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Posture changes in diabetes mellitus.

A U Ahmmed¹, I J Mackenzie

¹Fulwood Paediatric Audiology Centre, Fulwood, Preston, UK. ahmmed@man.ac.uk

The Journal of Laryngology and Otology

|June 14, 2003

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Diabetic peripheral neuropathy significantly increases postural sway, especially without visual cues. This heightened sway in neuropathy patients did not lead to significant limb load asymmetry.

Area of Science:

Neurology
Diabetology
Biomechanics

Background:

Diabetic peripheral neuropathy affects proprioception.
Postural control is crucial for balance and fall prevention.

Purpose of the Study:

To assess postural sway in diabetic individuals with and without neuropathy.
To compare sway patterns with non-diabetic controls.
To evaluate the utility of the SwayWeigh device.

Main Methods:

Weight distribution and postural sway were measured using the SwayWeigh device.
Participants included diabetic subjects with and without neuropathy, and age/sex-matched non-diabetic controls.
Measurements were taken with and without visual input.

Main Results:

Related Experiment Videos

The SwayWeigh device proved practical for assessing postural sway.
Diabetic subjects with neuropathy exhibited significantly increased postural sway compared to controls.
Increased sway was particularly evident when visual information was absent.

Conclusions:

Peripheral neuropathy in diabetes exacerbates postural sway, especially under conditions of reduced sensory input.
Despite increased sway, significant limb load asymmetry was not observed, suggesting compensatory strategies.
The SwayWeigh is a viable tool for evaluating balance deficits in diabetic neuropathy.