Clinical factors associated with gait alterations in diabetic patients
Aim To identify clinical factors associated with gait alterations in patients with Type 2 diabetes. Methods A sample of 76 diabetic patients underwent clinical examination and an outdoor gait assessment on tarred and cobblestoned terrains. We calculated respective differences in gait speed (perfor...
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| Veröffentlicht in: | Diabetic medicine 2009-10, Vol.26 (10), p.1003-1009 |
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| creator | Allet, L. Armand, S. De Bie, R. A. Golay, A. Pataky, Z. Aminian, K. De Bruin, E. D. |
| description | Aim To identify clinical factors associated with gait alterations in patients with Type 2 diabetes.
Methods A sample of 76 diabetic patients underwent clinical examination and an outdoor gait assessment on tarred and cobblestoned terrains. We calculated respective differences in gait speed (performance measure) and gait variability (fall risk index) on changing terrains. Associations with clinical factors were investigated using correlation coefficients and linear regression analysis.
Results The mean walking speed on the tarred pathway was 4.5 ± 0.6 km/h and 3.9 ± 0.8 km/h on the cobblestone pathway (P |
| doi_str_mv | 10.1111/j.1464-5491.2009.02811.x |
| format | Article |
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Methods A sample of 76 diabetic patients underwent clinical examination and an outdoor gait assessment on tarred and cobblestoned terrains. We calculated respective differences in gait speed (performance measure) and gait variability (fall risk index) on changing terrains. Associations with clinical factors were investigated using correlation coefficients and linear regression analysis.
Results The mean walking speed on the tarred pathway was 4.5 ± 0.6 km/h and 3.9 ± 0.8 km/h on the cobblestone pathway (P < 0.001). The CVGCT increased from 2.6 ± 0.9% on the tarred pathway to 5.1 ± 2.8% on the cobblestone pathway (P < 0.001). Regression analysis showed that 36% of the decrease in gait speed was explained proportionally by the mean of maximal isometric lower limb strength (22.2%; P ≤ 0.01), fear of falls (7.4%; P ≤ 0.01) and participants’ perceived vibration threshold (6.4%; P ≤ 0.01). Moreover, mean maximal isometric strength explained 11.8% (P ≤ 0.01) of the increase of the coefficient of variation of the gait cycle time when participants changed from tarred terrain to cobblestones.
Conclusion This study indicated that both physiological (strength and proprioception) and cognitive–behavioural factors (fear of falls) should be considered when treating diabetic patients with gait alterations. Therapists should apply these findings when developing specific fall prevention and treatment programmes.</description><identifier>ISSN: 0742-3071</identifier><identifier>EISSN: 1464-5491</identifier><identifier>DOI: 10.1111/j.1464-5491.2009.02811.x</identifier><identifier>PMID: 19900232</identifier><identifier>CODEN: DIMEEV</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Accidental Falls ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Diabetes Mellitus, Type 2 - complications ; Diabetes Mellitus, Type 2 - physiopathology ; Diabetes. Impaired glucose tolerance ; Diabetic Neuropathies - complications ; Diabetic Neuropathies - physiopathology ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Feeding. Feeding behavior ; Fundamental and applied biological sciences. Psychology ; Gait - physiology ; Humans ; Medical sciences ; Middle Aged ; Muscle Strength - physiology ; neuropathy ; Postural Balance - physiology ; prevention ; Risk Factors ; Task Performance and Analysis ; testing ; therapy ; Type 2 diabetes ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Vertebrates: endocrinology</subject><ispartof>Diabetic medicine, 2009-10, Vol.26 (10), p.1003-1009</ispartof><rights>2009 The Authors. Journal compilation © 2009 Diabetes UK</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5181-14edd40acb4a47bbc44c93b5fdfe9e0993673ddfaa358c4856562d9390c924b33</citedby><cites>FETCH-LOGICAL-c5181-14edd40acb4a47bbc44c93b5fdfe9e0993673ddfaa358c4856562d9390c924b33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1464-5491.2009.02811.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1464-5491.2009.02811.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22005701$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19900232$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Allet, L.</creatorcontrib><creatorcontrib>Armand, S.</creatorcontrib><creatorcontrib>De Bie, R. A.</creatorcontrib><creatorcontrib>Golay, A.</creatorcontrib><creatorcontrib>Pataky, Z.</creatorcontrib><creatorcontrib>Aminian, K.</creatorcontrib><creatorcontrib>De Bruin, E. D.</creatorcontrib><title>Clinical factors associated with gait alterations in diabetic patients</title><title>Diabetic medicine</title><addtitle>Diabet Med</addtitle><description>Aim To identify clinical factors associated with gait alterations in patients with Type 2 diabetes.
Methods A sample of 76 diabetic patients underwent clinical examination and an outdoor gait assessment on tarred and cobblestoned terrains. We calculated respective differences in gait speed (performance measure) and gait variability (fall risk index) on changing terrains. Associations with clinical factors were investigated using correlation coefficients and linear regression analysis.
Results The mean walking speed on the tarred pathway was 4.5 ± 0.6 km/h and 3.9 ± 0.8 km/h on the cobblestone pathway (P < 0.001). The CVGCT increased from 2.6 ± 0.9% on the tarred pathway to 5.1 ± 2.8% on the cobblestone pathway (P < 0.001). Regression analysis showed that 36% of the decrease in gait speed was explained proportionally by the mean of maximal isometric lower limb strength (22.2%; P ≤ 0.01), fear of falls (7.4%; P ≤ 0.01) and participants’ perceived vibration threshold (6.4%; P ≤ 0.01). Moreover, mean maximal isometric strength explained 11.8% (P ≤ 0.01) of the increase of the coefficient of variation of the gait cycle time when participants changed from tarred terrain to cobblestones.
Conclusion This study indicated that both physiological (strength and proprioception) and cognitive–behavioural factors (fear of falls) should be considered when treating diabetic patients with gait alterations. Therapists should apply these findings when developing specific fall prevention and treatment programmes.</description><subject>Accidental Falls</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Diabetes Mellitus, Type 2 - complications</subject><subject>Diabetes Mellitus, Type 2 - physiopathology</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Diabetic Neuropathies - complications</subject><subject>Diabetic Neuropathies - physiopathology</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Etiopathogenesis. Screening. Investigations. Target tissue resistance</subject><subject>Feeding. Feeding behavior</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gait - physiology</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Muscle Strength - physiology</subject><subject>neuropathy</subject><subject>Postural Balance - physiology</subject><subject>prevention</subject><subject>Risk Factors</subject><subject>Task Performance and Analysis</subject><subject>testing</subject><subject>therapy</subject><subject>Type 2 diabetes</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Vertebrates: endocrinology</subject><issn>0742-3071</issn><issn>1464-5491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE9v0zAYhy3ExMrGV0C-IE7J_DeJDxygbGXTYIdt2tF6Yzvgkiad7Wrdt8dZq3IEX2zZz-99Xz8IYUpKmtfZsqSiEoUUipaMEFUS1lBabl-h2eHhNZqRWrCCk5oeo7cxLgmhTHH1Bh1TpQhhnM3Qxbz3gzfQ4w5MGkPEEONoPCRn8ZNPv_BP8AlDn1yA5MchYj9g66F1yRu8znduSPEUHXXQR_duv5-g-4vzu_m34vpmcTn_fF0YSRtaUOGsFQRMK0DUbWuEMIq3srOdU44oxauaW9sBcNkY0chKVszmmYlRTLScn6CPu7rrMD5uXEx65aNxfQ-DGzdR15XgStW8-jfJOaesESSTzY40YYwxuE6vg19BeNaU6Em3XurJqp6s6km3ftGttzn6ft9k066c_Rvc-83Ahz0AMUvuAgzGxwPHcjVZE5q5Tzvuyffu-b8H0F-_n0-nnC92eR-T2x7yEH7rbLSW-uHHQstbdvVlcVXlv_8BubWpfw</recordid><startdate>200910</startdate><enddate>200910</enddate><creator>Allet, L.</creator><creator>Armand, S.</creator><creator>De Bie, R. A.</creator><creator>Golay, A.</creator><creator>Pataky, Z.</creator><creator>Aminian, K.</creator><creator>De Bruin, E. D.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>200910</creationdate><title>Clinical factors associated with gait alterations in diabetic patients</title><author>Allet, L. ; Armand, S. ; De Bie, R. A. ; Golay, A. ; Pataky, Z. ; Aminian, K. ; De Bruin, E. D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5181-14edd40acb4a47bbc44c93b5fdfe9e0993673ddfaa358c4856562d9390c924b33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Accidental Falls</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Diabetes Mellitus, Type 2 - complications</topic><topic>Diabetes Mellitus, Type 2 - physiopathology</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>Diabetic Neuropathies - complications</topic><topic>Diabetic Neuropathies - physiopathology</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Etiopathogenesis. Screening. Investigations. Target tissue resistance</topic><topic>Feeding. Feeding behavior</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gait - physiology</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Muscle Strength - physiology</topic><topic>neuropathy</topic><topic>Postural Balance - physiology</topic><topic>prevention</topic><topic>Risk Factors</topic><topic>Task Performance and Analysis</topic><topic>testing</topic><topic>therapy</topic><topic>Type 2 diabetes</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Vertebrates: endocrinology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Allet, L.</creatorcontrib><creatorcontrib>Armand, S.</creatorcontrib><creatorcontrib>De Bie, R. A.</creatorcontrib><creatorcontrib>Golay, A.</creatorcontrib><creatorcontrib>Pataky, Z.</creatorcontrib><creatorcontrib>Aminian, K.</creatorcontrib><creatorcontrib>De Bruin, E. D.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Diabetic medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Allet, L.</au><au>Armand, S.</au><au>De Bie, R. A.</au><au>Golay, A.</au><au>Pataky, Z.</au><au>Aminian, K.</au><au>De Bruin, E. D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical factors associated with gait alterations in diabetic patients</atitle><jtitle>Diabetic medicine</jtitle><addtitle>Diabet Med</addtitle><date>2009-10</date><risdate>2009</risdate><volume>26</volume><issue>10</issue><spage>1003</spage><epage>1009</epage><pages>1003-1009</pages><issn>0742-3071</issn><eissn>1464-5491</eissn><coden>DIMEEV</coden><abstract>Aim To identify clinical factors associated with gait alterations in patients with Type 2 diabetes.
Methods A sample of 76 diabetic patients underwent clinical examination and an outdoor gait assessment on tarred and cobblestoned terrains. We calculated respective differences in gait speed (performance measure) and gait variability (fall risk index) on changing terrains. Associations with clinical factors were investigated using correlation coefficients and linear regression analysis.
Results The mean walking speed on the tarred pathway was 4.5 ± 0.6 km/h and 3.9 ± 0.8 km/h on the cobblestone pathway (P < 0.001). The CVGCT increased from 2.6 ± 0.9% on the tarred pathway to 5.1 ± 2.8% on the cobblestone pathway (P < 0.001). Regression analysis showed that 36% of the decrease in gait speed was explained proportionally by the mean of maximal isometric lower limb strength (22.2%; P ≤ 0.01), fear of falls (7.4%; P ≤ 0.01) and participants’ perceived vibration threshold (6.4%; P ≤ 0.01). Moreover, mean maximal isometric strength explained 11.8% (P ≤ 0.01) of the increase of the coefficient of variation of the gait cycle time when participants changed from tarred terrain to cobblestones.
Conclusion This study indicated that both physiological (strength and proprioception) and cognitive–behavioural factors (fear of falls) should be considered when treating diabetic patients with gait alterations. Therapists should apply these findings when developing specific fall prevention and treatment programmes.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19900232</pmid><doi>10.1111/j.1464-5491.2009.02811.x</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Accidental Falls Adult Aged Aged, 80 and over Biological and medical sciences Diabetes Mellitus, Type 2 - complications Diabetes Mellitus, Type 2 - physiopathology Diabetes. Impaired glucose tolerance Diabetic Neuropathies - complications Diabetic Neuropathies - physiopathology Endocrine pancreas. Apud cells (diseases) Endocrinopathies Etiopathogenesis. Screening. Investigations. Target tissue resistance Feeding. Feeding behavior Fundamental and applied biological sciences. Psychology Gait - physiology Humans Medical sciences Middle Aged Muscle Strength - physiology neuropathy Postural Balance - physiology prevention Risk Factors Task Performance and Analysis testing therapy Type 2 diabetes Vertebrates: anatomy and physiology, studies on body, several organs or systems Vertebrates: endocrinology |
| title | Clinical factors associated with gait alterations in diabetic patients |
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