Effects of Diabetic Neuropathy on Body Sway and Slip Perturbation Detection in Older Population

Kim, Byung Joon; Robinson, Charles J.

doi:10.1080/10803548.2006.11076686

Cited by 14 publications

(9 citation statements)

References 18 publications

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“…This survey suggests that failure to recover from a trip is a common perceived cause of falls and may indicate a delayed reactive strategy. This could be due to slowed rate of force production in weakened muscles or sensory dysfunction, as seen in other peripheral neuropathies and older people (Handsaker et al, ; Kim & Robinson, ). A study by Nardone et al () explored reactive strategies in people with peripheral neuropathy, relating them to postural control but not to falls.…”

Section: Discussionmentioning

confidence: 99%

Frequency and circumstances of falls for people with Charcot–Marie–Tooth disease: A cross sectional survey

Ramdharry

Reilly-O'Donnell

Grant

et al. 2017

Physiotherapy Res Intl

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Section: Discussionmentioning

confidence: 99%

Frequency and circumstances of falls for people with Charcot–Marie–Tooth disease: A cross sectional survey

Ramdharry

Reilly-O'Donnell

Grant

et al. 2017

Physiotherapy Res Intl

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“…Only a few researchers have analyzed data in ML axis 10 24 25 26 27 28 29 30 . In contrast with the other researches Kim and Robinson 28 found a significant difference in postural sway variables in diabetic neuropathy and healthy controls in AP and ML axis. Results in the present study suggest a multidirectional involvement of postural stability measures.…”

Section: Discussionmentioning

confidence: 99%

Postural sway in diabetic peripheral neuropathy among Indian elderly

Dixit¹,

Maiya²,

Shasthry³

et al. 2015

Indian J Med Res

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Background & objectives:Diabetic peripheral neuropathy (DPN) is a major complication of type 2 diabetes and have long term complications on the postural control of the affected population. The objectives of this study were to evaluate postural stability in patients with DPN and to examine correlation of Michigan Neuropathy Screening Instrument (MNSI) with duration of diabetes, age and postural stability measures.Methods:Participants were included if they had clinical neuropathy which was defined by MNSI. Sixty one patients gave their consent to participate in the study and were evaluated on posturography for postural stability measures in four conditions. Repeated measures of analysis of variance (RANOVA) was used to analyze the changes in postural stability measures in different conditions.Results:An increase in mean value of postural stability measures was observed for velocity moment 20.4±1.3, 24.3±2.2, 42.3±20.7, 59±43.03, mediolateral displacement 0.21±0.10, 0.22±0.18, 0.03±0.11, 0.34±0.18, and anteroposterior displacement 0.39 ± 0.09, 0.45±0.12, 0.47±0.13, 0.51±0.20 from EO to EC, EOF, and ECF, respectively. There was a significant difference (P<0.05) in participants with DPN, with greater sway amplitude on firm and foam surface in all the conditions. Moderate correlation of MNSI with age (r=0.43) and postural stability measures were also observed.Interpretation & conclusions:Evaluation of postural stability in Indian DPN population suggests balance impairments on either firm and foam surfaces, with greater likelihood of fall being on foam or deformable surfaces among elderly adults with neuropathy (CTRI/2011/07/001884).

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“…Lateral instability was introduced by some studies as a marker of impaired balance in DN patients [33]. Also, alterations in the balance parameters in ML direction recorded by force platform demonstrated that DN patients are less stable in the ML direction of postural sway parameters [11] and suggested the crucial role of vestibular system in the control of hip strategy in ML direction [12].…”

Section: Discussionmentioning

confidence: 99%

Spectral characteristics of postural sway in diabetic neuropathy patients participating in balance training

Salsabili

Bahrpeyma

Esteki

et al. 2013

J Diabetes Metab Disord

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BackgroundThe aim of the present study is to have a detailed frequency analysis about the effect of balance training with respect to reactive movement strategies and sensory strategies in type 2 diabetic neuropathy (DN) patients. Also understand changes in the role of each postural subsystem for controlling quiet standing after balance training.MethodsA group of 19 patients were included in the quasi experimental, time- series study. Total frequency power, 99% power frequency, centroidal frequency and frequency spectrum in the intervals between 0.01-0.1, 0.1-0.5, 0.5-1 Hz and 1-3 Hz are reported. The training protocol consisted two patterns of limits of stability trainings, three approaches in weight shifting trainings and one stable standing practice on the biodex stability system. Results: Repeated measure ANOVA analysis and the LSD test indicated significant differences for the eyes open ML- frequency power and ML-FFT sway power within low-medium (0.1-0.5 HZ) frequencies.ConclusionsDecrease in postural sway at low-medium frequencies showed lower reliance on vestibular system. Also, better controlling hip muscles after balance training relieve DN patients’ requirement to more exploratory sway as a compensatory strategy and showed better balance performance after balance training in DN patients. Trial registrationUMIN-CTR Search Clinical Trials: UMIN000004485.

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Effects of Diabetic Neuropathy on Body Sway and Slip Perturbation Detection in Older Population

Abstract: Postural control is a common mechanism tosway slip perturbation detection center of pressureCorrespondence and requests for offprints should be sent to Byung Joon Kim,

Cited by 14 publications

References 18 publications

Frequency and circumstances of falls for people with Charcot–Marie–Tooth disease: A cross sectional survey

Frequency and circumstances of falls for people with Charcot–Marie–Tooth disease: A cross sectional survey

Postural sway in diabetic peripheral neuropathy among Indian elderly

Spectral characteristics of postural sway in diabetic neuropathy patients participating in balance training

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