The impact of diabetic peripheral neuropathy on spatiotemporal gait parameters in stroke survivors: a case-control study

The deterioration of gait performance following stroke is related to the impairment of sensorimotor function on the paretic side. Improper gait performance in post-stroke with additional diabetic peripheral neuropathy (DPN) on paretic and non-paretic legs may create destabilizing effects, includ...

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Main Authors: Amirah Mustapa, Maria Justine, Nadia Mohd Mustafah, Haidzir Manaf
Format: Article
Language:English
Published: Penerbit Universiti Kebangsaan Malaysia 2021
Online Access:http://journalarticle.ukm.my/16404/
http://journalarticle.ukm.my/16404/1/19.pdf
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author Amirah Mustapa,
Maria Justine,
Nadia Mohd Mustafah,
Haidzir Manaf,
author_facet Amirah Mustapa,
Maria Justine,
Nadia Mohd Mustafah,
Haidzir Manaf,
author_sort Amirah Mustapa,
building UKM Institutional Repository
collection Online Access
description The deterioration of gait performance following stroke is related to the impairment of sensorimotor function on the paretic side. Improper gait performance in post-stroke with additional diabetic peripheral neuropathy (DPN) on paretic and non-paretic legs may create destabilizing effects, including serious injuries and falls. Therefore, this study aimed to investigate the effect of DPN on spatiotemporal gait parameters in stroke survivors and determine the correlation of movement functioning and functional balance post-stroke with gait parameters. Ten stroke survivors with DPN, 10 stroke survivors without DPN and 10 healthy controls participated in this case-control study. Movement functioning and functional balance were assessed before the actual testing. Spatiotemporal gait parameters were recorded using the Nexus Vicon motion analysis system. Kruskal-Wallis test was used to analyze the gait parameters and Spearman’s rank-order correlation coefficient was used to identify the correlation between variables. Results showed that stroke survivors with DPN had longer stride time (temporal gait parameter, p = 0.001), lower cadence (p = 0.001) and greater gait variability than those without DPN and the healthy controls. The gait parameters were significantly correlated with movement functioning and functional balance in stroke survivors with DPN (p < 0.05). These findings suggested that DPN possibly affected the gait parameters in stroke survivors. DPN could also play a role in movement functioning and functional balance in stroke survivors.
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spelling oai:generic.eprints.org:164042021-04-13T04:20:20Z http://journalarticle.ukm.my/16404/ The impact of diabetic peripheral neuropathy on spatiotemporal gait parameters in stroke survivors: a case-control study Amirah Mustapa, Maria Justine, Nadia Mohd Mustafah, Haidzir Manaf, The deterioration of gait performance following stroke is related to the impairment of sensorimotor function on the paretic side. Improper gait performance in post-stroke with additional diabetic peripheral neuropathy (DPN) on paretic and non-paretic legs may create destabilizing effects, including serious injuries and falls. Therefore, this study aimed to investigate the effect of DPN on spatiotemporal gait parameters in stroke survivors and determine the correlation of movement functioning and functional balance post-stroke with gait parameters. Ten stroke survivors with DPN, 10 stroke survivors without DPN and 10 healthy controls participated in this case-control study. Movement functioning and functional balance were assessed before the actual testing. Spatiotemporal gait parameters were recorded using the Nexus Vicon motion analysis system. Kruskal-Wallis test was used to analyze the gait parameters and Spearman’s rank-order correlation coefficient was used to identify the correlation between variables. Results showed that stroke survivors with DPN had longer stride time (temporal gait parameter, p = 0.001), lower cadence (p = 0.001) and greater gait variability than those without DPN and the healthy controls. The gait parameters were significantly correlated with movement functioning and functional balance in stroke survivors with DPN (p < 0.05). These findings suggested that DPN possibly affected the gait parameters in stroke survivors. DPN could also play a role in movement functioning and functional balance in stroke survivors. Penerbit Universiti Kebangsaan Malaysia 2021-01 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/16404/1/19.pdf Amirah Mustapa, and Maria Justine, and Nadia Mohd Mustafah, and Haidzir Manaf, (2021) The impact of diabetic peripheral neuropathy on spatiotemporal gait parameters in stroke survivors: a case-control study. Sains Malaysiana, 50 (1). pp. 191-199. ISSN 0126-6039 https://www.ukm.my/jsm/malay_journals/jilid50bil1_2021/KandunganJilid50Bil1_2021.html
spellingShingle Amirah Mustapa,
Maria Justine,
Nadia Mohd Mustafah,
Haidzir Manaf,
The impact of diabetic peripheral neuropathy on spatiotemporal gait parameters in stroke survivors: a case-control study
title The impact of diabetic peripheral neuropathy on spatiotemporal gait parameters in stroke survivors: a case-control study
title_full The impact of diabetic peripheral neuropathy on spatiotemporal gait parameters in stroke survivors: a case-control study
title_fullStr The impact of diabetic peripheral neuropathy on spatiotemporal gait parameters in stroke survivors: a case-control study
title_full_unstemmed The impact of diabetic peripheral neuropathy on spatiotemporal gait parameters in stroke survivors: a case-control study
title_short The impact of diabetic peripheral neuropathy on spatiotemporal gait parameters in stroke survivors: a case-control study
title_sort impact of diabetic peripheral neuropathy on spatiotemporal gait parameters in stroke survivors: a case-control study
url http://journalarticle.ukm.my/16404/
http://journalarticle.ukm.my/16404/
http://journalarticle.ukm.my/16404/1/19.pdf