Those with Type 2 Diabetes with and without peripheral neuropathy (PN) display evident gait deficiencies, and kinematic alterations while stepping on various surfaces. Purpose: To verify if such modifications would emerge performing diverse tasks in the regulated stages of diabetes such as controlled type 2 diabetics without PN. Methods: We recruited and allocated 30 adult participants in two groups, 15 controlled diabetics (cDMII) and 15 controls (CoG). Gait temporospatial criteria were measured during even walkway and described concerning a ramp/slope surface, and a stair-step. Results: A Repeated measure ANOVA was employed to compare even surface gait parameters with slope and stair (ascending and descending) surfaces within each group. Our results highlight that cDMII shows distinct and initial traces of impaired gait parameters, notably on single-limb support time reduction with a double-limb time increment during ramp compared to even surface. Conclusion: Our conclusions suggest even at the early stages of diabetes, when glucose levels are regulated, adjustment while shifting and adapting to different, more challenging surfaces appear, notably in dynamic balance variables. Therefore, making this prompt detection of variations is clinically valuable for providing treatment interventions to diminish the risk of falls and trauma in those who have diabetes.

中文翻译：

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患有受控 II 型糖尿病的拉丁裔西班牙裔成年人在不同表面行走时的时空步态适应性

患有和不患有周围神经病变 (PN) 的 2 型糖尿病患者在踏上各种表面时表现出明显的步态缺陷和运动学改变。目的：验证此类修饰是否会在糖尿病的调节阶段执行不同的任务，例如没有 PN 的受控 2 型糖尿病患者。方法：我们招募并分配了 30 名成人参与者，分为两组，15 名控制糖尿病患者 (cDMII) 和 15 名对照组 (CoG)。步态时间空间标准是在平坦的走道上测量的，并描述了坡道/斜坡表面和楼梯。结果：采用重复测量方差分析将均匀表面步态参数与每组内的斜坡和楼梯（上升和下降）表面进行比较。我们的结果强调，cDMII 显示出步态参数受损的明显和初始痕迹，与平坦的表面相比，在斜坡期间单肢支撑时间减少，双肢时间增量尤其明显。结论：我们的结论表明，即使在糖尿病的早期阶段，当葡萄糖水平受到调节时，会在改变和适应不同的、更具挑战性的表面时进行调整，特别是在动态平衡变量中。因此，快速检测变异对于提供治疗干预以降低糖尿病患者跌倒和创伤的风险具有临床价值。尤其是在动态平衡变量方面。因此，快速检测变异对于提供治疗干预以降低糖尿病患者跌倒和创伤的风险具有临床价值。尤其是在动态平衡变量方面。因此，快速检测变异对于提供治疗干预以降低糖尿病患者跌倒和创伤的风险具有临床价值。