Gait stability in diabetic peripheral neuropathy

de Souza Fortaleza, Ana Claudia; Ferrari Chagas, Eliane; Albuquerque Ferreira, Dalva Minonroze; Mantovani, Alessandra Madia; Baisi Chagas, Eduardo Federighi; Barela, José Ângelo; Prado Teles Fregonesi, Cristina Elena
June 2014
Brazilian Journal of Kineanthropometry & Human Performance;2014, Vol. 16 Issue 4, p427
Academic Journal
The aim of this study was to evaluate gait stability in diabetic patients with peripheral neuropathy in three conditions: habitual walking with eyes open, walking with eyes closed, and walking with eyes open and narrow base of support. The study included 41 subjects, 18 with neuropathy (NG) and 23 controls. Gait stability was evaluated on a baropodometer using the Footwalk Pro software. The following data were obtained: gait speed and percentage of time spent in double stance and single stance. Significant differences were observed between groups in all three conditions for gait speed and single stance time, which were reduced in NG (p<0.05), and for double stance time, which was increased in NG (p<0.05). For gait speed, double stance time and single stance time, the eyes open condition differed from the eyes closed (p<0.001) and narrow base of support (p<0.001) conditions. In the three conditions studied, patients of NG presented a deficit in gait stability and this performance was even more compromised in the two conditions that required greater postural control. These gait changes resulting from the complexity imposed by the different conditions suggest the inclusion of these conditions in the evaluation and treatment of this population.


Related Articles

  • A Three-dimensional Gait Analysis of People with Flat Arched Feet on an Ascending Slope. MYOUNG-KWON KIM; YUN-SEOP LEE // Journal of Physical Therapy Science;2014, Vol. 26 Issue 9, p1437 

    [Purpose] The purpose of the study was to discover why people who have flat feet show a higher risk of damage to the musculoskeletal system than those who have normal feet. Furthermore, we examined the kinematic differences in the lower extremity between flat feet and normal feet in individuals...

  • Spatial variability during gait initiation while dual tasking is increased in individuals with mild cognitive impairment. Boripuntakul, S.; Lord, S.; Brodie, M.; Smith, S.; Methapatara, P.; Wongpakaran, N.; Sungkarat, Somporn // Journal of Nutrition, Health & Aging;Mar2014, Vol. 18 Issue 3, p307 

    Background: Gait initiation (GI) is a complex transition phase of gait that can induce postural instability. Gait impairment has been well documented in people with Alzheimer's disease, but it is still inconclusive in individuals with Mild Cognitive Impairment (MCI). Previous studies have...

  • Drinking to Thirst Versus Drinking Ad Libitum During Road Cycling. Armstrong, Lawrence E.; Johnson, Evan C.; Kunces, Laura J.; Ganio, Matthew S.; Judelson, Daniel A.; Kupchak, Brian R.; Vingren, Jakob L.; Munoz, Colleen X.; Huggins, Robert A.; Hydren, Jay R.; Moyen, Nicole E.; Williamson, Keith H. // Journal of Athletic Training (Allen Press);Sep/Oct2014, Vol. 49 Issue 5, p624 

    Context: The sensation of thirst is different from the complex behavior of drinking ad libitum. Rehydration recommendations to athletes differ, depending on the source, yet no previous researchers have systematically compared drinking to thirst (DTT) versus ad libitum drinking behavior (DAL)....

  • Analysis of dimensions, activation and median frequency of cervical flexor muscles in young women with migraine or tension-type headache. Wanderley, Débora; Moura Filho, Alberto G.; Costa Neto, Joaquim J. S.; Siqueira, Gisela R.; de Oliveira, Daniella A. // Brazilian Journal of Physical Therapy / Revista Brasileira de Fi;May/Jun2015, Vol. 19 Issue 3, p60 

    Background: Central and peripheral mechanisms may be involved in migraine and tension-type headache pathogenesis, however the role of muscle disorders in their pathophysiological mechanisms remains unclear. Objectives: To assess the association between the presence of migraine or tension-type...

  • Comparison of Gait Parameters Across Three Attentional Loading Conditions During Timed Up and Go Test in Stroke Survivors. Manaf, Haidzir; Justine, Maria; Ting, Goh Hui; Latiff, Lydia Abd // Topics in Stroke Rehabilitation;Mar/Apr2014, Vol. 21 Issue 2, p128 

    Background: Little is known about the effects of attentional loading on performance of turning during walking in individuals with stroke. Objective: The authors used a cross-sectional experimental design to compare gait parameters in stroke survivors across 3 attentional loading conditions...

  • Posture Analysis of Various Types of Crutch Gait of Healthy Volunteers. JEONG-UK LEE; JU-HYUN KIM; LIM-KYU LEE; MEE-YOUNG KIM; SEUNG-MIN YANG; TAE-HYUN LEE; JUNGHWAN KIM // Journal of Physical Therapy Science;Apr2013, Vol. 25 Issue 4, p453 

    The article presents a study that examines body posture of the non-crutch gait and types of crutch gait of healthy volunteers. It discusses methodologies and materials used in the study including the Bonferroni test, X-ray imaging, and the Gait and Posture Assesment tool for investigating...

  • The Effect of Auditory Pacing on Period Stability and Temporal Consistency in Children With and Without Dyslexia Co-Existing Motor Dysfunction. Getchell, Nancy; Liang, Ling-Yin; Golden, Daphne; Logan, Samuel W. // Adapted Physical Activity Quarterly;Jan2014, Vol. 31 Issue 1, p19 

    The primary purpose of this study was to examine the effect of auditory pacing on period stability and temporal consistency of a dual motor task in children with and without dyslexia and with varying amounts of motor deficiency. Fifty-four children were divided into groups based on dyslexia...

  • Changes in Postural Sway According to Footwear Types of Hemiparetic Stroke Patients. KIHUN CHO; WANHEE LEE // Journal of Physical Therapy Science;2014, Vol. 26 Issue 6, p861 

    [Purpose] The purpose of the current study was to investigate the influence of footwear type on postural sway of hemiparetic stroke patients. [Subjects] Thirty-two stroke patients who were undergoing a rehabilitation program were recruited on a voluntary basis from local rehabilitation unit....

  • Use a Portable Device for Measuring Spasticity in Individuals with Cerebral Palsy. ALVES FONSECA, LETÍCIA; COLLANGE GRECCO, LUANDA ANDRÉ; POLITTI, FABIANO; FRIGO, CARLO; PAVAN, ESTEBAN; FERRARI CORRÊA, JOÃO CARLOS; SANTOS OLIVEIRA, CLÁUDIA // Journal of Physical Therapy Science;Mar2013, Vol. 25 Issue 3, p271 

    The article focuses on a study which correlate results obtained with a portable device for determining spasticity at ankle joint and modified ashworth scale (MAS) evaluations in cerebral palsy (CP) patients. The study revealed negative correlation between the device and the MAS which leads to a...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics