Effect of sensorimotor training on spatiotemporal parameters of gait among middle and older age adults with diabetic peripheral neuropathy.

IF 1.3 4区 医学 Q4 NEUROSCIENCES Somatosensory and Motor Research Pub Date : 2021-09-01 Epub Date: 2021-08-02 DOI:10.1080/08990220.2021.1955671
Irshad Ahmad, Shalini Verma, Majumi Mohamad Noohu, Mohd Ejaz Hussain
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引用次数: 4

Abstract

Purpose: The study aimed to evaluate the effect of sensorimotor training on spatiotemporal parameters of gait among middle-aged and older adults with diabetic peripheral neuropathy (DPN).

Methods: A randomised controlled study with four parallel arms (two intervention groups and two control groups) was conducted. Thirty-seven DPN patients were selected on the basis of inclusion and exclusion criteria. Of these, 16 middle-aged and 21 older adults were randomly allocated to the intervention and control groups. Participants in the intervention group were administered eight weeks (three days/week) of sensorimotor training along with diabetes and foot care education whereas participants in the control group received only diabetes and foot care education. Outcome measures involved spatiotemporal parameters of gait at self-paced and maximal-paced, measured before and after eight weeks.

Results: Age difference was found to be significant in velocity (p ≤ 0.013) and stride length (p ≤ 0.017) at self-paced and maximal-paced walking. After the intervention, velocity was found to be a significant group effect and time × group interaction at self-paced (p = 0.003) and maximal-paced (p = 0.003) walking. Stride length (p = 0.006) was found to be a significant group effect and time × group interaction at self-paced only. Cadence (p = 0.041) and gait cycle (p = 0.05) were found to be significant time × group interaction only at maximal-paced walking. Stance (p ≤ 0.047) and double limb support (p ≤ 0.02) were found to be significant group effect and time × group interaction at self-paced and maximal-paced walking.

Conclusion: Sensorimotor training improves spatiotemporal parameters of gait after eight weeks in similar fashion in middle-aged and older age DPN patients, regardless of age.

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感觉运动训练对中老年糖尿病周围神经病变患者步态时空参数的影响。
目的:研究感觉运动训练对中老年糖尿病周围神经病变(DPN)患者步态时空参数的影响。方法:采用随机对照研究,4个平行臂(2个干预组和2个对照组)。根据纳入和排除标准选择37例DPN患者。其中,16名中年人和21名老年人被随机分配到干预组和对照组。干预组的参与者接受了8周(3天/周)的感觉运动训练,同时接受了糖尿病和足部护理教育,而对照组的参与者只接受了糖尿病和足部护理教育。结果测量包括在8周之前和之后测量的自步速和最大步速步态的时空参数。结果:自配步幅与最大配步幅在速度(p≤0.013)和步幅(p≤0.017)上存在显著的年龄差异。干预后,在自步速(p = 0.003)和最大步速(p = 0.003)步行中,速度是显著的组效应,时间×组交互作用显著。步幅长度(p = 0.006)在组间效应和时间×组间交互作用均显著。步幅(p = 0.041)和步态周期(p = 0.05)仅在最大步速步行时被发现具有显著的时间×组相互作用。站立(p≤0.047)和双肢支撑(p≤0.02)在自步速和最大步速行走中具有显著的组效应和时间×组交互作用。结论:感觉运动训练在8周后以相似的方式改善中老年DPN患者的步态时空参数,无论年龄大小。
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来源期刊
Somatosensory and Motor Research
Somatosensory and Motor Research 医学-神经科学
自引率
0.00%
发文量
4
审稿时长
>12 weeks
期刊介绍: Somatosensory & Motor Research publishes original, high-quality papers that encompass the entire range of investigations related to the neural bases for somatic sensation, somatic motor function, somatic motor integration, and modeling thereof. Comprising anatomical, physiological, biochemical, pharmacological, behavioural, and psychophysical studies, Somatosensory & Motor Research covers all facets of the peripheral and central processes underlying cutaneous sensation, and includes studies relating to afferent and efferent mechanisms of deep structures (e.g., viscera, muscle). Studies of motor systems at all levels of the neuraxis are covered, but reports restricted to non-neural aspects of muscle generally would belong in other journals.
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