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Immediate effects of visual feedback on the accuracy of foot landing adjustments in older people with diabetes mellitus: A cross-sectional study.

作者信息

Martin Suzanne, Taylor Simon B, Pejhan Shabnam, Shideler Blynne L, Ogrin Rajna, Begg Rezaul

机构信息

Institute of Health and Sport, Victoria University, Melbourne, Victoria, Australia.

Department of Automotive and Mechatronics Engineering, Ontario Tech University, Oshawa, Ontario, Canada.

出版信息

PLoS One. 2025 May 21;20(5):e0323569. doi: 10.1371/journal.pone.0323569. eCollection 2025.


DOI:10.1371/journal.pone.0323569
PMID:40397866
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12094761/
Abstract

Diabetes Mellitus in older adults reduces the accuracy of foot landing adjustments and increases the risk of falling. This study investigated whether targeted visual feedback enhances the accuracy of the foot landing in older participants with diabetes. Forty-eight volunteers in three groups of young, healthy older and older adults with diabetes participated. During treadmill walking, Nexus Vicon software streamed real-time orientation data of two markers on the first toes into MATLAB scripts through a Visual3D server. The system visualised real-meaningful step length or minimum toe clearance (MTC) in each step on a monitor in front of a treadmill at eye level. Participants responded to four subject-specific step-length (±10% mean baseline step length) or MTC targets (3.5 and 5.5 cm higher than the mean baseline MTC). One target was displayed every 10 steps and removed after 10 steps when participants walked without seeing any target, then a new or the same target appeared and stayed on for another 10 steps. Tasks were increasing or decreasing baseline step length or increasing the baseline MTC in response to virtual targets. The accuracy (absolute error) of each step adjustment in each 10-step block with a target was calculated. The mean accuracy of Step 1 and the mean accuracy of Steps 2-10 were measured and compared within and between groups using three-way ANOVA tests. Errors significantly differed between conditions (Step 1 and Steps 2-10) in all groups. All groups showed reduced errors in Step 1 during Steps 2-10. Among groups, the group with diabetes presented the greatest errors in Step 1 and Steps 2-10. These findings suggest that meaningful visual feedback about spatial gait parameters (step length, MTC) can improve foot-landing accuracy in older participants with diabetes, highlighting its potential as a training tool to prevent falls in this high-risk population.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/754f/12094761/9ab6ddfa8c4b/pone.0323569.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/754f/12094761/e96e69befd19/pone.0323569.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/754f/12094761/cd096c7f2121/pone.0323569.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/754f/12094761/13bd4558baa5/pone.0323569.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/754f/12094761/41661c39e482/pone.0323569.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/754f/12094761/9ab6ddfa8c4b/pone.0323569.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/754f/12094761/e96e69befd19/pone.0323569.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/754f/12094761/cd096c7f2121/pone.0323569.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/754f/12094761/13bd4558baa5/pone.0323569.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/754f/12094761/41661c39e482/pone.0323569.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/754f/12094761/9ab6ddfa8c4b/pone.0323569.g005.jpg

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引用本文的文献

[1]
Correction: Immediate effects of visual feedback on the accuracy of foot landing adjustments in older people with diabetes mellitus: A cross-sectional study.

PLoS One. 2025-8-26

本文引用的文献

[1]
Balance, Gait, Functionality and Fall Occurrence in Adults and Older Adults with Type 2 Diabetes Mellitus and Associated Peripheral Neuropathy.

Clin Pract. 2024-9-28

[2]
Overground gait adaptability in older adults with type 2 diabetes in response to virtual targets and physical obstacles.

PLoS One. 2023

[3]
Neuropathy of the elderly.

Rev Neurol (Paris). 2020-11

[4]
Age effects on step adaptation during treadmill walking with continuous step length biofeedback.

Gait Posture. 2020-7

[5]
Walking adaptability for targeted fall-risk assessments.

Gait Posture. 2019-5

[6]
Corticospinal control of normal and visually guided gait in healthy older and younger adults.

Neurobiol Aging. 2019-2-13

[7]
Online adjustments of leg movements in healthy young and old.

Exp Brain Res. 2017-8

[8]
Increased gait variability may not imply impaired stride-to-stride control of walking in healthy older adults: Winner: 2013 Gait and Clinical Movement Analysis Society Best Paper Award.

Gait Posture. 2017-6

[9]
Addition of a non-immersive virtual reality component to treadmill training to reduce fall risk in older adults (V-TIME): a randomised controlled trial.

Lancet. 2016-8-11

[10]
Age-related changes in gait adaptability in response to unpredictable obstacles and stepping targets.

Gait Posture. 2016-5

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