PM&R
Volume 1, Issue 5 , Pages 434-441 , May 2009

Motor Learning of a Gait Pattern to Reduce Forefoot Plantar Pressures in Individuals with Diabetic Peripheral Neuropathy

  • Robyn M. York, MS

      Affiliations

    • Department of Research, VA Greater Los Angeles Healthcare System, West Los Angeles, CA; Department of Kinesiology, California State University Fullerton, Fullerton, CA†
    • ,
  • Karen L. Perell-Gerson, PhD, RKT

      Affiliations

    • Department of Research, VA Greater Los Angeles Healthcare System, West Los Angeles, CA; Department of Kinesiology, California State University Fullerton, Fullerton, CA 92834‡
    • Corresponding Author InformationAddress correspondence to: K.L.P-G.
    • ,
  • Michele Barr, MS

      Affiliations

    • Department of Kinesiology, California State University Fullerton, Fullerton, CA§
    • ,
  • Jayson Durham, BA

      Affiliations

    • Space and Naval Warfare Systems Center, San Diego, CA
    • ,
  • Janice M. Roper, PhD, RN

      Affiliations

    • Department of Research, VA Greater Los Angeles Healthcare System, West Los Angeles, CA∥

Received 17 October 2008 ,Accepted 4 March 2009.

References 

  1. Ollendorf DA, Kotsanos JG, Wishner WJ, et al. Potential economic benefits of lower extremity amputation prevention strategies in diabetes. Diabetes Care. 1998;21:1240–1245
  2. Smith KE, Commean PK, Mueller MJ, Robertson DD, Pilgram TK, Johnson J. Assessment of the diabetic foot using spiral computer tomography imaging and plantar pressure measurements: A technical report. J Rehab Res Development. 2000;37:32–43
  3. Young MJ, Cavanagh PR, Thomas G, Johnson MM, Murray H, Boulton AJM. The effect of callus removal on dynamic plantar foot pressures in diabetic patients. Diabetic Med. 1992;9:55–57
  4. Stess RM, Jensen SR, Mirmiran R. The role of dynamic plantar pressures in diabetic foot ulcers. Diabetes Care. 1997;20:855–858
  5. Caselli A, Pham H, Giurini JM, Armstrong DG, Veves A. The forefoot-to-rearfoot plantar pressure ratio is increased in severe diabetic neuropathy and can predict foot ulceration. Diabetes Care. 2002;25:1066–1071
  6. Lavery LA, Armstrong DG, Wunderlich RP, Tredwell J, Boulton A. Predictive value of foot pressure assessment as part of a population-based disease management program. Diabetes Care. 2003;26:1069–1073
  7. Bild DE, Selby JV, Sinnock P, Browner WS, Braveman P, Showstack JA. Lower-extremity amputation in people with diabetes: Epidemiology and prevention. Diabetes Care. 1989;12:24–31
  8. Mueller MJ, Sinacore DR, Hoogstrate S, Daly L. Hip and ankle walking strategies: Effect on peak plantar pressures and implications for neuropathic ulceration. Arch Phys Med Rehab. 1994;75:1196–1200
  9. Newell KM, Walter CB. Kinematic and kinetic parameters as information feedback in motor skill acquisition. J Human Movement Studies. 1981;7:235–254
  10. Bock O, Schneider S. Sensorimotor adaptation in young and elderly humans. Neurosci Biobehav Rev. 2002;26:761–767
  11. McNay EC, Willingham DB. Deficit in learning of a motor skill requiring strategy, but not of perceptuomotor recalibration, with aging. Learn Memory. 1998;4:411–420
  12. van Hedel JHA, Dietz V. The influence of age on learning a locomotor task. Clin Neurophysiol. 2004;115:2134–2143
  13. Brown DA, DeBacher GA. Bicycle ergometer and electromyographic feedback for treatment of muscle imbalance in patients with spastic hemiparesis. Phys Ther. 1987;67:1715–1719
  14. Cozean CD, Pease WS, Hubbell SL. Biofeedback and functional electric stimulation in stroke rehabilitation. Arch Phys Med Rehab. 1988;69:401–405
  15. Lehman DA, Toole L, Lofald D, Hirsch MA. Training with verbal instructional cues results in near-term improvement of gait in people with Parkinson disease. J Neurol Phys Ther. 2005;29:2–8
  16. Mulder T, Hulstyn W. Sensory feedback therapy and theoretical knowledge of motor control and learning. Am J Phys Med. 1984;63:226–244
  17. Sackley CM, Lincoln NB. Single blind randomized controlled trial of visual feedback after stroke: Effects on stance symmetry and function. Disabil Rehab. 1997;19:536–546
  18. Sanderson DJ, Cavanagh PR. Use of augmented feedback for the modification of the pedaling mechanics of cyclists. Can J Sport Sci. 1990;15:38–42
  19. Walker C, Brouwer BJ, Culham EG. Use of visual feedback in retraining balance following acute stroke. Phys Ther. 2000;80:886–895
  20. Froelicher VF. Manual of exercise testing. St. Louis: Mosby Yearbook; 1994;
  21. Perell KL, Gregor RJ, Scremin AME. Bicycle pedal kinetics following force symmetry feedback training in subjects with unilateral cerebrovascular accident. J Appl Biomech. 2000;16:124–141
  22. Winstein CJ, Gardner ER, McNeal DR, Barto PS, Nicholson DE. Standing balance training: effect on balance and locomotion in hemiparetic adults. Arch Phys Med Rehab. 1987;70:755–762

 Disclosure Key can be found on the Table of Contents and at www.pmrjournal.org

 Supported by a Career Development Award (A2372K) from the VA Rehabilitation Research and Development Service to K.L.P.-G. and a grant (A3117R) from the VA Rehabilitation Research and Development Service to K.L.P.-G. and J.M.R.

PII: S1934-1482(09)00233-0

doi: 10.1016/j.pmrj.2009.03.001

PM&R
Volume 1, Issue 5 , Pages 434-441 , May 2009

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