An altered spatiotemporal gait adjustment during a virtual obstacle crossing task in patients with diabetic peripheral neuropathy

• Published in: Journal of diabetes and its complications Vol. 33; no. 2; pp. 182 - 188
• Main Authors: Huang, Chun-Kai, Shivaswamy, Vijay, Thaisetthawatkul, Pariwat, Mack, Lynn, Stergiou, Nicholas, Siu, Ka-Chun
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.02.2019; Elsevier Limited
• Subjects: Anticipatory; Diabetes; Fitness equipment; Foot diseases; Gait; Kinematics; Legs; Obstacle avoidance; Peripheral neuropathy; Success; Virtual reality; Walking; Netherlands; Diabetes; Gait; Anticipatory; Obstacle avoidance; Virtual reality
• ISSN: 1056-8727; 1873-460X
• DOI: 10.1016/j.jdiacomp.2018.10.005

This study investigates spatiotemporal gait adjustments that occur while stepping over virtual obstacles during treadmill walking in people with/without diabetic peripheral neuropathy (DPN). Eleven adults with Type 2 diabetes mellitus, ten DPN, and 11 age-matched healthy adults (HTY) participated in this study. They stepped over forthcoming virtual obstacles during treadmill walking. Outcomes such as success rate, spatiotemporal gait characteristics during obstacle crossing, and correlations between these variables were evaluated. The results partially supported our hypotheses that when comparing with HTY and DM, people with DPN adopted a crossing strategy which decreased obstacle crossing success rate and maximal toe elevation, and increased stride time and stance time during virtual obstacle crossing. This might be due to the compromised somatosensory functions of their lower extremity which may increase the risk of falling. This study also found an inter-leg relationship which may be applied to future stepping or obstacle crossing training that incorporates both legs as a means for improving outcomes of the trailing leg during daily obstacle negotiation.