Walking Function in Diabetic Peripheral Neuropathy
Diabetic Peripheral Neuropathy
About this trial
This is an interventional basic science trial for Diabetic Peripheral Neuropathy focused on measuring Diabetes, Biofeedback-induced changes
Eligibility Criteria
Inclusion Criteria for All Participants: Age 45+ years Able to walk 10-meters independently without an assistive device Sufficient cardiovascular and musculoskeletal health to walk on a treadmill for 1-minute at self-selected speed Inclusion Criteria for Participants with DPN: Diagnosis of DM Diagnosis of DPN by a physician Foot examination within the past 6 months to document ambulatory status Physician's clearance Exclusion Criteria for Healthy Able-Bodied Individuals: History of neurologic disease History of orthopaedic disease affecting the lower extremities History of injury or pain affecting the lower extremity or walking function within the past 6 months Exclusion Criteria for All Participants: History of amputation Active ulceration Medial column deformity History of Charcot osteoarthropathy History of posterior muscle group lengthening History of lower extremity joint replacement History of lower extremity and/or foot surgery affecting walking mechanics Orthopaedic problems of the lower limbs or spine due to other medical conditions (not DM or DPN) that limit walking or cause pain during walking Improper footwear for walking and community ambulation Cardiovascular or medical condition affecting ability to walk safely History of unexplained dizziness or fainting in the past 2 months Allergy to adhesive tape or rubbing alcohol Individuals who are pregnant, prisoners, or not yet adults Inability to communicate with the investigators Inability to provide written informed consent
Sites / Locations
- Grady Memorial Hospital
- Emory Rehabilitation Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Active Comparator
Experimental
Experimental
Able-Bodied Participants
Plantar Pressure Biofeedback Gait Training Followed by Propulsion Biofeedback Gait Training
Propulsion Biofeedback Gait Training Followed by Plantar Pressure Biofeedback Gait Training
Able-bodied participants will complete a total of three study sessions. The three sessions include a clinical evaluation, gait biomechanics, and gait biofeedback for comparison with participants with DPN.
Participants with DPN will complete a total of seven study sessions. The first three sessions include a clinical evaluation, gait biomechanics, and gait biofeedback for comparison with able bodied participants. Sessions four through seven involve two different biofeedback training sessions followed by a retention gait analysis test 24-48 hours after training. Participants in this study are are randomized to receive plantar pressure biofeedback gait training first and propulsion biofeedback gait training at least three weeks later.
Participants with DPN will complete a total of seven study sessions. The first three sessions include a clinical evaluation, gait biomechanics, and gait biofeedback for comparison with able bodied participants. Sessions four through seven involve two different biofeedback training sessions followed by a retention gait analysis test 24-48 hours after training. Participants in this study are are randomized to receive propulsion biofeedback gait training first and plantar pressure biofeedback gait training at least three weeks later.