Sensory–motor and psychosocial factors correlates of adaptive locomotor performance in diabetes patients

Prachi Tiwari; Nusrat Hamdani; Mohd.Anwar Habib; Hina Kausher

Volume : IV, Issue : VI, June - 2015

Sensory–motor and psychosocial factors correlates of adaptive locomotor performance in diabetes patients

Prachi Tiwari, Nusrat Hamdani, Mohd. Anwar Habib, Hina Kausher

Abstract :

Backssground. Abnormalities of gait during normal walking can occur due to impairment in sensory–motor and psychosocial factors. Objective. To identify correlation of sensory–motor and psychosocial factors in adaptive locomotor performance in diabetes patients. Design. Cross–sectional study Methods. Walking performance was assessed in four walking tests: Fast walking, obstacle crossing, narrow–based walking and walking while talking. Possible correlates of the inability to perform the walking test included knee extensor strength, lower limb coordination, Cumulative Somatosensory Impairment Index (CSII), visual acuity ,cognition, depression, personal mastery and social support. Result. The results of data analyses, demonstrated that poor knee extensor strength was associated with inability to perform adaptive locomotor tasks. Poor lower limb coordination is significantly associated with poor performance in all walking tests. Poor visual acuity is associated with inability to perform adaptive locomotor tasks. Cognition was associated with inability in walking under varied challenging tasks. Poor personal mastery and depressive symptoms are associated with inability in performance in all walking tests. Conclusion. The results demonstrated a systematic and coherent pattern in these correlations and suggested that sensory–motor factors except lower limb somatosensation and psychosocial factors except social support are significantly correlated with inability in adaptive locomotor performance in diabetes patients.