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Diabetic polyneuropathy may increase the handicap related to vestibular disease.

Identifieur interne : 000E59 ( Main/Exploration ); précédent : 000E58; suivant : 000E60

Diabetic polyneuropathy may increase the handicap related to vestibular disease.

Auteurs : Catalina Aranda [Mexique] ; Anabel Meza ; Raymundo Rodríguez ; María Teresa Mantilla ; Kathrine Jáuregui-Renaud

Source :

RBID : pubmed:19427968

Descripteurs français

English descriptors

Abstract

BACKGROUND AND AIMS

We undertook this study to assess the influence of diabetic peripheral neuropathy on self-reported disability and postural control during quiet stance of patients with peripheral vestibular disease, before and after a standardized program of vestibular rehabilitation (Cawthorne & Cooksey exercises).

METHODS

Twenty patients with peripheral vestibular disease participated in the study (mean age 56+/-7.8 years), 10 with and 10 without peripheral neuropathy (age matched). The Dizziness Handicap Inventory and static posturography (eyes open/closed and firm/soft surface) were evaluated prior to rehabilitation and at week 7 of follow-up.

RESULTS

Compared to patients without neuropathy, patients with neuropathy had more time elapsed since the diabetes was diagnosed, higher glycemia and HbAc level and higher composite scores on the Dizziness Handicap Inventory, but similar results on static posturography. After rehabilitation, although scores on the Dizziness Handicap Inventory decreased in the two groups, the difference between them persisted. In patients with neuropathy, static posturography showed improvement of postural control only with the eyes closed and soft surface, whereas in patients without neuropathy the postural control improved during all sensory conditions (eyes open/closed and firm/soft surface).

CONCLUSIONS

In diabetic patients with peripheral vestibular disease, peripheral neuropathy contributes to self-reported disability and may interfere with complete balance recovery.


DOI: 10.1016/j.arcmed.2009.02.011
PubMed: 19427968


Affiliations:


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Le document en format XML

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<title xml:lang="en">Diabetic polyneuropathy may increase the handicap related to vestibular disease.</title>
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<name sortKey="Aranda, Catalina" sort="Aranda, Catalina" uniqKey="Aranda C" first="Catalina" last="Aranda">Catalina Aranda</name>
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<nlm:affiliation>Hospital Regional 72, Instituto Mexicano del Seguro Social, Estado de México, Mexico.</nlm:affiliation>
<country xml:lang="fr">Mexique</country>
<wicri:regionArea>Hospital Regional 72, Instituto Mexicano del Seguro Social, Estado de México</wicri:regionArea>
<wicri:noRegion>Estado de México</wicri:noRegion>
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<name sortKey="Meza, Anabel" sort="Meza, Anabel" uniqKey="Meza A" first="Anabel" last="Meza">Anabel Meza</name>
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<name sortKey="Rodriguez, Raymundo" sort="Rodriguez, Raymundo" uniqKey="Rodriguez R" first="Raymundo" last="Rodríguez">Raymundo Rodríguez</name>
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<name sortKey="Mantilla, Maria Teresa" sort="Mantilla, Maria Teresa" uniqKey="Mantilla M" first="María Teresa" last="Mantilla">María Teresa Mantilla</name>
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<author>
<name sortKey="Jauregui Renaud, Kathrine" sort="Jauregui Renaud, Kathrine" uniqKey="Jauregui Renaud K" first="Kathrine" last="Jáuregui-Renaud">Kathrine Jáuregui-Renaud</name>
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<name sortKey="Rodriguez, Raymundo" sort="Rodriguez, Raymundo" uniqKey="Rodriguez R" first="Raymundo" last="Rodríguez">Raymundo Rodríguez</name>
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<name sortKey="Mantilla, Maria Teresa" sort="Mantilla, Maria Teresa" uniqKey="Mantilla M" first="María Teresa" last="Mantilla">María Teresa Mantilla</name>
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<name sortKey="Jauregui Renaud, Kathrine" sort="Jauregui Renaud, Kathrine" uniqKey="Jauregui Renaud K" first="Kathrine" last="Jáuregui-Renaud">Kathrine Jáuregui-Renaud</name>
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<term>Diabetes Mellitus, Type 2 (complications)</term>
<term>Diabetes Mellitus, Type 2 (physiopathology)</term>
<term>Diabetic Neuropathies (complications)</term>
<term>Diabetic Neuropathies (physiopathology)</term>
<term>Diabetic Neuropathies (rehabilitation)</term>
<term>Dizziness (etiology)</term>
<term>Dizziness (physiopathology)</term>
<term>Dizziness (rehabilitation)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Postural Balance (MeSH)</term>
<term>Surveys and Questionnaires (MeSH)</term>
<term>Vestibular Diseases (complications)</term>
<term>Vestibular Diseases (physiopathology)</term>
<term>Vestibular Diseases (rehabilitation)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte d'âge moyen (MeSH)</term>
<term>Diabète de type 2 (complications)</term>
<term>Diabète de type 2 (physiopathologie)</term>
<term>Enquêtes et questionnaires (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Maladies vestibulaires (complications)</term>
<term>Maladies vestibulaires (physiopathologie)</term>
<term>Maladies vestibulaires (rééducation et réadaptation)</term>
<term>Neuropathies diabétiques (complications)</term>
<term>Neuropathies diabétiques (physiopathologie)</term>
<term>Neuropathies diabétiques (rééducation et réadaptation)</term>
<term>Sensation vertigineuse (physiopathologie)</term>
<term>Sensation vertigineuse (rééducation et réadaptation)</term>
<term>Sensation vertigineuse (étiologie)</term>
<term>Équilibre postural (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Diabetes Mellitus, Type 2</term>
<term>Diabetic Neuropathies</term>
<term>Vestibular Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Dizziness</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr">
<term>Diabète de type 2</term>
<term>Maladies vestibulaires</term>
<term>Neuropathies diabétiques</term>
<term>Sensation vertigineuse</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Diabetes Mellitus, Type 2</term>
<term>Diabetic Neuropathies</term>
<term>Dizziness</term>
<term>Vestibular Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Diabetic Neuropathies</term>
<term>Dizziness</term>
<term>Vestibular Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Maladies vestibulaires</term>
<term>Neuropathies diabétiques</term>
<term>Sensation vertigineuse</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Sensation vertigineuse</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Postural Balance</term>
<term>Surveys and Questionnaires</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Diabète de type 2</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maladies vestibulaires</term>
<term>Neuropathies diabétiques</term>
<term>Équilibre postural</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>BACKGROUND AND AIMS</b>
</p>
<p>We undertook this study to assess the influence of diabetic peripheral neuropathy on self-reported disability and postural control during quiet stance of patients with peripheral vestibular disease, before and after a standardized program of vestibular rehabilitation (Cawthorne & Cooksey exercises).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>Twenty patients with peripheral vestibular disease participated in the study (mean age 56+/-7.8 years), 10 with and 10 without peripheral neuropathy (age matched). The Dizziness Handicap Inventory and static posturography (eyes open/closed and firm/soft surface) were evaluated prior to rehabilitation and at week 7 of follow-up.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Compared to patients without neuropathy, patients with neuropathy had more time elapsed since the diabetes was diagnosed, higher glycemia and HbAc level and higher composite scores on the Dizziness Handicap Inventory, but similar results on static posturography. After rehabilitation, although scores on the Dizziness Handicap Inventory decreased in the two groups, the difference between them persisted. In patients with neuropathy, static posturography showed improvement of postural control only with the eyes closed and soft surface, whereas in patients without neuropathy the postural control improved during all sensory conditions (eyes open/closed and firm/soft surface).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>In diabetic patients with peripheral vestibular disease, peripheral neuropathy contributes to self-reported disability and may interfere with complete balance recovery.</p>
</div>
</front>
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<AbstractText Label="METHODS" NlmCategory="METHODS">Twenty patients with peripheral vestibular disease participated in the study (mean age 56+/-7.8 years), 10 with and 10 without peripheral neuropathy (age matched). The Dizziness Handicap Inventory and static posturography (eyes open/closed and firm/soft surface) were evaluated prior to rehabilitation and at week 7 of follow-up.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Compared to patients without neuropathy, patients with neuropathy had more time elapsed since the diabetes was diagnosed, higher glycemia and HbAc level and higher composite scores on the Dizziness Handicap Inventory, but similar results on static posturography. After rehabilitation, although scores on the Dizziness Handicap Inventory decreased in the two groups, the difference between them persisted. In patients with neuropathy, static posturography showed improvement of postural control only with the eyes closed and soft surface, whereas in patients without neuropathy the postural control improved during all sensory conditions (eyes open/closed and firm/soft surface).</AbstractText>
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