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Is Body Sway Model Valid to Analyze Postural Control for Diabetic Peripheral Neuropathy People?

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Advances in Human Factors and Ergonomics in Healthcare and Medical Devices (AHFE 2021)

Part of the book series: Lecture Notes in Networks and Systems ((LNNS,volume 263))

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Abstract

It is essential to maintain the center of gravity of body within the base of support of posture while standing or gaiting for controlling posture properly. For this control fundamental functions of human body such as visual, vestibular, and somatosensory systems should be capable to make appropriate musculoskeletal responses to keep the equilibrium of the posture that can be disrupted by internal disturbances or external perturbations. These responses should be able to make the center of gravity of body being balanced with opposing forces during voluntary movements as well as disturbed movements Diabetic peripheral neuropathy can cause a loss of sensation in the feet, which can lead to impaired stability of body balance and result in a risk of falls or slips. In the literature, a considerable number of studies have reported that people with diabetic peripheral neuropathy tend to be inferior to keeping posture stable when the equilibrium of body balance is disturbed, even when standing quietly. Ability of postural control has been evaluated from the perspective of body sway that is measured by total displacement of sway, velocity or acceleration of sway, or virtual time to contact a boundary of postural stability. In general, some studies found differences of postural stability between people with diabetic peripheral neuropathy and without neuropathy. Also, some studies have reported contradictory results with the same or different methodologies. There have been inconsistent results with body sway models to analyze posture control for diabetic peripheral neuropathy in the literature. The objective of this study was to review several body sway analysis models and to discuss some possible causes of inconsistent reports on postural sway analyses from the perspective of data sampling issues, statistical analysis, body sway models, and methodology of data analysis.

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References

  1. Berg, K.O., Maki, B.E., Williams, J.I., Holliday, P.J., Wood-Dauphinee, S.L.: Clinical and laboratory measures of postural balance in elderly population. Arch. Phys. Med. Rehabil. 73, 1073–1080 (1992)

    Google Scholar 

  2. Sturnieks, D.L., Menant, J.C., Delbaere, K., Vanrenterghem, J., Rogers, M.W., Fitzpatrick, R.C., et al.: Force-controlled balance perturbations associated with falls in order people: a prospective cohort study. PLoS ONE 8, e70981 (2013)

    Google Scholar 

  3. Wallace, C., et al.: Incidence of falls, risk factors for falls, and fall-related fractures in individuals with diabetes and a prior foot ulcer. Diabetes Care 25, 1983–1986 (2002)

    Google Scholar 

  4. Schwartz, A.V., Hiller, T.A., Sellmeyer, D.E., Resnick, H.E., Gregg, E., Ensrud, K.E., et al.: Older women with diabetes have a higher risk of falls: a prospective study. Diabetes Care 25, 1749–1754 (2002)

    Google Scholar 

  5. Zaida, D.J., Alexander, M.K.: Falls in the elderly: identifying and managing peripheral neuropathy. Nurse Practice. 26, 86–88 (2001)

    Google Scholar 

  6. Lord, S.R., Ward, J.A., Williams, P., Anstey, K.J.: Physiological factors associated with falls in order community-dwelling women. J. Am. Geriatr. Soc. 42, 1110–1117 (1994)

    Google Scholar 

  7. Simoneau, G.G., Ulbrecht, J.S., Derr, J.A., Becker, M.B., Cavanagh, P.R.: Postural Instability in patients with diabetic sensory neuropathu. Diabetes Care 17, 1411–1421 (1994)

    Google Scholar 

  8. Vaz, M.M., Costa, G.C., Reis, J.G., Junior, W.M., Albuquerque de Paula, F.J., Abreu, D.C.: Postural control and functional strength inpatinets with type 2 diabetes mellitus with and without peripheral neuropathy. Arch. Phys. Med. Rehabil. 94, 2465–2470 (2013)

    Google Scholar 

  9. Toosizadeh, N., Mohler, J., Armstrong, D.G., Talal, T.K., Najafi, B.: The influence of diabetic peripheral neuropathy on local postural muscle and central sensory feedback balance control. PLoS ONE 10(8), e0135255 (2015). https://doi.org/10.1371/journal.pone.0135255

    Article  Google Scholar 

  10. Cavanagh, P.R., Simoneau, G.G., Ulbrecht, J.S.: Ulceration, unsteadiness, and uncertainty: the biomechanical consequences of diabetes mellitus. J. Biomech. 26(Suppl. 1), 23–40 (1993)

    Google Scholar 

  11. Uccioli, L., Giacomini, P., Pasqualetti, P., Di Girolamo, S., Ferrigno, P., Monticone, G., et al.: Contribution of central neuropathy to postural instability in IDDM patients with peripheral neuropathy. Diabetes Care 20, 929–934 (1997)

    Google Scholar 

  12. Simoneau, G.G., Ulbrecht, J.S., Derr, J.A., Cavanagh, P.R.: Role of somatosensory input in the control of human posture. Gait Posture 3, 115–122 (1995)

    Google Scholar 

  13. Dickstein, R., Shupert, C.L., Horak, F.B.: Fingertip touch improves postural stability in patients with peripheral neuropathy. Gait Posture 14, 238–247 (2001)

    Google Scholar 

  14. Yamamoto, R., Kinoshita, T., Momoki, T., Takashi, A., Okamura, A., Hirao, K., et al.: Postural sway and diabetic peripheral neuropathy. Diabetes Res. Clin. Pract. 52, 213–221 (2001)

    Google Scholar 

  15. Hijmans, J.M., Geertzen, J.H.B., Zijlstra, W., Hof, A.I., Postema, K.: Effects of vibrating insoles on standing balance in diabetic neuropathy. J. Rehabil. Res. Dev. 45, 1441–1450 (2008)

    Google Scholar 

  16. Boucher, P., Teasdale, N., Courtemanche, R., Bard, C., Fleury, M.: Postural stability in diabetic polyneuropathy. Diabetes Care 18, 638–645 (1995)

    Google Scholar 

  17. Simmons, R.W., Richardson, C., Pozos, R.: Postural stability of diabetic patients with and without cutaneous sensory deficit in the foot. Diabetes Res. Clin. Pract. 36, 153–160 (1997)

    Google Scholar 

  18. Horak, F.B., Hlavacka, F.: Somatosensory loss increases vestibulospinal sensitivity. J. Neurophysiol. 86, 575–585 (2001)

    Google Scholar 

  19. Di Nardo, W.M., Ghirlanda, G.M., Cercone, S., Pitocco, D., Soponara, C., Cosenza, A., et al.: The use of dynamic posturography to detect neurosensorial disorder in IDDM without clinical neuropathy. J. Diab. Comput. 13, 79–85 (1999)

    Google Scholar 

  20. Horak, F.B., Dickstein, R., Peterka, R.J.: Diabetic neuropathy and surface sway-referencing disrupt somatosensory information for postural stability in stance. Somatosens. Mot. Res. 19, 316–326 (2002)

    Google Scholar 

  21. Goldie, P.A., Bach, T.M., Evans, O.M.: Force platform measures for evaluating postural control: reliability and validity. Arch. Phys. Med. Rehabil. 70, 510–517 (1989)

    Google Scholar 

  22. Murray, M.P., Seirewg, A.A., Sepic, S.B.: Normal postural stability and steadiness: quantitative assessment. J. Bone Joint Surg. 57A, 510–516 (1975)

    Google Scholar 

  23. Riccio, G.E.: Information in movement variability about the qualitative dynamics of posture and operation. In: Newell, K.M., Corcos, D.M. (eds.) Variability and Motor Control, pp. 317–358. Human Kinetics, Champaign (1993)

    Google Scholar 

  24. Slobounov, S.M., Slobounova, E.S., Newell, K.M.: Virtual time-to-collision and human postural control. J. Motor Behav. 29, 26–281 (1997)

    Google Scholar 

  25. Haibach, P.S., Slobounov, S.M., Slobounova, E.S., Newell, K.M.: Virtual time-to-contact of postural stability boundaries as a function of support surface compliance. Exp. Brain Res. 177, 471–482 (2007)

    Google Scholar 

  26. Horak, F.B., Dickstein, R., Peterka, R.J.: Diabetic neuropathy and surface sway-referencing disrupt somatosensory information for postural stability in stance. Somatosens. Motor Res. 19, 316–326 (2002)

    Google Scholar 

  27. Bergin, P.S., Bronstein, A.M., Murray, N.M.F., Sancovic, S., Zeppenfeld, K.: Body sway and vibration perception thresholds in normal aging and in patients with polyneuropathy. J. Neurol. Neurosurg. Psychiatry 58, 335–340 (1995)

    Google Scholar 

  28. Nardone, A., Grasso, M., Schieppati, M.: Balance control in peripheral neuropathy: are patients equally unstable under static and dynamic conditions? Gait Posture 23, 364–373 (2006)

    Google Scholar 

  29. Nardone, A., Galante, M., Pareyson, D., Schieppati, M.: Balance control in sensory neuron disease. Clin. Neurophysiol. 118, 538–550 (2007)

    Google Scholar 

  30. Corriveaue, H., Prince, F., Hebert, R., Raiche, M., Tessier, D., Macheuz, P., et al.: Evaluation of postural stability in elderly with diabetic neuropathy. Diabetes Care 23, 1187–1191 (2000)

    Google Scholar 

  31. Turcot, K., Allet, L., Golay, A., Hoffmeyer, P., Armand, S.: Investigation of standing balance in diabetic patients with and without peripheral neuropathy using accelerometers. Clin. Biomech. 24, 716–721 (2009)

    Google Scholar 

  32. Bonnet, C.T., Carello, C., Turvey, M.T.: Diabetes and postural stability: review and hypotheses. J. Mot. Behav. 41, 172–190 (2009)

    Google Scholar 

  33. Bonnet, C.T., Ray, C.: Peripheral neuropathy may not the only fundamental reason explaining increased sway in diabetic individuals. Clin. Biomech. 26, 699–706 (2011)

    Google Scholar 

  34. McCollum, G., Leen, T.K.: Form and exploration of mechanical stability in erect stance. J. Mot. Behav. 21, 225–244 (1989)

    Google Scholar 

  35. Mergner, T., Maurer, C., Peterka, R.J.: A multisensory posture control model of human upright stance. Prog. Brain Res. 142, 189–201 (2003)

    Google Scholar 

  36. Bensel, C.K., Dzendolet, E.: Power spectral density analysis of the standing sway of males. Percept. Psychophys. 4, 285–288 (1968)

    Google Scholar 

  37. Mauritz, K.H., Dichgans, J., Hufschmidt, A.: Quantitative analysis of stance in late cortical cerebellar atrophy of the anterior lobe and other forms of cerebellar ataxia. Brain 102, 461–482 (1979)

    Google Scholar 

  38. Soames, R.W., Atha, J.: The spectral characteristics of postural sway behavior. Eur. J. Appl. Physiol. 4, 169–177 (1982)

    Google Scholar 

  39. Collins, J.J., De Luca, C.J.: Open-loop and closed-loop control of posture: a random-walk analysis of center-of-pressure trajectories. Exp. Brain Res. 95, 308–316 (1993)

    Google Scholar 

  40. Newell, K.M., van Emmerik, R.E.A., Lee, D., Sprague, R.L.: On posture stability and variability. Gait Posture 4, 225–230 (1993)

    Google Scholar 

  41. Carello, C., Kugler, P.N., Turvey, M.T.: The informational support for the upright stance. Behav. Brain Sci. 8, 151–152 (1985)

    Google Scholar 

  42. Lee, D.N.: Visuo-motor coordination in space-time. In: Stelmach, G.E., Requin, J. (eds.) Tutorials in Motor Behavior, pp. 281–296. North-Holland, Amsterdam (1980)

    Google Scholar 

  43. NIST/SEMATECH e-Handbook of Statistical Methods. https://doi.org/10.18434/M32189

  44. Altman, D.G., Bland, J.M.: Statistics note: the normal distribution. BMJ 310, 298 (1995)

    Google Scholar 

  45. Mishra, P., Panday, C.M., Singh, U., Gupta, A., Sahu, C., Keshri, A.: Descriptive statistics and normality tests for statistical data. Ann. Card. Anaesth. 22, 67–72 (2019)

    Google Scholar 

  46. Drummond, G.B., Vowler, S.: Analysis of variance: variably complex. J. Physiol. 590, 1303–1306 (2012)

    Google Scholar 

  47. Grimmett, D.R., Ridenhour, J.R.: The effects of a variable data point on hypothesis tests for means. Am. Stat. 50, 145–150 (1996)

    MathSciNet  Google Scholar 

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Authors and Affiliations

  1. 229 Slay Hall, Department of Engineering, East Carolina University, Greenville, NC, USA

    Byungjoon B. J. Kim

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  1. Byungjoon B. J. Kim
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Correspondence to Byungjoon B. J. Kim .

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Editors and Affiliations

  1. Dept.of Pathology, College of Medicine, Univ.of Saskatchewan Royal Univ.Hospital, Saskatoon, SK, Canada

    Jay Kalra

  2. Center for Applied Sys. Engineering, Veterans Affairs, Indianapolis, IN, USA

    Nancy J. Lightner

  3. Campus du Moulin de la Housse, Université de Reims Champagne-Ardenne, Reims Cedex 2, France

    Redha Taiar

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Kim, B.B.J. (2021). Is Body Sway Model Valid to Analyze Postural Control for Diabetic Peripheral Neuropathy People?. In: Kalra, J., Lightner, N.J., Taiar, R. (eds) Advances in Human Factors and Ergonomics in Healthcare and Medical Devices. AHFE 2021. Lecture Notes in Networks and Systems, vol 263. Springer, Cham. https://doi.org/10.1007/978-3-030-80744-3_20

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  • DOI: https://doi.org/10.1007/978-3-030-80744-3_20

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