Ahmad Irshad, Verma Shalini, Noohu Majumi Mohamad, Hussain Mohd Ejaz
Diabetes Research Group, Centre for Physiotherapy and Rehabilitation Sciences, Jamia Millia Islamia (A Central University), New Delhi, India.
Department of Physiotherapy, Faculty of Allied Health Sciences, Manav Rachna International Institute of Research and Studies, Faridabad, Haryana, India.
Somatosens Mot Res. 2021 Sep;38(3):230-240. doi: 10.1080/08990220.2021.1955671. Epub 2021 Aug 2.
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).
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.
Age difference was found to be significant in velocity ( ≤ 0.013) and stride length ( ≤ 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 ( = 0.003) and maximal-paced ( = 0.003) walking. Stride length ( = 0.006) was found to be a significant group effect and time × group interaction at self-paced only. Cadence ( = 0.041) and gait cycle ( = 0.05) were found to be significant time × group interaction only at maximal-paced walking. Stance ( ≤ 0.047) and double limb support ( ≤ 0.02) were found to be significant group effect and time × group interaction at self-paced and maximal-paced walking.
Sensorimotor training improves spatiotemporal parameters of gait after eight weeks in similar fashion in middle-aged and older age DPN patients, regardless of age.
本研究旨在评估感觉运动训练对患有糖尿病周围神经病变（DPN）的中老年人步态时空参数的影响。
进行了一项具有四个平行组（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为期八周（每周三天）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。结果测量包括在自定步速和最大步速下的步态时空参数，在八周前后进行测量。
发现在自定步速和最大步速行走时，年龄差异在速度（≤0.013）和步幅长度（≤0.017）方面具有显著性。干预后，发现在自定步速（=0.003）和最大步速（=0.003）行走时，速度存在显著的组效应和时间×组交互作用。仅在自定步速时，步幅长度（=0.006）存在显著的组效应和时间×组交互作用。仅在最大步速行走时，步频（=0.041）和步态周期（=0.05）存在显著的时间×组交互作用。在自定步速和最大步速行走时，支撑相（≤0.047）和双支撑相（≤0.02）存在显著的组效应和时间×组交互作用。
无论年龄如何，感觉运动训练在八周后以相似的方式改善了中年和老年DPN患者的步态时空参数。
