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.

中文翻译：

---

感觉运动训练对糖尿病周围神经病变中老年人步态时空参数的影响

摘要

目的

本研究旨在评估感觉运动训练对糖尿病周围神经病变 (DPN) 中老年人步态时空参数的影响。

方法

进行了具有四个平行组（两个干预组和两个对照组）的随机对照研究。根据纳入和排除标准选择了 37 名 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八周（三天/周）的感觉运动训练以及糖尿病和足部护理教育，而对照组的参与者仅接受了糖尿病和足部护理教育。结果测量涉及在八周之前和之后测量的自定步速和最大步态的时空参数。

结果

发现年龄差异 在自定 步速和最大步速步行时的速度 ( p ≤ 0.013) 和步幅 ( p ≤ 0.017) 方面存在显着差异。干预后，发现速度是一个显着的群体效应和时间 × 群体互动在自定步调 ( p  = 0.003) 和最大 步速( p = 0.003) 步行。发现步幅长度 ( p  = 0.006) 是一个显着的群体效应，并且仅在自定进度下是时间 × 群体互动。 发现踏频( p  = 0.041) 和步态周期 ( p = 0.05) 仅在最大步速步行时才是显着的时间 × 群体互动。站姿 ( p  ≤ 0.047) 和双肢支撑 ( p ≤ 0.02) 被发现是显着的组效应和时间 × 组在自定步速和最大步速行走时的交互作用。

结论

无论年龄大小，感觉运动训练在八周后以类似方式改善中老年 DPN 患者的步态时空参数。