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

Linda J. D'Silva, Susan L. Whitney, Marcio Santos, Hongying Dai, Patricia M. Kluding

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Aim The prevalence of benign paroxysmal positional vertigo (BPPV) is higher in people with type 2 diabetes (DM). The impact of DM on mobility, balance, and management of BPPV is unknown. This prospective study compared symptom severity, mobility and balance before and after the canalith repositioning maneuver (CRM) in people with posterior canal BPPV canalithiasis, with and without DM. Methods Fifty participants, BPPV (n = 34) and BPPV + DM (n = 16) were examined for symptom severity (dizziness handicap inventory, DHI), mobility (functional gait assessment, FGA), and postural sway (using an accelerometer in five conditions) before and after the CRM. The number of maneuvers required for symptom resolution was recorded. Results At baseline, no differences in DHI or FGA scores were seen between groups, however, people with BPPV + DM had higher sway velocity in the medio-lateral direction in tandem stance (p < 0.01). After treatment, both groups improved in DHI and FGA scores (p < 0.01), with no differences between groups. Decrease in sway velocity in the mediolateral direction (p = 0.003) were seen in tandem stance in persons with BPPV + DM. There were no differences between the groups in the number of CRMs provided. Conclusions This pilot study showed no differences in symptom severity, mobility deficits or efficacy of CRM treatments in people with posterior canal BPPV canalithiasis with and without DM. Future studies examining the impact of the severity and duration of diabetes, as well as the influence of diabetic peripheral neuropathy on functional performance are essential.

Original languageEnglish (US)
Pages (from-to)976-982
Number of pages7
JournalJournal of Diabetes and Its Complications
Volume31
Issue number6
DOIs
StatePublished - Jun 2017

Keywords

  • Canalith repositioning maneuvers
  • Functional mobility
  • Positional vertigo
  • Postural sway
  • Type 2 diabetes

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

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