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Relationship between deep and superficial sensitivity assessments and gait analysis in diabetic foot patients
Peripheral neuropathy is a prevalent complication of diabetes that can lead to gait impairment and its adverse consequences. This study explored the potential utility of different parameters of gait analysis using a single sensor unit as a simple tool to detect peripheral neuropathy in 85 diabetic p...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Blackwell Publishing Ltd
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10502296/ https://www.ncbi.nlm.nih.gov/pubmed/37057818 http://dx.doi.org/10.1111/iwj.14178 |
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author | Sempere‐Bigorra, Mar Brognara, Lorenzo Julian‐Rochina, Iván Mazzotti, Antonio Cauli, Omar |
author_facet | Sempere‐Bigorra, Mar Brognara, Lorenzo Julian‐Rochina, Iván Mazzotti, Antonio Cauli, Omar |
author_sort | Sempere‐Bigorra, Mar |
collection | PubMed |
description | Peripheral neuropathy is a prevalent complication of diabetes that can lead to gait impairment and its adverse consequences. This study explored the potential utility of different parameters of gait analysis using a single sensor unit as a simple tool to detect peripheral neuropathy in 85 diabetic patients (DP) with diabetic foot in whom different somato‐sensitivity tests in the feet were performed. Gait spatiotemporal parameters were examined by sensor inertial measurement placed in the lumbar area, while the superficial sensitivity pathway was assessed by nociception tests and deep sensitivity was examined by light touch‐pressure and vibration sensitivity tests. Correlations between each sensory test and gait parameters were analysed in a logistic regression model in order to assess if gait parameters are associated with two different sensory pathways. Impaired deep sensory pathways were significantly (P < .05) correlated with lower gait speed, reduced cadence, smaller stride length, longer stance periods, and a higher risk of falling on the Tinetti Scale, while all gait parameters were significantly (P < .01) correlated with the superficial sensory pathway. Type 2 diabetics have significantly (P < .05) higher impairment in vibratory sensitivity than type 1 diabetics, and the years with diabetes mellitus (DM) diagnosis have a significant (P < .05) association with reduced vibration sensitivity. These findings indicate relationships between the deep sensory pathway and gait impairments in DP measured by inertial sensors, which could be a useful tool to diagnose gait alterations in DP and to evaluate the effect of treatments to improve gait and thus the risk of falls in diabetic patients. |
format | Online Article Text |
id | pubmed-10502296 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Blackwell Publishing Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-105022962023-09-16 Relationship between deep and superficial sensitivity assessments and gait analysis in diabetic foot patients Sempere‐Bigorra, Mar Brognara, Lorenzo Julian‐Rochina, Iván Mazzotti, Antonio Cauli, Omar Int Wound J Original Articles Peripheral neuropathy is a prevalent complication of diabetes that can lead to gait impairment and its adverse consequences. This study explored the potential utility of different parameters of gait analysis using a single sensor unit as a simple tool to detect peripheral neuropathy in 85 diabetic patients (DP) with diabetic foot in whom different somato‐sensitivity tests in the feet were performed. Gait spatiotemporal parameters were examined by sensor inertial measurement placed in the lumbar area, while the superficial sensitivity pathway was assessed by nociception tests and deep sensitivity was examined by light touch‐pressure and vibration sensitivity tests. Correlations between each sensory test and gait parameters were analysed in a logistic regression model in order to assess if gait parameters are associated with two different sensory pathways. Impaired deep sensory pathways were significantly (P < .05) correlated with lower gait speed, reduced cadence, smaller stride length, longer stance periods, and a higher risk of falling on the Tinetti Scale, while all gait parameters were significantly (P < .01) correlated with the superficial sensory pathway. Type 2 diabetics have significantly (P < .05) higher impairment in vibratory sensitivity than type 1 diabetics, and the years with diabetes mellitus (DM) diagnosis have a significant (P < .05) association with reduced vibration sensitivity. These findings indicate relationships between the deep sensory pathway and gait impairments in DP measured by inertial sensors, which could be a useful tool to diagnose gait alterations in DP and to evaluate the effect of treatments to improve gait and thus the risk of falls in diabetic patients. Blackwell Publishing Ltd 2023-04-14 /pmc/articles/PMC10502296/ /pubmed/37057818 http://dx.doi.org/10.1111/iwj.14178 Text en © 2023 The Authors. International Wound Journal published by Medicalhelplines.com Inc and John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Original Articles Sempere‐Bigorra, Mar Brognara, Lorenzo Julian‐Rochina, Iván Mazzotti, Antonio Cauli, Omar Relationship between deep and superficial sensitivity assessments and gait analysis in diabetic foot patients |
title | Relationship between deep and superficial sensitivity assessments and gait analysis in diabetic foot patients |
title_full | Relationship between deep and superficial sensitivity assessments and gait analysis in diabetic foot patients |
title_fullStr | Relationship between deep and superficial sensitivity assessments and gait analysis in diabetic foot patients |
title_full_unstemmed | Relationship between deep and superficial sensitivity assessments and gait analysis in diabetic foot patients |
title_short | Relationship between deep and superficial sensitivity assessments and gait analysis in diabetic foot patients |
title_sort | relationship between deep and superficial sensitivity assessments and gait analysis in diabetic foot patients |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10502296/ https://www.ncbi.nlm.nih.gov/pubmed/37057818 http://dx.doi.org/10.1111/iwj.14178 |
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