Department of Physiotherapy, Ashok & Rita Patel Institute of Physiotherapy, Charotar University of Science and Technology, Changa, Anand, Gujarat, India.
Curr Diabetes Rev. 2023;19(8):e300123213240. doi: 10.2174/1573399819666230130093424.
Cognitive and motor deficits intertwined with type 2 diabetes mellitus (T2DM) alter walking patterns of the individuals. As walking is combined with various challenging cognitive tasks in daily activities, dual task testing is a promising avenue for gait evaluation and fall prediction in various conditions. However, there is a lack of clarity on the appropriate clinical measures for dual task gait evaluation in T2DM individuals.
The present study aims to review and identify the appropriate clinical measures for dual task gait evaluation in T2DM.
Electronic databases of PubMed, CINAHLPlus and scholarly platforms were searched to identify the relevant articles. Review has included studies which have subjects with T2DM, dual task testing as a part of evaluation, has used clinical measures to assess dual task gait and was available in English.
16 articles met the inclusión criteria. Four studies used cognitive timed up and go test (TUG), four studies used walking while talking test; one study used extended TUG; one study used walking and remembering test;one study used instrumented TUG along with manual TUG and arithmetic subtractions; two studies used inertial sensors for gait evaluation along with backword counting; one study used two dimensional video analysis for gait along with verbal fluency task and calculation; one study used TUG with arithmetic additions task; one study used Manual TUG and arithmetic subtraction task while walking on GAITRITE walkway.
The studies show a lack of valid and reliable clinical measures for dual task gait evaluation in T2DM.
认知和运动功能障碍与 2 型糖尿病（T2DM）交织在一起，改变了个体的行走模式。由于行走与日常活动中的各种挑战性认知任务相结合，双重任务测试是评估各种情况下步态和预测跌倒的有前途的方法。然而，对于 T2DM 个体的双重任务步态评估，缺乏明确的适当临床措施。
本研究旨在回顾和确定 T2DM 个体双重任务步态评估的适当临床措施。
检索了 PubMed、CINAHLPlus 和学术平台的电子数据库，以确定相关文章。综述包括了以 T2DM 患者为研究对象、双重任务测试作为评估的一部分、使用临床措施评估双重任务步态以及以英文发表的研究。
符合纳入标准的文章有 16 篇。四项研究使用认知计时起立行走测试（TUG），四项研究使用行走时交谈测试；一项研究使用扩展 TUG；一项研究使用行走和记忆测试；一项研究使用仪器化 TUG 与手动 TUG 和算术减法相结合；两项研究使用惯性传感器进行步态评估，同时进行倒计数；一项研究使用二维视频分析进行步态评估，同时进行言语流畅性任务和计算；一项研究使用 TUG 与算术加法任务；一项研究使用手动 TUG 和算术减法任务，同时在 GAITRITE 步道上行走。
这些研究表明，缺乏用于 T2DM 双重任务步态评估的有效和可靠的临床措施。
