The impact of diabetes on mobility, balance, and recovery after repositioning maneuvers in individuals with benign paroxysmal positional vertigo

D’Silva, Linda; Whitney, Susan L.; Santos, Márcio Aurélio Líns dos; Dai, Hongying; Kluding, Patricia M.

doi:10.1016/j.jdiacomp.2017.03.006

Cited by 15 publications

(28 citation statements)

References 43 publications

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“…As we all know, age, gender, sex hormones, osteoporosis, hypertension, hyperlipidemia, diabetes and hyperuricemia are all considered as risk factors of BPPV (6)(7)(8)(9). According to previous study that cerebrovascular risk factors in uenced BPPV recurrence (10).…”

Section: Discussionmentioning

confidence: 99%

Unhealthy lifestyle is an important risk factor for BPPV recurrence

Fu¹,

Zhang²,

Jin³

et al. 2020

Preprint

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Background: Benign paroxysmal positional vertigo (BPPV) is self-limiting and recurrent but the cost is considerable. The recurrence of BPPV increased significantly under the quarantine policy in Hangzhou. The unhealthy lifestyle risk factors of the recurrence of BPPV have not yet been investigated. So, the objective is to analyze the unhealthy lifestyle risk factors of recurrent BPPV.Methods: A retrospective observational study was conducted in the Department of Neurology in Tongde Hospital of Zhejiang Province from December 2018 to March 2020. The study included 186 patients aged 23–86 years. All patients received the definitive diagnosis and canalith repositioning maneuvers (CRM) treatment and finally accomplished follow-up for one year. Demographic variables, potential recurrence risk factors, neurological examination, cranial computed tomography and lifestyle were assessed.Data Analyses: The t-test or chi-squared test was first performed for group comparison, then logistic regression analysis was performed to investigate the recurrence risk factors in all of the patients.Results: The 1-year recurrence rates of BPPV patients after reposition maneuvers were 36.02%, is significantly higher than other study especially in the first quarter of 2020 (38.8% of patients with BPPV recurrence). Logistic regression analysis shows that BPPV patients who was poor physical activities and prolonged recumbent position time have more recurrence risks. Poor physical activities (odds ratio =5.690, 95% confidence interval: 1.650-19.618, p <0.006), prolonged recumbent position time (odds ratio = 1.651, 95% confidence interval: 1.370-2.003, p = 0.000), were risk factors for the recurrence of BPPV in patients.Conclusion: We conclude that poor physical activities and prolonged recumbent position time may be independent risk factors for the recurrence of BPPV patients, but aging, Ménière’s disease, sudden deafness migraine, hypertension, hyperlipemia, diabetes, CHD, POCI, mental factors, and mental labor do not increase the recurrence risk.

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Section: Discussionmentioning

confidence: 99%

Unhealthy lifestyle is an important risk factor for BPPV recurrence

Fu¹,

Zhang²,

Jin³

et al. 2020

Preprint

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“…DHI is a validated tool to evaluate the handicapping effects of dizziness in vestibular diseases. Previous studies have found that BPPV in general was associated with relatively higher DHI scores, indicating that BPPV patients are suffering from considerable dizziness handicap [37][38][39]. However, there was no association between dizziness handicap and the intensity of positional nystagmus during BPPV diagnostic maneuvers [39], and therefore there is still lack of an objective tool to diagnosis the handicapping effects of BPPV disease.…”

Section: Discussionmentioning

confidence: 99%

Walking Stability in Patients With Benign Paroxysmal Positional Vertigo: An Objective Assessment Using Wearable Accelerometers and Machine Learning

Zhang

Yao

et al. 2020

Preprint

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Background: Benign paroxysmal positional vertigo (BPPV) is one of the most common peripheral vestibular disorders leading to balance difficulties and increased fall risks. This study aims to investigate the walking stability of BPPV patients in clinical settings and propose a machine-learning-based classification method for determining the severity of gait disturbances of BPPV. Methods: Twenty-seven BPPV outpatients and twenty-seven healthy subjects completed level walking trials at self-preferred speed in clinical settings while wearing one accelerometer on the head and one on the lower trunk. Temporo-spatial variables and six walking stability related variables (root mean square (RMS), harmonic ratio (HR), gait variability, step/stride regularity, and gait symmetry) derived from the acceleration signals were analyzed. A support vector machine model (SVM) based on the gait variables of BPPV patients were developed to classify the BPPV severity of gait disturbances. Results: The results showed that BPPV patients employed a conservative gait and significantly reduced walking stability compared to the healthy controls. Significant different mediolateral HR at the lower trunk and anteroposterior step regularity at the head were found in BPPV patients among mild, moderate, and severe DHI (dizziness handicap inventory) subgroups. SVM classification achieved promising accuracies with area under the curve (AUC) = 0.87, 0.80, and 0.95 respectively for classifying the three stages of DHI subgroups. Conclusions: Results suggested that the proposed gait analysis that is based on the coupling of wearable accelerometers and machine learning provides an objective approach for assessing gait disturbances and handicapping effects of dizziness imposed by BBPV.Trial registration: The trial was registered in the Chinese Clinical Trial Registry (http://www.chictr.org.cn) on March 29, 2018. Registration number: ChiCTR1800015432 (http://www.chictr.org.cn/showproj.aspx?proj=25587).

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“…Por conseguinte, 70% dos indivíduos com DM apresentaram disfunção vestibular central e periférica, seguido por instantes de tontura 31 . Segundo D´Silva et al 32 , indivíduos com neuropatia e retinopatia periférica apresentam duas vezes mais risco de queda. Alterações no sistema vestibular periférico e nos canais semicirculares impactam a transmissão das informações sensoriais relativas à velocidade dos movimentos da cabeça, que são processados pelos órgãos otolíticos (utrículo e sáculo), responsáveis por detectar a aceleração linear 33 .…”

Section: Discussionunclassified

Avaliação sensorial do equilíbrio e estimativa do risco de queda de idosas praticantes do Pilates mate

Nascimento

Silva

2020

ACS

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Introdução: Déficits dos sistemas visual, vestibular e somatossensonrial de idosos afetam o controle postural, elevando o risco de queda. Objetivos: Avaliar a diferença do equilíbrio entre idosas caidoras e não, praticantes do método Pilates Mat nas diferentes situações de entradas sensoriais, verificar a correlação . Método: Estudo transversal quantitativo e analítico realizado na cidade de Petrolina-PE, entre os anos de 2017 e 2018, com 94 mulheres (67,90 ± 5,19 anos), divididas em caidoras (n=29) e sem histórico de quedas (n=65), cálculo definido “a posteriori”. Dados sociodemográficos, medicamentos e frequência de quedas foram coletados por meio de um questionário. O equilíbrio foi avaliado utilizando teste clinical test of sensory interaction and balance (CTSIB) e o teste de equilíbrio corporal (TEC). Resultados: A taxa de queda observada foi de 29% e o tempo médio de prática do Pilates de 27 meses. A análise de regressão logística indicou resultados negativos, revelando como fator protetor de quedas o bom desempenho no teste EDRI, CTSIB 1 e CTSIB 5, com diminuição da chance de queda de 64, 78 e 75%, respectivamente. Associação positiva com queda foi mostrada pelo CTSIB 2 (OR=0,286; 95% CI [-0,119 – 0,063]), indicando aumento da chance de cair em até 71%. Conclusão: Embora, o grupo de mulheres idosas fossem praticante regular de exercícios físicos, verificou-se que o risco de cair independe do histórico de quedas anteriores e o déficit da regulação sensorial do equilíbrio estático e dinâmico é comum ao avanço da idade.

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The impact of diabetes on mobility, balance, and recovery after repositioning maneuvers in individuals with benign paroxysmal positional vertigo

Cited by 15 publications

References 43 publications

Unhealthy lifestyle is an important risk factor for BPPV recurrence

Unhealthy lifestyle is an important risk factor for BPPV recurrence

Walking Stability in Patients With Benign Paroxysmal Positional Vertigo: An Objective Assessment Using Wearable Accelerometers and Machine Learning

Avaliação sensorial do equilíbrio e estimativa do risco de queda de idosas praticantes do Pilates mate

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