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Updated: Jun 26, 2026

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
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Published on: December 11, 2013

Impaired Dynamic Postural Control in People with Diabetes: An Exploratory Cross-Sectional Study Using Computerized

Asger Krohn Jespersen1,2, Aksayan Arunanthy Mahalingasivam1,2, Niels Ejskjær3,4

  • 1Steno Diabetes Center North Denmark, Aalborg University Hospital, Aalborg, Denmark.

The Journal of International Advanced Otology
|June 25, 2026
PubMed
Summary
This summary is machine-generated.

Diabetes significantly impairs postural control in both type 1 and type 2 diabetes patients, affecting balance and increasing fall risk. This occurs even without diabetic peripheral neuropathy, highlighting the need for balance assessments.

Keywords:
BertecDiabetes mellitusDiabetic peripheral neuropathyDynamic postural controlVestibulo-ocular reflex

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Area of Science:

  • Neurology
  • Biomedical Engineering
  • Endocrinology

Background:

  • Diabetes mellitus, encompassing type 1 (T1D) and type 2 (T2D), is associated with various complications.
  • Postural control deficits are increasingly recognized in diabetic populations, potentially leading to falls.
  • Diabetic peripheral neuropathy (DPN) is a known risk factor for impaired balance.

Purpose of the Study:

  • To assess static and dynamic postural control in individuals with T1D and T2D.
  • To investigate the impact of diabetes on postural stability using Computerized Dynamic Posturography (CDP).
  • To determine if DPN influences postural control impairments in diabetes.

Main Methods:

  • 94 participants with diabetes (49 T1D, 45 T2D) and 94 controls underwent CDP assessments.
  • The Sensory Organization Test (SOT) evaluated sensory system contributions (visual, vestibular, somatosensory).
  • The Motor Control Test (MCT) assessed postural recovery responses.

Main Results:

  • Both T1D and T2D groups showed impaired SOT performance compared to controls.
  • Impaired visual function was noted in T1D, while both groups struggled with vestibular-dependent tasks.
  • Slower MCT response times were observed in diabetic participants, irrespective of DPN, BMI, HbA1c, or diabetes duration.

Conclusions:

  • Diabetes significantly impairs postural control, particularly affecting reliance on visual and vestibular inputs.
  • CDP reveals objective deficits in postural stability in individuals with diabetes.
  • Findings underscore the importance of balance assessments and potential fall-prevention strategies for diabetic patients.