Postural sway in individuals with type 2 diabetes and concurrent benign paroxysmal positional vertigo

Linda J. D'Silva, Patricia M. Kluding, Susan L. Whitney, Hongying Dai, Marcio Santos

Research output: Contribution to journalArticle

Abstract

Background andpurpose: diabetes has been shown to affect the peripheral vestibular end organs and is associated with an increase in the frequency of benign paroxysmal positional vertigo (BPPV). People with diabetes have higher postural sway; however, the impact of symptomatic BPPV on postural sway in individuals with diabetes is unclear. The purpose of this cross-sectional study was to examine postural sway in people with type 2 diabetes who have symptomatic, untreated BPPV (BPPVDM). Methods: fifty-two participants (mean age 56.9 ± 5.6 years) were enrolled: controls (n = 14), diabetes (n = 14), BPPV only (n = 13) and BPPVDM (n = 11). An inertial motion sensor was used to detect pelvic acceleration across five standing conditions with eyes open/closed on firm/foam surfaces. Range of acceleration (cm/s2), peak velocity (cm/s) and variability of sway [root mean square (RMS)] in the anterior-posterior (AP) and medial-lateral (ML) directions were used to compare postural sway between groups across conditions. Results: participants with BPPVDM had higher ranges of acceleration in the AP (p = 0.02) and ML (p = 0.02) directions, as well as higher peak velocity (p < 0.001) and RMS values (p = 0.006) in the AP direction compared to the control and diabetes groups. Standing on foam with eyes closed and tandem stance were challenging conditions for people with BPPVDM. Conclusion: clinicians may consider using standing on foam with eyes closed and tandem standing with eyes open to assess postural control in people with BPPVDM to identify postural instability.

Original languageEnglish (US)
Pages (from-to)1065-1073
Number of pages9
JournalInternational Journal of Neuroscience
Volume127
Issue number12
DOIs
StatePublished - Dec 2 2017

Fingerprint

Type 2 Diabetes Mellitus
Cross-Sectional Studies
Control Groups
Benign Paroxysmal Positional Vertigo
Direction compound

Keywords

  • Postural sway
  • accelerometry
  • benign paroxysmal positional vertigo
  • symptomatic
  • type 2 diabetes

ASJC Scopus subject areas

  • Neuroscience(all)

Cite this

Postural sway in individuals with type 2 diabetes and concurrent benign paroxysmal positional vertigo. / D'Silva, Linda J.; Kluding, Patricia M.; Whitney, Susan L.; Dai, Hongying; Santos, Marcio.

In: International Journal of Neuroscience, Vol. 127, No. 12, 02.12.2017, p. 1065-1073.

Research output: Contribution to journalArticle

D'Silva, Linda J. ; Kluding, Patricia M. ; Whitney, Susan L. ; Dai, Hongying ; Santos, Marcio. / Postural sway in individuals with type 2 diabetes and concurrent benign paroxysmal positional vertigo. In: International Journal of Neuroscience. 2017 ; Vol. 127, No. 12. pp. 1065-1073.
@article{f87f08d87229428ea8f37f375b39a890,
title = "Postural sway in individuals with type 2 diabetes and concurrent benign paroxysmal positional vertigo",
abstract = "Background andpurpose: diabetes has been shown to affect the peripheral vestibular end organs and is associated with an increase in the frequency of benign paroxysmal positional vertigo (BPPV). People with diabetes have higher postural sway; however, the impact of symptomatic BPPV on postural sway in individuals with diabetes is unclear. The purpose of this cross-sectional study was to examine postural sway in people with type 2 diabetes who have symptomatic, untreated BPPV (BPPVDM). Methods: fifty-two participants (mean age 56.9 ± 5.6 years) were enrolled: controls (n = 14), diabetes (n = 14), BPPV only (n = 13) and BPPVDM (n = 11). An inertial motion sensor was used to detect pelvic acceleration across five standing conditions with eyes open/closed on firm/foam surfaces. Range of acceleration (cm/s2), peak velocity (cm/s) and variability of sway [root mean square (RMS)] in the anterior-posterior (AP) and medial-lateral (ML) directions were used to compare postural sway between groups across conditions. Results: participants with BPPVDM had higher ranges of acceleration in the AP (p = 0.02) and ML (p = 0.02) directions, as well as higher peak velocity (p < 0.001) and RMS values (p = 0.006) in the AP direction compared to the control and diabetes groups. Standing on foam with eyes closed and tandem stance were challenging conditions for people with BPPVDM. Conclusion: clinicians may consider using standing on foam with eyes closed and tandem standing with eyes open to assess postural control in people with BPPVDM to identify postural instability.",
keywords = "Postural sway, accelerometry, benign paroxysmal positional vertigo, symptomatic, type 2 diabetes",
author = "D'Silva, {Linda J.} and Kluding, {Patricia M.} and Whitney, {Susan L.} and Hongying Dai and Marcio Santos",
year = "2017",
month = "12",
day = "2",
doi = "10.1080/00207454.2017.1317249",
language = "English (US)",
volume = "127",
pages = "1065--1073",
journal = "International Journal of Neuroscience",
issn = "0020-7454",
publisher = "Informa Healthcare",
number = "12",

}

TY - JOUR

T1 - Postural sway in individuals with type 2 diabetes and concurrent benign paroxysmal positional vertigo

AU - D'Silva, Linda J.

AU - Kluding, Patricia M.

AU - Whitney, Susan L.

AU - Dai, Hongying

AU - Santos, Marcio

PY - 2017/12/2

Y1 - 2017/12/2

N2 - Background andpurpose: diabetes has been shown to affect the peripheral vestibular end organs and is associated with an increase in the frequency of benign paroxysmal positional vertigo (BPPV). People with diabetes have higher postural sway; however, the impact of symptomatic BPPV on postural sway in individuals with diabetes is unclear. The purpose of this cross-sectional study was to examine postural sway in people with type 2 diabetes who have symptomatic, untreated BPPV (BPPVDM). Methods: fifty-two participants (mean age 56.9 ± 5.6 years) were enrolled: controls (n = 14), diabetes (n = 14), BPPV only (n = 13) and BPPVDM (n = 11). An inertial motion sensor was used to detect pelvic acceleration across five standing conditions with eyes open/closed on firm/foam surfaces. Range of acceleration (cm/s2), peak velocity (cm/s) and variability of sway [root mean square (RMS)] in the anterior-posterior (AP) and medial-lateral (ML) directions were used to compare postural sway between groups across conditions. Results: participants with BPPVDM had higher ranges of acceleration in the AP (p = 0.02) and ML (p = 0.02) directions, as well as higher peak velocity (p < 0.001) and RMS values (p = 0.006) in the AP direction compared to the control and diabetes groups. Standing on foam with eyes closed and tandem stance were challenging conditions for people with BPPVDM. Conclusion: clinicians may consider using standing on foam with eyes closed and tandem standing with eyes open to assess postural control in people with BPPVDM to identify postural instability.

AB - Background andpurpose: diabetes has been shown to affect the peripheral vestibular end organs and is associated with an increase in the frequency of benign paroxysmal positional vertigo (BPPV). People with diabetes have higher postural sway; however, the impact of symptomatic BPPV on postural sway in individuals with diabetes is unclear. The purpose of this cross-sectional study was to examine postural sway in people with type 2 diabetes who have symptomatic, untreated BPPV (BPPVDM). Methods: fifty-two participants (mean age 56.9 ± 5.6 years) were enrolled: controls (n = 14), diabetes (n = 14), BPPV only (n = 13) and BPPVDM (n = 11). An inertial motion sensor was used to detect pelvic acceleration across five standing conditions with eyes open/closed on firm/foam surfaces. Range of acceleration (cm/s2), peak velocity (cm/s) and variability of sway [root mean square (RMS)] in the anterior-posterior (AP) and medial-lateral (ML) directions were used to compare postural sway between groups across conditions. Results: participants with BPPVDM had higher ranges of acceleration in the AP (p = 0.02) and ML (p = 0.02) directions, as well as higher peak velocity (p < 0.001) and RMS values (p = 0.006) in the AP direction compared to the control and diabetes groups. Standing on foam with eyes closed and tandem stance were challenging conditions for people with BPPVDM. Conclusion: clinicians may consider using standing on foam with eyes closed and tandem standing with eyes open to assess postural control in people with BPPVDM to identify postural instability.

KW - Postural sway

KW - accelerometry

KW - benign paroxysmal positional vertigo

KW - symptomatic

KW - type 2 diabetes

UR - http://www.scopus.com/inward/record.url?scp=85018177658&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85018177658&partnerID=8YFLogxK

U2 - 10.1080/00207454.2017.1317249

DO - 10.1080/00207454.2017.1317249

M3 - Article

C2 - 28385058

AN - SCOPUS:85018177658

VL - 127

SP - 1065

EP - 1073

JO - International Journal of Neuroscience

JF - International Journal of Neuroscience

SN - 0020-7454

IS - 12

ER -