with vestibular dysfunction and T2DM (19) . Vertigo and dizziness visual analog scale (12) also quantified the intensity of dizziness as moderate (14) about average values, although in a little over half the number of cases the intensity was considered severe.…”

Section: Discussionsupporting

confidence: 79%

Controle postural em indivíduos com diabetes mellitus do tipo 2 com vertigem, tontura e/ou desequilíbrio

Quitschal

Fukunaga

Dib

et al. 2019

Audiol., Commun. Res.

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RESUMO Objetivo avaliar o controle postural em indivíduos com diabetes mellitus do tipo 2 (DM2) com vertigem, tontura e/ou desequilíbrio à posturografia. Métodos pacientes com DM2, 15 do sexo feminino e cinco do masculino, idades entre 46 e 83 anos e um grupo controle de 20 indivíduos hígidos, pareados por idade e sexo, 15 do sexo feminino e cinco do masculino, idades entre 46 e 81 anos foram submetidos à versão brasileira do Dizziness Handicap Inventory (DHI) e escala visual analógica de vertigem ou tontura e posturografia estática do Tetrax IBSTM, em oito condições sensoriais. Resultados o grupo experimental apresentou prejuízo moderado na qualidade de vida ao DHI (média de 31,30 pontos) e pontuação média de 6,45 pontos na escala visual analógica de vertigem ou tontura. Houve diferença significativa entre os grupos, em todas ou algumas condições sensoriais, em relação aos valores do índice de estabilidade geral, das faixas de frequência de oscilação postural, dos índices de sincronização da oscilação postural e do índice de risco de queda. Conclusão indivíduos com DM2 com vertigem, tontura e/ou desequilíbrio podem apresentar distúrbio do controle postural à posturografia, caracterizado por alterações da estabilidade geral, sincronização da oscilação postural, faixas de frequência de oscilação postural e risco de queda, sugerindo disfunção vestibular, visual e somatossensorial, ou em sua interação no sistema nervoso central.

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Section: Discussionsupporting

confidence: 79%

Controle postural em indivíduos com diabetes mellitus do tipo 2 com vertigem, tontura e/ou desequilíbrio

Quitschal

Fukunaga

Dib

et al. 2019

Audiol., Commun. Res.

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“…People with peripheral neuropathy and diabetes can improve with VR, 75 but they may not improve as much as those with diabetes alone. 76…”

Section: Neuropathy and Somatosensory Lossmentioning

confidence: 99%

Vestibular Rehabilitation and Factors That Can Affect Outcome

2019

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This review will discuss the developmental, environmental, medical, psychological, visual, and other sensory-related factors that affect recovery after vestibular dysfunction. A general overview of the evidence for vestibular rehabilitation for patients with peripheral and central vestibular disorders is provided. Recent findings suggest that age, physical activity, certain congenital disorders, length of symptoms, musculoskeletal, visual and neuromuscular comorbidities, cognition, sleep, and medications are all factors that influence the effectiveness and outcome of vestibular rehabilitation. Psychological factors that also affect outcome include anxiety, depression, fear of movement, and fear of falling. Recovery in patients with vestibular disorders may be enhanced if the practitioner recognizes and attempts to remediate modifiable factors.

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“…However, VD can be ameliorated through vestibular rehabilitation treatment. Therefore, it is clinically important to detect VD in diabetic patients with peripheral neuropathy [19,20]. …”

Section: Discussionmentioning

confidence: 99%

Clinical Significance of the Presence of Autonomic and Vestibular Dysfunction in Diabetic Patients with Peripheral Neuropathy

et al. 2012

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BackgroundWe investigated the prevalence of diabetic autonomic neuropathy (DAN) and vestibular dysfunction (VD) in diabetic patients with peripheral neuropathy.MethodsThirty-five diabetic patients with peripheral neuropathy were enrolled from August 2008 to July 2009. All subjects underwent autonomic function tests. Nineteen of the patients (54.3%) underwent videonystagmography.ResultsDiabetic autonomic neuropathy was observed in 28 patients (80%). A mild degree of autonomic failure was observed in 18 patients (64.3%), and a moderate degree of autonomic failure was observed in ten patients (35.7%). Factors related to DAN included diabetic nephropathy (P=0.032), degree of chronic kidney disease (P=0.003), and duration of diabetes (P=0.044). Vestibular dysfunction was observed in 11 of 19 patients (57.9%). There was no significant association between DAN and VD.ConclusionDiabetic autonomic neuropathy was observed in 28 diabetic patients (80%) with peripheral neuropathy. Vestibular dysfunction was observed in nearly 60% of diabetic patients with peripheral neuropathy who complained of dizziness but showed no significant association with DAN. Diabetic patients who complained of dizziness need to examine both autonomic function and vestibular function.

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Diabetic Polyneuropathy May Increase the Handicap Related to Vestibular Disease

Cited by 26 publications

References 16 publications

Controle postural em indivíduos com diabetes mellitus do tipo 2 com vertigem, tontura e/ou desequilíbrio

Controle postural em indivíduos com diabetes mellitus do tipo 2 com vertigem, tontura e/ou desequilíbrio

Vestibular Rehabilitation and Factors That Can Affect Outcome

Clinical Significance of the Presence of Autonomic and Vestibular Dysfunction in Diabetic Patients with Peripheral Neuropathy

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