Spatiotemporal gait parameters and ground reaction forces in stroke survivors with diabetic peripheral neuropathy / Nurul Amirah Mustapa

The aim of this study is to investigate the changes of spatiotemporal gait parameters, gait variability, and ground reaction forces (GRFs) in stroke survivors with diabetic peripheral neuropathy (DPN). Ten stroke survivors with DPN (SDPN), 10 stroke survivors without DPN (S), and 10 healthy controls...

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Main Author:	Mustapa, Nurul Amirah
Format:	Thesis
Language:	English
Published:	2017
Subjects:	Diabetes Mellitus
Online Access:	https://ir.uitm.edu.my/id/eprint/37189/1/37189.pdf
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id	my-uitm-ir.37189
record_format	uketd_dc
spelling	my-uitm-ir.371892022-11-01T03:53:48Z Spatiotemporal gait parameters and ground reaction forces in stroke survivors with diabetic peripheral neuropathy / Nurul Amirah Mustapa 2017 Mustapa, Nurul Amirah Diabetes Mellitus The aim of this study is to investigate the changes of spatiotemporal gait parameters, gait variability, and ground reaction forces (GRFs) in stroke survivors with diabetic peripheral neuropathy (DPN). Ten stroke survivors with DPN (SDPN), 10 stroke survivors without DPN (S), and 10 healthy controls (HC) were participated in this case-control cross-sectional study. Spatiotemporal gait parameters, gait variability and GRFs were recorded using the Nexus Vicon motion analysis system. A total of 16 retro-reflective spherical markers were placed bilaterally on the certain anatomical landmarks and participants were asked to walk at a habitual speed within 5 meters of the platform. Raw marker data was collected using the camera motion analysis system were filtered at 10 Hz using a low-pass fourth-order Butterworth filter for data analysis. The Kruskal-Wallis test was used to analyse gait parameters, gait variability, and GRFs, and the Spearman's rank-order correlation coefficients test was used to identify the correlations between the muscle strength (Motricity Index (MI)), stroke severity (Stroke Rehabilitation Assessment of Movement (STREAM)), and functional balance (Berg Balance Scale (BBS)) variables with spatiotemporal gait parameters and GRFs. This study found that longer stride time (temporal gait parameter) instead of the shorter stride length (spatial gait parameter), greater gait variability, and slower cadence on the paretic and non-paretic side in SDPN compared to S and HC. This study also found significant alteration of mediallateral forces of the non-paretic side and vertical forces of the paretic side in SDPN compared to other groups. In addition, there were smaller magnitude of anteriorposterior forces, medial-lateral forces, and vertical forces in SDPN compared to other groups. Gait parameters were significantly correlated with MI, STREAM, and BBS (r = ± 0.63 - 0.91; p < 0.05) in SDPN. Gait parameters also were significantly correlated with BBS (r = ± 0.72 - 0.85; p < 0.05) in S. These findings suggested that gait parameters, gait variability, and GRFs are affected in SDPN. Gait was further affected by impairments of the muscle strength, severity of stroke, and functional balance performance. 2017 Thesis https://ir.uitm.edu.my/id/eprint/37189/ https://ir.uitm.edu.my/id/eprint/37189/1/37189.pdf text en public masters Universiti Teknologi MARA (UiTM) Faculty of Health Sciences Abd Manaf, Mohd Haidzir
institution	Universiti Teknologi MARA
collection	UiTM Institutional Repository
language	English
advisor	Abd Manaf, Mohd Haidzir
topic	Diabetes Mellitus
spellingShingle	Diabetes Mellitus Mustapa, Nurul Amirah Spatiotemporal gait parameters and ground reaction forces in stroke survivors with diabetic peripheral neuropathy / Nurul Amirah Mustapa
description	The aim of this study is to investigate the changes of spatiotemporal gait parameters, gait variability, and ground reaction forces (GRFs) in stroke survivors with diabetic peripheral neuropathy (DPN). Ten stroke survivors with DPN (SDPN), 10 stroke survivors without DPN (S), and 10 healthy controls (HC) were participated in this case-control cross-sectional study. Spatiotemporal gait parameters, gait variability and GRFs were recorded using the Nexus Vicon motion analysis system. A total of 16 retro-reflective spherical markers were placed bilaterally on the certain anatomical landmarks and participants were asked to walk at a habitual speed within 5 meters of the platform. Raw marker data was collected using the camera motion analysis system were filtered at 10 Hz using a low-pass fourth-order Butterworth filter for data analysis. The Kruskal-Wallis test was used to analyse gait parameters, gait variability, and GRFs, and the Spearman's rank-order correlation coefficients test was used to identify the correlations between the muscle strength (Motricity Index (MI)), stroke severity (Stroke Rehabilitation Assessment of Movement (STREAM)), and functional balance (Berg Balance Scale (BBS)) variables with spatiotemporal gait parameters and GRFs. This study found that longer stride time (temporal gait parameter) instead of the shorter stride length (spatial gait parameter), greater gait variability, and slower cadence on the paretic and non-paretic side in SDPN compared to S and HC. This study also found significant alteration of mediallateral forces of the non-paretic side and vertical forces of the paretic side in SDPN compared to other groups. In addition, there were smaller magnitude of anteriorposterior forces, medial-lateral forces, and vertical forces in SDPN compared to other groups. Gait parameters were significantly correlated with MI, STREAM, and BBS (r = ± 0.63 - 0.91; p < 0.05) in SDPN. Gait parameters also were significantly correlated with BBS (r = ± 0.72 - 0.85; p < 0.05) in S. These findings suggested that gait parameters, gait variability, and GRFs are affected in SDPN. Gait was further affected by impairments of the muscle strength, severity of stroke, and functional balance performance.
format	Thesis
qualification_level	Master's degree
author	Mustapa, Nurul Amirah
author_facet	Mustapa, Nurul Amirah
author_sort	Mustapa, Nurul Amirah
title	Spatiotemporal gait parameters and ground reaction forces in stroke survivors with diabetic peripheral neuropathy / Nurul Amirah Mustapa
title_short	Spatiotemporal gait parameters and ground reaction forces in stroke survivors with diabetic peripheral neuropathy / Nurul Amirah Mustapa
title_full	Spatiotemporal gait parameters and ground reaction forces in stroke survivors with diabetic peripheral neuropathy / Nurul Amirah Mustapa
title_fullStr	Spatiotemporal gait parameters and ground reaction forces in stroke survivors with diabetic peripheral neuropathy / Nurul Amirah Mustapa
title_full_unstemmed	Spatiotemporal gait parameters and ground reaction forces in stroke survivors with diabetic peripheral neuropathy / Nurul Amirah Mustapa
title_sort	spatiotemporal gait parameters and ground reaction forces in stroke survivors with diabetic peripheral neuropathy / nurul amirah mustapa
granting_institution	Universiti Teknologi MARA (UiTM)
granting_department	Faculty of Health Sciences
publishDate	2017
url	https://ir.uitm.edu.my/id/eprint/37189/1/37189.pdf
_version_	1783734397231431680

Spatiotemporal gait parameters and ground reaction forces in stroke survivors with diabetic peripheral neuropathy / Nurul Amirah Mustapa

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