Combined exercise and visual gaze training improves stepping accuracy in people with diabetic peripheral neuropathyCitation formats

  • External authors:
  • Joseph C. Handsaker
  • Steven J. Brown
  • Milos Petrovic
  • Satyan Rajbhandari
  • Dilwyn E. Marple-Horvat
  • Neil D. Reeves

Standard

Combined exercise and visual gaze training improves stepping accuracy in people with diabetic peripheral neuropathy. / Handsaker, Joseph C.; Brown, Steven J.; Petrovic, Milos; Bowling, Frank L.; Rajbhandari, Satyan; Marple-Horvat, Dilwyn E.; Boulton, Andrew J.M.; Reeves, Neil D.

In: Journal of Diabetes and its Complications, Vol. 33, No. 10, 107404, 01.10.2019.

Research output: Contribution to journalArticle

Harvard

Handsaker, JC, Brown, SJ, Petrovic, M, Bowling, FL, Rajbhandari, S, Marple-Horvat, DE, Boulton, AJM & Reeves, ND 2019, 'Combined exercise and visual gaze training improves stepping accuracy in people with diabetic peripheral neuropathy', Journal of Diabetes and its Complications, vol. 33, no. 10, 107404. https://doi.org/10.1016/j.jdiacomp.2019.07.001

APA

Handsaker, J. C., Brown, S. J., Petrovic, M., Bowling, F. L., Rajbhandari, S., Marple-Horvat, D. E., ... Reeves, N. D. (2019). Combined exercise and visual gaze training improves stepping accuracy in people with diabetic peripheral neuropathy. Journal of Diabetes and its Complications, 33(10), [107404]. https://doi.org/10.1016/j.jdiacomp.2019.07.001

Vancouver

Handsaker JC, Brown SJ, Petrovic M, Bowling FL, Rajbhandari S, Marple-Horvat DE et al. Combined exercise and visual gaze training improves stepping accuracy in people with diabetic peripheral neuropathy. Journal of Diabetes and its Complications. 2019 Oct 1;33(10). 107404. https://doi.org/10.1016/j.jdiacomp.2019.07.001

Author

Handsaker, Joseph C. ; Brown, Steven J. ; Petrovic, Milos ; Bowling, Frank L. ; Rajbhandari, Satyan ; Marple-Horvat, Dilwyn E. ; Boulton, Andrew J.M. ; Reeves, Neil D. / Combined exercise and visual gaze training improves stepping accuracy in people with diabetic peripheral neuropathy. In: Journal of Diabetes and its Complications. 2019 ; Vol. 33, No. 10.

Bibtex

@article{a1d03c4c2c574c25b4dc9b20349153bc,
title = "Combined exercise and visual gaze training improves stepping accuracy in people with diabetic peripheral neuropathy",
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.",
keywords = "Exercise, Eye-tracking, Falls, Gait, Walking",
author = "Handsaker, {Joseph C.} and Brown, {Steven J.} and Milos Petrovic and Bowling, {Frank L.} and Satyan Rajbhandari and Marple-Horvat, {Dilwyn E.} and Boulton, {Andrew J.M.} and Reeves, {Neil D.}",
year = "2019",
month = "10",
day = "1",
doi = "10.1016/j.jdiacomp.2019.07.001",
language = "English",
volume = "33",
journal = "Journal of Diabetes and its Complications",
issn = "1056-8727",
publisher = "Elsevier BV",
number = "10",

}

RIS

TY - JOUR

T1 - Combined exercise and visual gaze training improves stepping accuracy in people with diabetic peripheral neuropathy

AU - Handsaker, Joseph C.

AU - Brown, Steven J.

AU - Petrovic, Milos

AU - Bowling, Frank L.

AU - Rajbhandari, Satyan

AU - Marple-Horvat, Dilwyn E.

AU - Boulton, Andrew J.M.

AU - Reeves, Neil D.

PY - 2019/10/1

Y1 - 2019/10/1

N2 - 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.

AB - 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.

KW - Exercise

KW - Eye-tracking

KW - Falls

KW - Gait

KW - Walking

UR - http://www.scopus.com/inward/record.url?scp=85069875097&partnerID=8YFLogxK

U2 - 10.1016/j.jdiacomp.2019.07.001

DO - 10.1016/j.jdiacomp.2019.07.001

M3 - Article

VL - 33

JO - Journal of Diabetes and its Complications

JF - Journal of Diabetes and its Complications

SN - 1056-8727

IS - 10

M1 - 107404

ER -