Walking speed and peak plantar pressure distribution during barefoot walking in persons with diabetes

Abstract

Walking speed may be a potential indicator for persons with diabetes to identify PPP distribution during barefoot walking in a diabetic foot. However, the diabetic group demonstrated a more cautious walking pattern than the age-gender matched group by decreasing cadence, step length and APE, and increasing step time and toe in/out angle. People with diabetes may reduce the risk of foot ulcerations as long as they are able to prevent severe foot deformities such as callus, hammer toe or charcot foot.

Electroencephalography to Assess Motor Control During Balance Tasks in People with Diabetes

“…The absolute power spectral densities of alpha (8-12 Hz), beta (13)(14)(15)(16)(17)(18)(19), and sigma (30-40 Hz) frequency bands were computed for each task using a fast Fourier transform with a 50% overlapping Kaiser window. This value was then divided by the absolute power spectral density of the corresponding frequency band in the control task.…”

“…12 It is often seen clinically as slow gait and prolonged times in standing from sitting. 8,[13][14][15][16] Somatosensory information from the ankle and feet is also important in postural control. 17 It is diminished with aging and especially in diabetes.…”

Afferent control of walking: Are there distinct deficits associated to loss of fibres of different diameter?

“…foot extra-rotation, selectively occurs in DNP (Ko et al, 2012) and might be related to their postural instability, since the functional counterpart of the foot extrarotation is an increased base of support during gait. Foot extrarotation may in turn reduce walking velocity, though, owing to the substantial increase of mechanical and metabolic costs for redirecting the centre of mass during the transition between single , even if, as a group, these patients walked at lower velocity and swayed to a larger extent than HS.…”

Dynamic Postural Control in Older People With Diabetes During Gait Initiation

“…Diabetes can lead to obesity and/or reduced fitness status, which could be due to general deconditioning, muscle weakness, decreased joint mobility, and compromised peripheral sensory information (Allet et al, 2010;Allet, Armand, de Bie, Golay, et al, 2009;Brach, Talkowski, Strotmeyer & Newman, 2008). Those motor and sensory deficiencies in diabetic patients can further result in kinematic alternations in gait (Allet, Armand, de Bie, Golay, et al, 2009;Brach et al, 2008;Ko, Hughes & Lewis, 2012), postural instability (Allet et al, 2010;Turcot, Allet, Golay, Hoffmeyer & Armand, 2009), and an increased risk of falling (Allet, Armand, de Bie, Golay, et al, 2009;Liu, Hsu, Lu, Chen & Liu, 2010;Macgilchrist et al, 2010;van Deursen & Simoneau, 1999).…”