Rehabilitation Interventions for Gait Problems in Patients With Diabetic Peripheral Neuropathy: A Scoping Review

Background and Objectives: Gait and balance disturbances are challenging conditions in patients with Diabetic Peripheral Neuropathy (DPN). The overall literary consensus is that rehabilitation interventions are effective in improving gait performance in this patient group. This review sought to high...

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Main Authors: Charles Philip Gabel, Hamid Reza Mokhtarinia, Zahra Hassani
Format: Article
Language:English
Published: Iran University of Medical Sciences 2020-10-01
Series:Function and Disability Journal
Subjects:
Online Access:https://fdj.iums.ac.ir/article-1-140-en.html
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author Charles Philip Gabel
Hamid Reza Mokhtarinia
Zahra Hassani
author_facet Charles Philip Gabel
Hamid Reza Mokhtarinia
Zahra Hassani
author_sort Charles Philip Gabel
collection DOAJ
description Background and Objectives: Gait and balance disturbances are challenging conditions in patients with Diabetic Peripheral Neuropathy (DPN). The overall literary consensus is that rehabilitation interventions are effective in improving gait performance in this patient group. This review sought to highlight and assess the literature and provide a scoping review on the current knowledge gaps in the rehabilitation interventions for the gait problems of patients with DPN. Methods: An electronic databases search was done between 2001 and May 2020. Besides, a hand-search method was used for grey literature. Two experts reviewed the results and screened them based on the subject’s diagnosis with DPN and gait problems. Results: Of 87 studies obtained, nine met the inclusion criteria. The frequent components of the rehabilitation interventions included exercise therapy, dual-task intervention, and the use of assistive devices. The outcomes utilized most frequently included changes in balance and stability, muscle strength, proprioception, function, and gait parameters. Conclusion: Evidence was formed as a scoping review to guide rehabilitation for DPN patients with gait problems. Rigorous comparative studies with clearly defined interventions are needed.
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spelling doaj.art-376356f24aff42ca850b309f836b299e2022-12-22T04:04:08ZengIran University of Medical SciencesFunction and Disability Journal2588-63042020-10-013113114010.32598/fdj.3.21Rehabilitation Interventions for Gait Problems in Patients With Diabetic Peripheral Neuropathy: A Scoping ReviewCharles Philip Gabel0Hamid Reza Mokhtarinia1Zahra Hassani2Independent Research, Access Physiotherpay Coolum Beach Qld Australia.Department of Ergonomics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. Department of Occupational Therapy, Semnan University of Medical Science, Semnan, Iran.Background and Objectives: Gait and balance disturbances are challenging conditions in patients with Diabetic Peripheral Neuropathy (DPN). The overall literary consensus is that rehabilitation interventions are effective in improving gait performance in this patient group. This review sought to highlight and assess the literature and provide a scoping review on the current knowledge gaps in the rehabilitation interventions for the gait problems of patients with DPN. Methods: An electronic databases search was done between 2001 and May 2020. Besides, a hand-search method was used for grey literature. Two experts reviewed the results and screened them based on the subject’s diagnosis with DPN and gait problems. Results: Of 87 studies obtained, nine met the inclusion criteria. The frequent components of the rehabilitation interventions included exercise therapy, dual-task intervention, and the use of assistive devices. The outcomes utilized most frequently included changes in balance and stability, muscle strength, proprioception, function, and gait parameters. Conclusion: Evidence was formed as a scoping review to guide rehabilitation for DPN patients with gait problems. Rigorous comparative studies with clearly defined interventions are needed.https://fdj.iums.ac.ir/article-1-140-en.htmlrehabilitationgaitdiabetic peripheral neuropathy
spellingShingle Charles Philip Gabel
Hamid Reza Mokhtarinia
Zahra Hassani
Rehabilitation Interventions for Gait Problems in Patients With Diabetic Peripheral Neuropathy: A Scoping Review
Function and Disability Journal
rehabilitation
gait
diabetic peripheral neuropathy
title Rehabilitation Interventions for Gait Problems in Patients With Diabetic Peripheral Neuropathy: A Scoping Review
title_full Rehabilitation Interventions for Gait Problems in Patients With Diabetic Peripheral Neuropathy: A Scoping Review
title_fullStr Rehabilitation Interventions for Gait Problems in Patients With Diabetic Peripheral Neuropathy: A Scoping Review
title_full_unstemmed Rehabilitation Interventions for Gait Problems in Patients With Diabetic Peripheral Neuropathy: A Scoping Review
title_short Rehabilitation Interventions for Gait Problems in Patients With Diabetic Peripheral Neuropathy: A Scoping Review
title_sort rehabilitation interventions for gait problems in patients with diabetic peripheral neuropathy a scoping review
topic rehabilitation
gait
diabetic peripheral neuropathy
url https://fdj.iums.ac.ir/article-1-140-en.html
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AT hamidrezamokhtarinia rehabilitationinterventionsforgaitproblemsinpatientswithdiabeticperipheralneuropathyascopingreview
AT zahrahassani rehabilitationinterventionsforgaitproblemsinpatientswithdiabeticperipheralneuropathyascopingreview