| Aranda, Meza, Rodríguez, Mantilla, Jáuregui-Renaud (2009)1616. Aranda C, Meza A, Rodríguez R, Mantilla MT, Jáuregui-Renaud K. Diabetic polyneuropathy may increasethe handicap relatedto vestibular disease. ArchMed Res. 2009;40(3):180-5. Mexico |
To assess the influence of diabetic peripheral neuropathy on self-reported disability and postural control of patients with peripheral vestibular disease before and after a standardized program of vestibular rehabilitation (Cawthorne & Cooksey exercises). |
-10 subjects with DM2 and without neuropathy with mean age 54,9 years of age;
-10 subjects with DM2 and with neuropathy and mean age of 57,2. |
Prospective study |
- Standardized questionnaire related to body balance;
-Dizziness Handicap Inventory;
-Posturography;
- Cawthorne & Cooksey Rehabilitation Program |
Peripheral neuropathy contributes to self-reported disability and may interfere with the rehabilitation of body balance. |
Patients with DM2 presented with systemic arterial hypertension, dizziness, vertigo, postural instability when looking at moving objects, walking on uneven surfaces, walking in the dark, moving the head quickly and changing posture. Individuals with NP presented a higher frequency of all the symptoms mentioned above, except for postural instability when looking at moving objects. |
IIb |
| D’Silva et al (2017)1717. D'Silva LJ, Staecker H, Lin J, Maddux C, Ferraro J, Dai H et al. Otolith dysfunction in persons with both diabetes and benign paroxysmal positional vertigo. Otology&Neurotology. 2017;38(3):379-85. The United States of America |
To analyze otolytic function using vestibular myogenic evoked potential (VEMP) in people with DM and VPPBB and to examine the relationships between VEMP and variables related to diabetes. |
- Participants between the ages of 40 and 65
-20 controls;
-19 individuals with type 2 diabetes without vestibular alterations
-18 individuals with unilateral posterior canal VPPB without DM
-14 individuals with unilateral posterior canal VPPB and DM |
Transversal study |
- Self-reporting of clinical data, confirmed by electronic medical records;
- Michigan Neuropathy Screening Instrument;
- VPPB cervical;
- VPPB ocular. |
VPPB and DM2 may independently affect utricular and saccule function, however, do not appear to have cumulative effect. |
Systemic arterial hypertension, peripheral neuropathy, and high BMI. |
III |
| D’Silva, Whitney, Santos, Dai, Kluding (2017)1818. D'Silva LJ, Whitney SL, Santos M, Dai H, Kluding PM. The impact of diabetes on mobility, balance, and recovery after repositioning maneuvers in individuals with benign paroxysmal positional vertigo. J. diabet. complicat. 2017;31(6):976-82. The United States of America |
To compare the severity of symptoms, mobility, and body balance before and after the otolytic repositioning maneuver (ORM) in people with posterior canal VPP, with and without DM. |
- Participants aged 40 to 80 years
-34 individuals with VPPB
-16 individuals with VPPB + DM2 |
Prospective study |
-Dix-Hallpike;
-Dizziness Handicap Inventory;
-Functional gait assessment;
- Postural oscillation variables;
-Michigan Neuropathy Screening Instrument;
-Self-reporting of clinical data, confirmed by electronic medical records;
-Verification of glycated hemoglobin. |
There were no differences in severity of symptoms, mobility deficits or efficacy of ORM treatments in people with posterior canal VPPB with and without DM. |
High body mass index, peripheral neuropathy. |
IIb |
| Jáuregui-Renaud, Sánchez, Olmos, González-Barcena (2009)1919. Jáuregui-Renaud K, Sánchez B, Olmos AI, González-Barcena D. Neuro-otologic symptoms in patients with type 2 diabetes mellitus. Diabetes Res Clin Pract. 2009;84(3):e4 5-e47. Mexico |
To evaluate the prevalence of body balance symptoms in type 2 diabetes mellitus (DM2) in the first level of health care. |
-101 patients with DM2 and mean age of 54,3 years
-101 patients without DM2 and mean age of 53,8 years |
Transversal study |
-Standardized questionnaire related to body balance. |
Patients with DM2 showed a higher frequency of all the investigated symptoms. The most frequent symptoms were dizziness (49%), postural instability when changing position (43%) and postural instability when walking on uneven surfaces (38%). |
Dizziness, vertigo, postural instability when changing positions, moving the head, walking on uneven surfaces and in the dark and looking at moving objects; more than three unexplained falls during the year, stumbling when walking. |
III |
| D’Silva et al (2017)2020. D'Silva LJ, Kluding PM, Whitney SL, Dai H, Santos M. Postural sway in individuals with type 2 diabetes and concurrent benign paroxysmal positional vertigo. Int J Neurosci. 2017;12(12):1065-73. The United States of America |
Examine the postural oscillation in people with type 2 diabetes who have symptomatic, untreated VPPB. |
Participants aged 40-65 years
-14 controls
-14 diabetic individuals
-13 individuals with VPPB
- 11 individuals with VPPB and DM2 |
Transversal study |
- Condition 1: Standing on a firm surface with feet together, eyes open.
-Condition 2: Standing on a firm surface with feet together, eyes closed.
-Condition 3: standing on a foam cushion with feet together and eyes open.
-Condition 4: Standing on a foam cushion with feet together, eyes closed.
-Condition 5: in the tandem position with eyes open on a firm surface. |
The presence of diabetic peripheral neuropathy may reduce postural stability. In individuals with VPPB, diabetes and peripheral neuropathy, the tandem position may be an easy test to perform in the clinical setting to detect postural instability. |
High body mass index. |
III |
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