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Diabetes Care, Vol 18, Issue 3 339-344, Copyright © 1995 by American Diabetes Association

ARTICLES

Body sway in diabetic neuropathy

L Uccioli, PG Giacomini, G Monticone, A Magrini, L Durola, E Bruno, L Parisi, S Di Girolamo and G Menzinger
Department of Endocrinology and Internal Medicine, University of Rome Tor Vergata, Italy.

OBJECTIVE--To evaluate the influence of peripheral neuropathy on body sway assessed by posturography. RESEARCH DESIGN AND METHODS--The age-matched study subjects included 10 insulin-dependent diabetes mellitus (IDDM) patients with peripheral neuropathy (DN), 23 IDDM patients without peripheral neuropathy (D) according to the San Antonio Consensus Conference guidelines, and 21 control subjects (C). All subjects with symptoms and/or clinical signs of postural instability were excluded from the study. RESULTS--The trace surface was significantly larger in the DN than in the C and D groups (P < 0.05), and the trace length was longer in the DN than in the C and D groups (P < 0.01). Mean velocity was faster in the DN than in the other two groups (P < 0.001). A direct relationship was found between the parameters of posturography and some parameters of the nerve conduction velocity. CONCLUSIONS--Diabetic patients with peripheral neuropathy demonstrate a relative deficit in their ability to maintain posture. Posturography allows an early disclosure of the failure of postural control.
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