Abstract:-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 di… Show more
“…Gait performance was quantified as stride length, stride time, gait velocity, and double support time (percent of gait cycle). 39 As functional indicators, we adopted the tests of a) upper limb strength, b) Abdominal, and c) Aerobic capacity. This protocol was described in a preview study.…”
Section: Methodsmentioning
confidence: 99%
“…Gait performance was quantified as stride length, stride time, gait velocity, and double support time (percent of gait cycle). 39…”
Objective To analyze the effect of combined training (CT) in postural control and gait parameters in postmenopausal women.
Methods A parallel-group, randomized, control study was conducted with 16 weeks of combined training (n = 16) versus a non-training control group (n = 12) in postmenopausal women (aged 59.3 ± 8.0). Pre and postintervention assessments included postural control (using an AMTI force platform – Advanced Mechanical Technology, Inc., Watertown, MA, USA) and gait impairments (using baropodometry). In addition, the upper limb strength and abdominal tests, as well as aerobic capacity, assessed functional indicators.
Results The CT intervention in postmenopausal women resulted in improved gait (stride length (p = 0.006); speed (p = 0.013); double support time (p = 0.045); and improved postural control (displacement area of postural sway in a normal base of support with eyes open (p = 0.006). Combined training increased functional indicators (abdominal - p = 0.031; aerobic capacity - p = 0.002).
Conclusion In conclusion, combined aerobic plus strength training effectively improved gait and balance control in older women. The postmenopausal women from the CT group walked faster and with bigger steps after the intervention than the control group. In addition, they presented decreased postural sway in standing and decreased the percentage of double support time while walking, which means improved static and dynamic balance control and functional indicators.
“…Gait performance was quantified as stride length, stride time, gait velocity, and double support time (percent of gait cycle). 39 As functional indicators, we adopted the tests of a) upper limb strength, b) Abdominal, and c) Aerobic capacity. This protocol was described in a preview study.…”
Section: Methodsmentioning
confidence: 99%
“…Gait performance was quantified as stride length, stride time, gait velocity, and double support time (percent of gait cycle). 39…”
Objective To analyze the effect of combined training (CT) in postural control and gait parameters in postmenopausal women.
Methods A parallel-group, randomized, control study was conducted with 16 weeks of combined training (n = 16) versus a non-training control group (n = 12) in postmenopausal women (aged 59.3 ± 8.0). Pre and postintervention assessments included postural control (using an AMTI force platform – Advanced Mechanical Technology, Inc., Watertown, MA, USA) and gait impairments (using baropodometry). In addition, the upper limb strength and abdominal tests, as well as aerobic capacity, assessed functional indicators.
Results The CT intervention in postmenopausal women resulted in improved gait (stride length (p = 0.006); speed (p = 0.013); double support time (p = 0.045); and improved postural control (displacement area of postural sway in a normal base of support with eyes open (p = 0.006). Combined training increased functional indicators (abdominal - p = 0.031; aerobic capacity - p = 0.002).
Conclusion In conclusion, combined aerobic plus strength training effectively improved gait and balance control in older women. The postmenopausal women from the CT group walked faster and with bigger steps after the intervention than the control group. In addition, they presented decreased postural sway in standing and decreased the percentage of double support time while walking, which means improved static and dynamic balance control and functional indicators.
Purpose. The aim of this paper is to review the published studies on the characteristics of impairments in the postural control and gait performance in diabetic peripheral neuropathy (DPN). Methods. A review was performed by obtaining publication of all papers reporting on the postural control and gait performance in DPN from Google Scholar, Ovid, SAGE, Springerlink, Science Direct (SD), EBSCO Discovery Service, and Web of Science databases. The keywords used for searching were “postural control,” “balance,” “gait performance,” “diabetes mellitus,” and “diabetic peripheral neuropathy.” Results. Total of 4,337 studies were hit in the search. 1,524 studies were screened on their titles and citations. Then, 79 studies were screened on their abstract. Only 38 studies were eligible to be selected: 17 studies on postural control and 21 studies on the gait performance. Most previous researches were found to have strong evidence of postural control impairments and noticeable gait deficits in DPN. Deterioration of somatosensory, visual, and vestibular systems with the pathologic condition of diabetes on cognitive impairment causes further instability of postural and gait performance in DPN. Conclusions. Postural instability and gait imbalance in DPN may contribute to high risk of fall incidence, especially in the geriatric population. Thus, further works are crucial to highlight this fact in the hospital based and community adults.
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