AIMS: To evaluate the spatio-temporal variables of gait and the isometric muscle strength component of the ankle in patients with peripheral diabetic neuropathy. Also, verify the relationship between these variables and gait parameters. METHODS: This study involved 25 diabetic peripheral neuropathy (DPN) participants (62.4±8.36 years) and 27 age-matched healthy control individuals (64.48±6.21 years). The assessment of the spatio-temporal parameters of gait was performed using an electronic baropodometry treadmill. Prior to the collection data, each participant was instructed to walk on the treadmill in her/his habitual self-selected speed. RESULTS: Diabetic neuropathy group showed impairment of gait, with a smaller stride and length speed of the cycle, and increased duration of support time. Restricted dorsiflexion mobility and increased plantarflexion mobility were found, with a decrease in muscle strength of the dorsiflexors and plantiflexors. There was a significant relationship between plantiflexor muscle strength and the length and speed of the gait cycle. Also the muscle strengths of the plantiflexors and dorsiflexors, and the range of motion of dorsiflexion were predictors of gait performance. CONCLUSIONS: The ankle, muscle strength and ankle mobility variables could explain changes in gait speed and range of motion in patients with DPN, allowing for the application of preventive strategies.
AIMS: To evaluate the spatio-temporal variables of gait and the isometric muscle strength component of the ankle in patients with peripheral diabetic neuropathy. Also, verify the relationship between these variables and gait parameters. METHODS: This study involved 25 diabetic peripheral neuropathy (DPN) participants (62.4±8.36 years) and 27 age-matched healthy control individuals (64.48±6.21 years). The assessment of the spatio-temporal parameters of gait was performed using an electronic baropodometry treadmill. Prior to the collection data, each participant was instructed to walk on the treadmill in her/his habitual self-selected speed. RESULTS:Diabetic neuropathy group showed impairment of gait, with a smaller stride and length speed of the cycle, and increased duration of support time. Restricted dorsiflexion mobility and increased plantarflexion mobility were found, with a decrease in muscle strength of the dorsiflexors and plantiflexors. There was a significant relationship between plantiflexor muscle strength and the length and speed of the gait cycle. Also the muscle strengths of the plantiflexors and dorsiflexors, and the range of motion of dorsiflexion were predictors of gait performance. CONCLUSIONS: The ankle, muscle strength and ankle mobility variables could explain changes in gait speed and range of motion in patients with DPN, allowing for the application of preventive strategies.
Authors: Jady Luara Veríssimo; Isabel C N Sacco; Maria Helena Morgani de Almeida; Cristina Dallemole Sartor; Eneida Yuri Suda Journal: Braz J Phys Ther Date: 2022-03-31 Impact factor: 4.762
Authors: Roger J Paxton; Caitlin Feldman-Kothe; Megan K Trabert; Leah N Hitchcock; Raoul F Reiser; Brian L Tracy Journal: Motor Control Date: 2015-08-12 Impact factor: 1.422
Authors: Tessa Riandini; Hwee Lin Wee; Eric Y H Khoo; Bee Choo Tai; Wilson Wang; Gerald C H Koh; E Shyong Tai; Subramaniam Tavintharan; Kurumbian Chandran; Siew Wai Hwang; Kavita Venkataraman Journal: Acta Diabetol Date: 2017-11-28 Impact factor: 4.280
Authors: Kavita Venkataraman; Bee Choo Tai; Eric Y H Khoo; Subramaniam Tavintharan; Kurumbian Chandran; Siew Wai Hwang; Melissa S L A Phua; Hwee Lin Wee; Gerald C H Koh; E Shyong Tai Journal: Diabetologia Date: 2019-08-29 Impact factor: 10.122