dc.contributor |
Háskóli Íslands |
dc.contributor |
University of Iceland |
dc.contributor.author |
Handsaker, Joseph C. |
dc.contributor.author |
Brown, Steven J. |
dc.contributor.author |
Petrovic, Milos |
dc.contributor.author |
Bowling, Frank L. |
dc.contributor.author |
Rajbhandari, Satyan |
dc.contributor.author |
Marple-Horvat, Dilwyn E |
dc.contributor.author |
Boulton, Andrew J.M. |
dc.contributor.author |
Reeves, Neil D. |
dc.date.accessioned |
2020-03-20T10:00:25Z |
dc.date.available |
2020-03-20T10:00:25Z |
dc.date.issued |
2019-10 |
dc.identifier.citation |
Handsaker, J.C. et al., 2019. Combined exercise and visual gaze training improves stepping accuracy in people with diabetic peripheral neuropathy. Journal of Diabetes and Its Complications, 33(10), p.107404. |
dc.identifier.issn |
1056-8727 |
dc.identifier.uri |
https://hdl.handle.net/20.500.11815/1628 |
dc.description |
Publisher's version (útgefin grein) |
dc.description.abstract |
Introduction: Patients with diabetes and diabetic peripheral neuropathy (DPN) place their feet with less accuracy whilst walking, which may contribute to the increased falls-risk. This study examines the effects of a multi-faceted intervention on stepping accuracy, in patients with diabetes and DPN. Methods: Forty participants began the study, of which 29 completed both the pre and post-intervention tests, 8 patients with DPN, 11 patients with diabetes but no neuropathy (D) and 10 healthy controls (C). Accuracy of stepping was measured pre- and post-intervention as participants walked along an irregularly arranged stepping walkway. Participants attended a one-hour session, once a week, for sixteen weeks, involving high-load resistance exercise and visual-motor training. Results: Patients who took part in the intervention improved stepping accuracy (DPN: +45%; D: +36%) (p < 0.05). The diabetic non-intervention (D-NI) group did not display any significant differences in stepping accuracy pre- to post- the intervention period (−7%). Discussion: The improved stepping accuracy observed in patients with diabetes and DPN as a result of this novel intervention, may contribute towards reducing falls-risk. This multi-faceted intervention presents promise for improving the general mobility and safety of patients during walking and could be considered for inclusion as part of clinical treatment programmes. |
dc.description.sponsorship |
This work was supported by a Clinical Research Grant from the European Foundation for the Study of Diabetes (EFSD). |
dc.format.extent |
107404 |
dc.language.iso |
en |
dc.publisher |
Elsevier BV |
dc.relation.ispartofseries |
Journal of Diabetes and its Complications;33(10) |
dc.rights |
info:eu-repo/semantics/openAccess |
dc.subject |
Exercise |
dc.subject |
Eye-tracking |
dc.subject |
Falls |
dc.subject |
Gait |
dc.subject |
Walking |
dc.subject |
Hreyfing (heilsurækt) |
dc.subject |
Göngulag |
dc.subject |
Sykursýki |
dc.subject |
Sjónskynjun |
dc.title |
Combined exercise and visual gaze training improves stepping accuracy in people with diabetic peripheral neuropathy |
dc.type |
info:eu-repo/semantics/article |
dcterms.license |
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/) |
dc.description.version |
Peer Reviewed |
dc.identifier.journal |
Journal of Diabetes and its Complications |
dc.identifier.doi |
10.1016/j.jdiacomp.2019.07.001 |
dc.contributor.department |
Rannsóknarstofa í hreyfivísindum (HÍ) |
dc.contributor.department |
Research Centre for Movement Sciences (UI) |
dc.contributor.department |
Læknadeild (HÍ) |
dc.contributor.department |
Faculty of Medicine (UI) |
dc.contributor.school |
Heilbrigðisvísindasvið (HÍ) |
dc.contributor.school |
School of Health Sciences (UI) |