Clinical Research
Gait abnormalities among elderly persons with type 2 diabetes and peripheral neuropathy
Zhu Jiayu, Yu Haiyan, Wan Zhenyi, Sun Yangfan, Yao Shuai, Jiang Zhida, Chen Lan, Chen Yu, Huang Guilan, Yuan Rongzheng
Published 2022-12-25
Cite as Chin J Phys Med Rehabil, 2022, 44(12): 1090-1094. DOI: 10.3760/cma.j.issn.0254-1424.2022.12.007
Abstract
ObjectiveTo explore the features the gait of elderly persons with type 2 diabetes and peri-pheral neuropathy.
MethodsTwenty patients no less than 60 years old with type 2 diabetes and peripheral neuropathy (DPN) formed a DPN group, while 20 counterparts with type 2 diabetes but without peripheral neuropathy composed the DM group, and another 20 healthy counterparts served as a control group. The three groups were tested using the Swedish Qualisys motion capture system and their walking speed, step length, step width, stride frequency and stride length, bipedal foot support phase time, single foot support phase time, peak plantar pressure, and regional-holding time were collected and compared.
ResultsThe average walking speed, stride length and stepping frequency of the DPN group were all significantly lower than the other 2 groups′ averages. Their bipedal support phase was significantly longer, but their single foot support phase time was significantly shorter. And in the DPN group the average first and second peak plantar pressures and the second peak pressure time were significantly greater than the other groups′ averages.
ConclusionsElderly patients with type 2 diabetes and peripheral neuropathy have significant gait abnormalities, decreased walking stability, as well as increased plantar pressure and plantar compression time.
Key words:
Type 2 diabetes; Diabetes mellitus; Peripheral neuropathy; Gait; Plantar pressure
Contributor Information
Zhu Jiayu
Department of Geriatric Rehabilitation, Wuxi Tongren Rehabilitation Hospital, Wuxi 214151, China
Yu Haiyan
Department of Geriatric Rehabilitation, Wuxi Tongren Rehabilitation Hospital, Wuxi 214151, China
Wan Zhenyi
Department of Geriatric Rehabilitation, Wuxi Tongren Rehabilitation Hospital, Wuxi 214151, China
Sun Yangfan
Department of Geriatric Rehabilitation, Wuxi Tongren Rehabilitation Hospital, Wuxi 214151, China
Yao Shuai
Department of Geriatric Rehabilitation, Wuxi Tongren Rehabilitation Hospital, Wuxi 214151, China
Jiang Zhida
Department of Geriatric Rehabilitation, Wuxi Tongren Rehabilitation Hospital, Wuxi 214151, China
Chen Lan
Department of Geriatric Rehabilitation, Wuxi Tongren Rehabilitation Hospital, Wuxi 214151, China
Chen Yu
Department of Geriatric Rehabilitation, Wuxi Tongren Rehabilitation Hospital, Wuxi 214151, China
Huang Guilan
Department of Geriatric Rehabilitation, Wuxi Tongren Rehabilitation Hospital, Wuxi 214151, China
Yuan Rongzheng
Department of Geriatric Rehabilitation, Wuxi Tongren Rehabilitation Hospital, Wuxi 214151, China