Quantitative gait and postural analyses in patients with diabetic polyneuropathy

• Published in: Journal of diabetes and its complications Vol. 35; no. 4; p. 107857
• Main Authors: Shin, Kyong Jin, Kang, Jong Woo, Sung, Kwon Hyuk, Park, Sung Ho, Kim, Si Eun, Park, Kang Min, Ha, Sam Yeol, Kim, Sung Eun, In Lee, Byoung, Park, Jinse
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-04-2021; Elsevier Limited
• Subjects: Age; Balance; Diabetes; Diabetic Neuropathies - complications; Diabetic polyneuropathy; Disease; Foot; Foot diseases; Gait; Gait analysis; Humans; Nerve conduction; Neural Conduction; Pain; Posture; Software; Statistical analysis; Sural Nerve; Variables; Walking; Diabetic polyneuropathy; Nerve conduction; Gait; Balance; Gait analysis
• ISSN: 1056-8727; 1873-460X
• DOI: 10.1016/j.jdiacomp.2021.107857

Although gait disturbances are relatively common symptoms in diabetic polyneuropathy (DPN), few studies have quantitatively analyzed gait and posture in DPN patients. This study aimed to analyze gait and posture quantitatively in DPN patients and to determine the association between clinical and electrophysiological parameters and gait and posture parameters.
Sixty-four DPN patients were enrolled in this study. DPN was clinically assessed using the Toronto clinical neuropathy score (TCNS). All participants underwent nerve conduction study (NCS), three-dimensional motion analysis, and static posturography. We evaluate the correlation of gait and posture parameters with electrophysiological and clinical parameters.
Foot height, step length, and stride length among gait parameters were inversely correlated with the TCNS. Anteroposterior range during eyes-closed and mediolateral distance and range during eyes-open and eyes-closed were inversely correlated with the sensory nerve action potential amplitude in the sural nerve. Mediolateral distance during eyes-open and eyes-closed was correlated with the compound muscle action potential amplitude in the peroneal nerve.
Gait parameters are associated with clinical parameters, and postural parameters are associated with electrophysiological parameters, particularly sensory NCS. Gait and postural analysis can be a useful tool for assessing the neurological status in DPN patients.
•Gait is significant correlated with clinical severity in diabetic polyneuropathy.•Posture is significant correlated with nerve conduction study.•Gait and postural analysis is useful tool for assessing gait in diabetic polyneuropathy.