Characterization of the anteroposterior center of pressure in upright position in type 2 diabetics with peripheral diabetic neuropathy and paired healthy controls

• Autorzy: Toloza-Cano Daissy Carola , Zequera Martha , González Gustavo Hernando Castro

Identyfikatory

DOI

10.1016/j.bbe.2021.02.001

• Języki publikacji: EN

Abstrakty

EN

Peripheral diabetic neuropathy (PDN) is a complication of type 2 diabetes (T2DM) that impairs posture control and increases the risk of falling. The aim of this study was to characterize the anteroposterior center of pressure (COP-AP) in the time and the frequency domains in the T2DM/PDN group in relation to the control group. To that end we: (1) evaluated the efficacy of using both linear and non-linear discrete wavelet transform (DWT) analyses to evaluate oscillation patterns in the anteroposterior center of pressure (COP-AP) in the bipedal position in terms of time and frequency and (2) established input parameters for a model for predicting the risk of falling. This study included an experimental sample of 30 people with T2DM/PDN matched by gender, age, weight and height with a control sample of 30 healthy individuals. Unreported techniques for analyzing the COP-AP literature were assessed for their capacity to model patient bodily stability in the proprioceptive, visual and vestibular systems. To measure COP-AP, five tests were performed under different conditions as outlined in the Romberg Test using the ‘‘PEDAR System’’ for measuring plantar pressure. DWTs were used to calculate excursion parameters, average speeds, range, RMS values, the average maximum and minimum amplitude, power spectral densities and energy percentages in 11 frequency bands (D1 to D10 and A10). There were significant differences between the two study groups in terms of the calculated linear parameters ( p < 0.05). Using linear and non-linear DWT analyses, a preliminary characterization of COP-AP patterns was achieved. DWT could be used alongside linear analysis to determine the effect changes in these systems have on postural oscillation in people with T2DM.

Słowa kluczowe

EN

postural control; static balance; anteroposterior center of pressure; peripheral diabetic neuropathy; discrete wavelet transform

PL

kontrola postawy; równowaga statyczna; neuropatia cukrzycowa; dyskretna transformata falkowa

• Wydawca: Nałęcz Institute of Biocybernetics and Biomedical Engineering of the Polish Academy of Sciences ; Elsevier
• Czasopismo: Biocybernetics and Biomedical Engineering
• Rocznik: 2021
• Tom: Vol. 41, no. 1
• Strony: 306--315
• Opis fizyczny: Bibliogr. 36 poz., rys., tab., wykr.

Twórcy

autor

Toloza-Cano Daissy Carola

• Pontificia Universidad Javeriana, Faculty of Engineering, Electronics Department, FootLab-BASPI Research Laboratory, Research Group in Bioengineering, Signal Analysis and Image Processing, Bogotá, Colombia

autor

Zequera Martha

• Pontificia Universidad Javeriana, Faculty of Engineering, Electronics Department, FootLab-BASPI Research Laboratory, Research Group in Bioengineering, Signal Analysis and Image Processing, Cra. 7 No. 40-62, Bogotá, Colombia

autor

González Gustavo Hernando Castro

• Pontificia Universidad Javeriana, Faculty of Engineering, Electronics Department, FootLab-BASPI Research Laboratory, Research Group in Bioengineering, Signal Analysis and Image Processing, Bogotá, Colombia

Bibliografia

• [1] Cho NH, Whiting D, Guariguata L, Aschner Montoya P, Forouhi N, Hambleton I. IDF diabetes atlas seventh edition. Bruselas: International Diabetes Federation; 2015.
• [2] Santos AA, Bertato FT, Montebelo MIL, Guirro ECdO. Effect of proprioceptive training among diabetic women. Rev Bras Fisioter 2008;12(3):183–7.
• [3] Vargas-Uricoechea H, Casas-Figueroa LÁ. An epidemiologic analysis of diabetes in Colombia. Ann Glob Heal 2015;81(6):742–53.
• [4] Vinik AI, Vinik EJ, Colberg SR, Morrison S. Falls risk in older adults with type 2 diabetes. Clin Geriatr Med 2015;31(1):89–99.
• [5] Morrison S, Colberg SR, Parson HK, Vinik AI. Relation between risk of falling and postural sway complexity in diabetes. Gait Posture 2012;35(4):662–8.
• [6] Dixit S, Maiya A. Diabetic peripheral neuropathy and its evaluation in a clinical scenario: a review. J Postgrad Med 2014;60(1):33–40.
• [7] Kukidome D, Nishikawa T, Sato M, Nishi Y, Shimamura R, Kawashima J, et al. Impaired balance is related to the progression of diabetic complications in both young and older adults. J Diabetes Complications 2017;31(8):1275–82.
• [8] Toloza D, Zequera M. Linear and non-linear methods for analysis center pressure and its application in diabetic peripheral neuropathy: a systematic review. IFMBE Proc 2017;60:713–6.
• [9] Boucher P, Teasdale N, Courtemanche R, Bard C, Fleury M. Postural stability in diabetic polyneuropathy. Diabetes Care 1995;18(5):638–45.
• [10] Lafond D, Corriveau H, Prince F. Postural control mechanisms during quiet standing in patients with diabetic sensory neuropathy. Diabetes Care 2004;27(1):173–8.
• [11] Dixit S, Maiya A, Shasthry BA, Kumaran DS, Guddattu V. Postural sway in diabetic peripheral neuropathy among Indian elderly. Indian J Med Res 2015;142(6):713–20.
• [12] de Souza Fortaleza AC, Chagas EF, Ferreira DMA, Mantovani AM, Barela JA, Chagas EFB, et al. Postural control and functional balance in individuals with diabetic peripheral neuropathy. Brazilian J Kinanthropometry Hum Perform 2013;15(3):305–14.
• [13] Yamamoto R, Kinoshita T, Momoki T, Arai T, Okamura A, Hirao K, et al. Postural sway and diabetic peripheral neuropathy. Diabetes Res Clin Pract 2001;52(3):213–21.
• [14] Corriveau H, Prince F, Hébert R, Raîche M, Tessier D, Maheux P, et al. Evaluation of postural stability in elderly with diabetic neuropathy. Diabetes Care 2000;23(8):1187–91.
• [15] Uccioli L, Giacomini PG, Monticone G, Magrini A, Durola L, Bruno E, et al. Body sway in diabetic neuropathy. Diabetes Care 1995;18(3):339–44.
• [16] Simoneau GG, Ulbrecht JS, Derr JA, Becker MB, Cavanagh PR. Postural instability in patients with diabetic sensory neuropathy. Diabetes Care 1994;17(12). 1411-1121.
• [17] Palma FH, Antigual DU, Martínez SF, Monrroy MA, Gajardo RE. Static balance in patients presenting diabetes mellitus type 2 with and without diabetic polyneuropathy. Arq Bras Endocrinol Metabol 2013;57(9):722–6.
• [18] Najafi B, Horn D, Marclay S, Crews RT, Wu S, Wrobel JS. Assessing postural control and postural control strategy in diabetes patients using innovative and wearable technology. J Diabetes Sci Technol 2010;4(4):780–91.
• [19] Putti AB, Arnold GP, Cochrane L, Abboud RJ. The Pedar inshoe system: repeatability and normal pressure values. Gait Posture 2007;25(3):401–5. http://dx.doi.org/10.1016/j.gaitpost.2006.05.010.
• [20] Bakker K, Apelqvist J, Schaper NC. Practical guidelines on the management and prevention of the diabetic foot 2011. Diabetes Metab Res Rev 2012;28(S1):225–31.
• [21] Prieto TE, Myklebust JB, Hoffmann RG, Lovett EG, Myklebust BM. Measures of postural steadiness: differences between healthy young and elderly adults. Trans Biomed Eng 1996;43(9):956–66.
• [22] Wickstrom J, Stergiou N, Kyvelidou A. Reliability of center of pressure measures for assessing the development of sitting postural control through the stages of sitting. Gait Posture 2017;56:8–13.
• [23] Toosizadeh N, Mohler J, Armstrong DG, Talal TK, Najafi B. The influence of diabetic peripheral neuropathy on local postural muscle and central sensory feedback balance control. PLOS ONE 2015;10(8):1–12.
• [24] Fahmy IM, Ramzy GM, Salem NA, Ahmed GM, Mohammed AA. Balance disturbance in patients with diabetic sensory polyneuropathy. Egypt J Neurol Psychiatry Neurosurg 2014;51(1):21–9.
• [25] Giacomini PG, Bruno E, Monticone G, Di Girolamo S, Magrini A, Parisi L, et al. Postural rearrangement in IDDM patients with peripheral neuropathy. Diabetes Care 1996;19(4):372–4.
• [26] Boulton AJM. Management of diabetic peripheral neuropathy. Clin Diabetes 2005;23(1):9–15.
• [27] Dijs HM, Roofthooft JM, Driessens MF, De Bock PG, Jacobs C, Van Acker KL. Effect of physical therapy on limited joint mobility in the diabetic foot. A pilot study. J AmPodiatr Med Assoc 2000;90(3):126–32.
• [28] Leonard DR, Farooqi MH, Myers S. Restoration of sensation, reduced pain, and improved balance in subjects with diabetic peripheral neuropathy: a double-blind, randomized, placebo-controlled study with monochromatic near-infrared treatment. Diabetes Care 2004;27(1):168–72.
• [29] Nardone A, Grasso M, Schieppati M. Balance control in peripheral neuropathy: are patients equally unstable under static and dynamic conditions? Gait Posture 2006;23(3):364–73.
• [30] Bonnet C, Carello C, Turvey MT. Diabetes and postural stability: review and hypotheses. J Mot Behav 2009;41(2):172–90.
• [31] Cavanagh PR, Simoneau GG, Ulbrecht JS. Ulceration, unsteadiness, and uncertainty: the biomechanical consequences of diabetes mellitus. J Biomech 1993;26(suppl. 1):23–40.
• [32] Ferdjallah M, Harris GF, Wertsch JJ. Instantaneous spectral characteristics of postural stability using time-frequency analysis. Annual International Conference of the IEEE Engineering in Medicine and Biology – Proceedings, vol. 4;1997. p. 1675–8.
• [33] Oppenheim U, Kohen-Raz R, Alex D, Kohen-Raz A, Azarya M. Postural characteristics of diabetic neuropathy. Diabetes Care 1999;22(2):328–32.
• [34] Loughlin PJ, Redfern MS. Spectral characteristics of visually induced postural sway in healthy elderly and healthy young subjects. IEEE Trans Neural Syst Rehabil Eng 2001;9(1):24–30.
• [35] Horak FB, Hlavacka F. Somatosensory loss increases vestibulospinal sensitivity. J Neurophysiol 2001;86(2):575–85.
• [36] Peterka RJ. Sensorimotor integration in human postural control. J Neurophysiol 2002;88(3):1097–118.

Uwagi

Opracowanie rekordu ze środków MNiSW, umowa Nr 461252 w ramach programu "Społeczna odpowiedzialność nauki" - moduł: Popularyzacja nauki i promocja sportu (2021).