Motor strategy patterns study of diabetic neuropathic individuals while walking. A wavelet approach

Sacco, Isabel de Camargo Neves; Hamamoto, Adriana Naomi; Onodera, Andrea Naomi; Gomes, Aline A.; Weiderpass, Heinar A.; Pachi, C.G.F.; Yamamoto, Jorge Kazuo; Tscharner, Vinzenz von

doi:10.1016/j.jbiomech.2014.04.007

Cited by 22 publications

(24 citation statements)

References 45 publications

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“…Previously, wavelet transformation has been utilized to elucidate mechanisms of fatigue, diabetic neuropathy, and ankle osteoarthritis, and it has been reported to reflect MU conduction velocity. [9][10][11][12] For example, it has been reported that conduction velocity has a stronger relationship with the lower (<200 HZ) than higher (200-400 HZ) frequency wavelet bands. 9 Therefore, the wavelet transform provides insight on the contributions of low-threshold (slower conduction velocities) and high-threshold (faster conduction velocities) MUs during a contraction and, subsequently, may further expand knowledge regarding the utilization of low-and high-threshold MUs as a result of long-term ET and RT.…”

Section: Accepted 3 February 2015mentioning

confidence: 99%

“…The concurrent changes in the high‐ and low‐frequency power may be of physiological importance and could be examined with wavelet transform analyses. Previously, wavelet transformation has been utilized to elucidate mechanisms of fatigue, diabetic neuropathy, and ankle osteoarthritis, and it has been reported to reflect MU conduction velocity . For example, it has been reported that conduction velocity has a stronger relationship with the lower (<200 H z ) than higher (200–400 H z ) frequency wavelet bands .…”

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confidence: 99%

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Motor unit control strategies of endurance‐ versus resistance‐trained individuals

et al. 2015

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Section: Accepted 3 February 2015mentioning

confidence: 99%

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confidence: 99%

Motor unit control strategies of endurance‐ versus resistance‐trained individuals

et al. 2015

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“…People with DM commonly present with alterations in gait biomechanics, such as reduced gait speed, decreased ankle dorsi and plantarflexion [5,9], delayed muscle activations in the leg and thigh [5,[10][11][12][13][14][15], reduced ankle and increased hip joint moments [16][17][18], and altered plantar pressure distribution patterns that increase the risk of developing plantar ulcers [19][20][21][22][23]. Due to these changes, individuals with DM may have difficulties performing their daily locomotor activities, which compromises their functionality and negatively impacts their quality of life [24][25][26].…”

Section: Introductionmentioning

confidence: 99%

Study protocol for a randomized controlled trial on the effect of the Diabetic Foot Guidance System (SOPeD) for the prevention and treatment of foot musculoskeletal dysfunctions in people with diabetic neuropathy: the FOotCAre (FOCA) trial I

Ferreira

Cruvinel

Silva

et al. 2020

Trials

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Background: This study is part of a series of two clinical trials. Taking into account the various musculoskeletal alterations of the foot and ankle in people with diabetic peripheral neuropathy (DPN) and the need for self-care to avoid more serious dysfunctions and complications, a self-manageable exercise protocol that focuses on strengthening the foot muscles is presented as a potentially effective preventive method for foot and gait complications. The aim of this trial is to investigate the effect of a customized rehabilitation technology, the Diabetic Foot Guidance System (SOPeD), on DPN status, functional outcomes and gait biomechanics in people with DPN. Methods/design: Footcare (FOCA) trial I is a randomized, controlled and parallel two-arm trial with blind assessment. A total of 62 patients with DPN will be allocated into either a control group (recommended foot care by international consensus with no foot exercises) or an intervention group (who will perform exercises through SOPeD at home three times a week for 12 weeks). The exercise program will be customized throughout its course by a perceived effort scale reported by the participant after completion of each exercise. The participants will be assessed at three different times (baseline, completion at 12 weeks, and follow-up at 24 weeks) for all outcomes. The primary outcomes will be DPN symptoms and severity classification. The secondary outcomes will be footankle kinematics and kinetic and plantar pressure distribution during gait, tactile and vibration sensitivities, foot health and functionality, foot strength, and functional balance.

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“…Changes in this relationship due to the loss of sensitivity can result in important biomechanical alteration to the patient's gait. These include changes in plantar pressure, usually with increased pressure on the forefoot [6], differences in kinetic patterns with modified ground reaction forces [7], and altered muscle activity [8]. Compared with healthy controls, DPN patients have a lower gait velocity, decreased cadence, shorter stride length, increased stance time, and greater step-to-step variability [9].…”

Section: Introductionmentioning

confidence: 99%

Effect of Exercise with Rhythmic Auditory Stimulation on Muscle Coordination and Gait Stability in Patients with Diabetic Peripheral Neuropathy: A Randomized Controlled Trial

Suzuki¹,

Niitsu²,

Kamo³

et al. 2019

OJTR

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Background: Diabetic peripheral neuropathy (DPN) changes leg muscle coordination during walking and reduces stability. The aim of this study was to determine whether rhythmic auditory stimulation (RAS) affected the gait performance of patients with DPN. Methods: Forty DPN patients (mean age, 59.1 ± 9.4 y) were randomly allocated to RAS and control groups in equal numbers. The participants in each group underwent 2 weeks of supervised rehabilitative treatment (40 min/day) as inpatients. This included walking twice a day, during which the RAS group participants walked in time with a metronome set at a self-chosen, comfortable rate. We compared gait function, lower limb muscle co-contraction, and gait stability before and after the intervention for both groups, calculated the change in score for each parameter, and assessed differences between the groups with unpaired t-tests and ANCOVA. Results: RAS was associated with significant improvement in all parameters. In the control group, there was no improvement in cadence, co-contraction, or gait stability (vertical). Compared with the control group, the RAS group showed improvement in co-contraction and gait stability. Conclusion: RAS may be helpful for improving the lower limb muscle coordination and gait function of DPN patients.

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Motor strategy patterns study of diabetic neuropathic individuals while walking. A wavelet approach

Cited by 22 publications

References 45 publications

Motor unit control strategies of endurance‐ versus resistance‐trained individuals

Motor unit control strategies of endurance‐ versus resistance‐trained individuals

Study protocol for a randomized controlled trial on the effect of the Diabetic Foot Guidance System (SOPeD) for the prevention and treatment of foot musculoskeletal dysfunctions in people with diabetic neuropathy: the FOotCAre (FOCA) trial I

Effect of Exercise with Rhythmic Auditory Stimulation on Muscle Coordination and Gait Stability in Patients with Diabetic Peripheral Neuropathy: A Randomized Controlled Trial

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