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Updated: Jun 26, 2026
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Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
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
Summary
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.
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.
