Gait and Exercise Training in Diabetic Peripheral Neuropathy

Reeves, Neil D.

doi:10.1002/9781119445821.ch11

Cited by 2 publications

(1 citation statement)

References 38 publications

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“…DPN patients may also display impaired motor control and this has been illustrated in some studies by delayed peak muscle activation despite an earlier ''switching on" of muscles during functional tasks, such as level walking and when climbing stairs [20,21]. Together, these deficits are responsible for biomechanical changes leading to a gait pattern that is characterized by a slower, stiffer and unsteady gait, associated with focal areas of high foot pressure increasing the risk of foot ulcer development [5,22,23]. Consequently, DPN patients are at high risk of falling and developing foot complications.…”

Section: Neuromuscular Function and Diabetic Peripheral Neuropathymentioning

confidence: 99%

Neuromuscular dysfunction and exercise training in people with diabetic peripheral neuropathy: A narrative review

Orlando¹,

Balducci²,

Boulton³

et al. 2022

Diabetes Research and Clinical Practice

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Section: Neuromuscular Function and Diabetic Peripheral Neuropathymentioning

confidence: 99%

Neuromuscular dysfunction and exercise training in people with diabetic peripheral neuropathy: A narrative review

Orlando¹,

Balducci²,

Boulton³

et al. 2022

Diabetes Research and Clinical Practice

Self Cite

View full text Add to dashboard Cite

Effect of Lower Extremity Training in Diabetic Peripheral Neuropathy

Ann Reena

2024

J Nov Physiother Rehabil

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Background: Diabetic peripheral neuropathy is a symmetrical length-dependent sensorimotor polyneuropathy due to chronic hyperglycemia. The World Health Organization (WHO) identified diabetes as a major global health concern. Diabetic neuropathy is characterized by motor dysfunctions (weakness and atrophy) especially at the distal muscles of lower limbs, and impaired dynamic muscular control in type 2 diabetes patients. Symptoms start in a distal-to proximal pattern in the feet, and ankle and proximally in the hip and knee for both flexors and extensors. Proximal muscle weakness affects postural stability. Dorsiflexor weakness causes increased hip, knee flexion and metatarsophalangeal extension in the initial swing whereas weakness in plantar flexors causes a greater amount of hip and knee flexion during the stance phase. Methodology: 34 subjects with Diabetic Peripheral Neuropathy who fulfilled all the inclusion criteria were recruited for the study. Ethical standards have been maintained and informed consent was taken. Subjects were randomly assigned by lottery method into two groups, intervention, and control with 17 in each. Since it is a single blinded study subjects were blinded about the interventions provided. Pre and post-test scores were taken before and after 4 weeks using Surface Electromyography (sEMG), Kinovea Software, Functional Gait Assessment (FGA) and Short Form -36 (SF-36). Results: The pre and post-score values of the kinematics of gait, Functional Gait Assessment, and Short Form - 36 were analyzed using a Paired t-test and Wilcoxon Signed Rank test within the group analysis, Mann- Whitney U test and Independent t-test for between the group analysis. Both groups displayed notable variations, whereas the intervention group exhibited more significant differences (p < 0.05). Thus, it can be inferred that lower extremity training significantly improves gait kinematics and quality of life in diabetic neuropathy. Conclusion: Lower extremity training is effective in improving the kinematics of gait and quality of life in diabetic neuropathy.

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Gait and Exercise Training in Diabetic Peripheral Neuropathy

Cited by 2 publications

References 38 publications

Neuromuscular dysfunction and exercise training in people with diabetic peripheral neuropathy: A narrative review

Neuromuscular dysfunction and exercise training in people with diabetic peripheral neuropathy: A narrative review

Effect of Lower Extremity Training in Diabetic Peripheral Neuropathy

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