Influence of chronic sleep deprivation on maintenance of postural balance
DOI:
https://doi.org/10.33448/rsd-v9i2.1944Keywords:
Postural balance; Sleep deprivation; Vestibular function tests; Quality of life.Abstract
Optimal human performance depends on integrated sensorimotor and cognitive functions, both known to be extremely sensitive to sleep changes. The present study aims to verify the occurrence of sleep-related complaints in a sample of dizzy subjects and to compare the results of the vestibulometry among them. This is a cross-sectional observational research with a quantitative approach, conducted with subjects treated at a Balancing Outpatient Clinic of a University Hospital, submitted to Foam Laser Dynamic Posturography (sensory organization test and sensory analysis), Computerized Vectoelectronystagmography (oculomotor and vestibular tests) and the Dizziness Handicap Inventory (DHI) questionnaire to verify the handicap caused by dizziness. The sample consisted of 29 (20.14%) men and 115 (79.86%) women, with a mean age of 58.36 years. Of the total, 83 (57.64%) had a history of regular sleep (RS) and 61 (42.36%) had irregular sleep (IS). In posturography, there was a relationship between SI and lower values in positions II, III, IV and V, as well as with the vestibular system, in the sensory analysis. In vectoelectronystagmography the results point to normality of oculomotor function and vestibular reflexes, with rare indications of central alteration. DHI domains were significantly smaller in SI, indicating greater handicap caused by dizziness. These results confirm a high frequency of sleep-related complaints in this population, mainly affecting vestibular information, but not related to reflexes, but probably to the processing of upper vestibular information.
References
Albathi, M. & Agrawal, Y. (2017). Vestibular vertigo is associated with abnormal sleep duration. Journal of Vestibular Research; 27: 127-135.
Albuquerque, A. et al. (2012). Can postural control performance be an indicator of truck drivers’ sleep deprivation? Biological Rhythm Research; 43(6): 663-670.
Avni, N. et al. (2006). Brief posturographic test as an indicator of fatigue. Psychiatry and Clinical Neurosciences; 60(3): 340-346.
Bear, M. F., Connors, B. W. & Paradiso, M. A. (2017). Neurociências: Desvendando o sistema nervoso. 4. ed. Porto Alegre: Artmed.
Besnard, S. et al. (2018). The balance of sleep: Role of the vestibular sensory system. Sleep Medicine Reviews; 42: 220e228.
Brasil. (2012). Conselho Nacional de Saúde. Ministério da Saúde (BR). Portaria 466/2012. Brasília (DF).
Castagno, L. A. (1994). Distúrbio do Equilíbrio: Um Protocolo de Investigação Racional –parte 2. Rev Bras Ororrinolaringologia; 60(4): 287-96.
Castro, A. S. O., Gazzola, J. M., Natour, J. & Ganança, F. F. (2007). Brazilian version of the Dizziness Handicap Inventory. Pró-Fono Revista de Atualização Científica; 19(1): 97-104.
Cheng, S. et al. (2018). Differences in sensory reweighting due to loss of visual and proprioceptive cues in postural stability support among sleep-deprived cadet pilots. Gait & Posture; 63: 97-103.
Dieterich, M. (2017). Clinical approach and imaging of cortical vestibular disorders. Abstracts / Journal of the Neurological Sciences; 381: 1-53.
Dowd, P. J. (1974). Sleep deprivation effects on the vestibular habituation process. Journal of Applied Psychology; 59(6): 748-752.
Durmer, J. S. & Dinges, D. F. (2005). Neurocognitive Consequences of Sleep Deprivation. Seminars In Neurology; 25(1): 117-129.
Fransson, P. A., Patel, M., Magnusson, M., Berg, S., Almbladha, P. & Gomez, S. (2008). Effects of 24-hour and 36-hour sleep deprivation on smooth pursuit and saccadic eye movements. Journal of Vestibular Research; 18: 209-222.
Furtado, F., Gonçalves B. S. B., Abranches, I. L.L., Abrantes, A. F. & Forner-Cordero, A. (2016). Chronic Low Quality Sleep Impairs Postural Control in Healthy Adults. PLoS ONE; 11(10): 1-13.
Gallina, S., Dispenza F., Kulamarva, G., Riggio, F. & Speciale, R. (2010). Obstructive sleep apnoea syndrome (OSAS): effetti sul sistema vestibolare. Acta otorhinolaryngologica itálica; 30: 281-284.
Jacobson, G. P. & Newman, C. W. (1990). The development of the dizziness handicap inventory. Arch Otolaryngol Head Neck Surg; 116: 424-7.
Kamoun, A. et al. (2019). Effects of Melatonin ingestion before nocturnal sleep on postural balance and subjective sleep quality in older adults. Journal of Aging and Physical Activity; 27(3): 316-324.
Kandel, E. R. Princípios de Neurociência. 5. ed. Porto Alegre: AMGH, 2014.
Kim, S. K., Kim, J. H., Jeon, S. S., Hong, S. M. (2018). Relationship between sleep quality and dizziness. PLoS ONE; 13(3): e0192705.
Lin, B-Y & Young, Y-H. (2014). Effect of short-duration sleep deprivation on the vestibulo-ocular reflex system evaluated by ocular vestibular-evoked myogenic potential test. Acta Oto-Laryngologica; 134: 698-703.
Martin, T. et al. (2016). Exploration of Circadian Rhythms in Patients with Bilateral Vestibular Loss. PLoS ONE; 11(6):e0155067.
Ma, J. et al. (2009). Effects of Sleep Deprivation on Human Postural Control, Subjective Fatigue Assessment and Psychomotor Performance. The Journal of International Medical Research; 37(5): 1311-1320.
Martin, T. et al. (2018). Effect of sleep deprivation on diurnal variation of vertical perception and postural control. J Appl Physiol; 11(6): 167-174.
Mezzalira, R, Bittar, R. S. M. & Albertino, S. (2014). Otoneurologia Clínica. Rio de Janeiro: Revinter.
Montesinos, L., Castaldo, R., Piaggio, D. & Pecchia, L. (2017). Day-to-day variation in sleep quality and static balance: results from an exploratory study. In: Eskola H et al. (eds.), EMBEC & NBC. IFMBE Proceedings 65.
Mor, R. & Fragoso, M. (2012). Vestibulometria na prática fonoaudiológica. São Paulo: Pulso Editorial.
Nakaiama, M. et al. (2015). A Pilot Study on the Effi cacy of Continuous Positive Airway Pressure on the Manifestations of Ménière’s Disease in Patients with Concomitant Obstructive Sleep Apnea Syndrome. Journal of Clinical Sleep Medicine; 11(10): 1101-1107.
Pimentel, B. N. & Santos Filha V. A. V. (2019). Evaluation of vestibular and oculomotor functions in individuals with dizziness after stroke. Arq Neuropsiquiatr; 77(1): 25-32.
Sugaya N, Arai M, Goto F. (2017). The effect of sleep disturbance in patients with chronic dizziness. Acta Oto-Laryngologica;137(1):47-52.
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