Skip to main content

Linear and non-linear methods for analysis Center Pressure and its application in Diabetic Peripheral Neuropathy: A systematic review

Part of the IFMBE Proceedings book series (IFMBE,volume 60)

Abstract

Body stability problems can limit mobility, daily activities and is one of the risk factors for falls in elderly people, increasing in Diabetic Peripheral Neuropathy (DPN) population. Methods of stability analysis focus on Center of Pressure (CoP), using different parameters focused on a linear analysis, but currently several studies demonstrate that CoP can also present a nonlinear behavior that gives rise to other information to complement the stability evaluation. Currently, very few studies have done this type of analysis in DPN, for this reason, this systematic review has been conducted aiming to identify the most reliable and efficient parameters by linear and non-linear methods for CoP characterization in the antero-posterior direction (AP) under static conditions. In order to achieve this objective, a total of 16 articles were selected. Included articles examined CoP in diabetic patients with or without DPN. These studies suggest that linear and non-linear parameters to CoP analysis should be: Power Spectral Density, Range, Root Mean Square, Average Velocity, Detrended Fluctuation Analysis, Entropy, Hurst Exponent and Wavelet Transform. All parameters show reliability and statistical significance between groups. This approach may facilitate earlier detection of fall risk.

Keywords

  • Diabetes
  • Diabetic Peripheral Neuropathy
  • Center of pressure
  • Linear and non-linear analysis
  • Body stability

This is a preview of subscription content, access via your institution.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. IDF, International Diabetes Federation (2015) Atlas – 7th Edition, at http://www.idf.org

  2. Lafond D, Corriveau H, Prince F (2004) Postural Control Mechanisms During Quiet Standing in Patients With Diabetic Sensory Neuropathy. Diabetes Care 27:173–178

    Google Scholar 

  3. Loughlin PJ, Redfern MS, Furman JM (2003) Nonstationarities of Postural Sway. IEEE Eng Med Biol Mag 22(2):69-75 DOI:10.1109/MEMB.2003.1195699

  4. Lafond D, Corriveau H, Prince F (2004) Postural control mechanisms during quiet standing in patients with diabetic sensory neuropathy. Diabetes Care 27(1):173-178 DOI:10.2337/diacare.27.1.173

  5. Peterka RJ (2002) Sensorimotor integration in human postural control. J Neurophysiol 88(3):1097-1118

    Google Scholar 

  6. Dixit S, Maiya A, Shastry BA, Guddattu V (2016) Analysis of Postural Control During Quiet Standing in a Population with Diabetic Peripheral Neuropathy Undergoing Moderate Intensity Aerobic Exercise Training. Am J Phys Med Rehabil 1 DOI:10.1097/PHM.0000000000000426

  7. Yamamoto R, Kinoshita T, Momoki T, et al (2001) Postural sway and diabetic peripheral neuropathy. Diabetes Res Clin Pract 52:213-221

    Google Scholar 

  8. Bergin PS, Bronstein AM, Murray NMF, Sancovic S, Zeppenfeld K (1995) Body Sway and Vibration Perception Thresholds in Normal Aging and in Patients With Polyneuropathy. J Neurol Neurosurg Psychiatry 58:335-340 DOI:10.1136/jnnp.58.3.335

  9. Boucher P, Teasdale N, Courtemanche R, Bard C, Fleury M (1995) Postural Stability in Diabetic Polyneuropathy 18(5):638-645

    Google Scholar 

  10. Katoulis EC, Ebdon-Parry M, Hollis S, et al (1997) Postural instability in diabetic neuropathic patients at risk of foot ulceration. Diabet Med 14(4):296-300

    Google Scholar 

  11. Dickstein R, Shupert CL, Horak FB (2001) Fingertip touch improves postural stability in patients with peripheral neuropathy. Gait Posture 14(3):238-247 DOI10.1016/S0966-6362(01)00161-8

    Google Scholar 

  12. Horak FB, Dickstein R, Peterka RJ (2002) Diabetic neuropathy and surface sway-referencing disrupt somatosensory information for postural stability in stance. Somatosens Mot Res 19(4):316-326 DOI:10.1080/0899022021000037782

  13. Dickstein R, Peterka RJ, Horak FB (2003) Effects of light fingertip touch on postural responses in subjects with diabetic neuropathy. J Neurol Neurosurg Psychiatry 74(5):620-626

    Google Scholar 

  14. Kanade R V., Van Deursen RWM, Harding KG, Price PE (2008) Investigation of standing balance in patients with diabetic neuropathy at different stages of foot complications. ClinBiomech 23(9):1183-1191 DOI:10.1016/j.clin biomech.2008.06.004

  15. Schilling RJ, Bollt EM, et al (2009) A quiet standing index for testing the postural sway of healthy and diabetic adults across a range of ages. IEEE Trans Biomed Eng 56(2):292-302 DOI:10.1109/TBME.2008.2003270

  16. Fioretti S, Scocco M, Ladislao L, Ghetti G, Rabini RA (2010) Identification of peripheral neuropathy in type-2 diabetic subjects by static posturography and linear discriminant analysis. Gait Posture 32(3):317-320 DOI:10.1016/j.gaitpost.2010.05.017

  17. Morrison S, Colberg SR, Parson HK, Vinik AI (2012) Relation between risk of falling and postural sway complexity in diabetes. Gait Posture 35(4):662-668 DOI:10.1016/j.gaitpost.2011.12.021

  18. Salsabili H, Bahrpeyma F, Esteki A, Karimzadeh M, Ghomashchi H (2013) Spectral characteristics of postural sway in diabetic neuropathy patients participating in balance training. J Diabetes Metab Disord 12(1):29 DOI:10.1186/2251-6581-12-29

  19. Silva P, Figueredo P, De Oliveira E, et al (2015) Long-term benefits of somatosensory training to improve balance of elderly with diabetes mellitus. J Body Mov Ther 19(3):453-457 DOI:10.1016/j.jbmt.2014.11.002

  20. Dixit S, Maiya A, Shasthry BA, D SK, Guddattu V (2015) Postural sway in diabetic peripheral neuropathy among Indian elderly 713-720 DOI:10.4103/0971-5916.174562

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to D. Toloza .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and Permissions

Copyright information

© 2017 Springer Nature Singapore Pte Ltd.

About this paper

Cite this paper

Toloza, D., Zequera, M. (2017). Linear and non-linear methods for analysis Center Pressure and its application in Diabetic Peripheral Neuropathy: A systematic review. In: Torres, I., Bustamante, J., Sierra, D. (eds) VII Latin American Congress on Biomedical Engineering CLAIB 2016, Bucaramanga, Santander, Colombia, October 26th -28th, 2016. IFMBE Proceedings, vol 60. Springer, Singapore. https://doi.org/10.1007/978-981-10-4086-3_179

Download citation

  • DOI: https://doi.org/10.1007/978-981-10-4086-3_179

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-4085-6

  • Online ISBN: 978-981-10-4086-3

  • eBook Packages: EngineeringEngineering (R0)