Effect of muscle strength on gait in hemodialysis patients with and without diabetes

Title
Effect of muscle strength on gait in hemodialysis patients with and without diabetes
Author(s)
신성훈Chung, Hae Ryong[Chung, Hae Ryong]Kistler, Brandon M.[Kistler, Brandon M.]Fitschen, Peter J.[Fitschen, Peter J.]Wilund, Kenneth R.[Wilund, Kenneth R.]Sosnoff, Jacob J.[Sosnoff, Jacob J.]
Keywords
DWELLING OLDER-ADULTS; LOWER-EXTREMITY MUSCLE; MULTIPLE-SCLEROSIS; VARIABILITY; WALKING; FALLS; PEOPLE; DISABILITY; STABILITY; MELLITUS
Issue Date
201403
Publisher
LIPPINCOTT WILLIAMS & WILKINS
Citation
INTERNATIONAL JOURNAL OF REHABILITATION RESEARCH, v.37, no.1, pp.29 - 33
Abstract
There is minimal data on the gait of hemodialysis (HD) patients with and without diabetes. This investigation examined spatiotemporal parameters of gait in HD patients with and without diabetes compared with age-matched, sex-matched, and BMI-matched controls. The effect of muscle weakness on gait in HD patients was also examined. Eighteen HD patients and 18 age-matched, sex-matched, and BMI-matched controls completed two walking trials along a 7.9 m long pressure sensitive pathway. The HD participants were divided into groups based on their diabetic status (eight patients without diabetes and 10 with diabetes). Spatiotemporal markers of gait, including variability metrics, were determined. Knee strength was quantified only in the HD groups. Overall HD patients had a worse gait compared with controls (P<0.01). Furthermore, HD patients with diabetes had an elevated gait variability compared with those without diabetes, even after controlling for muscle strength (P<0.05). Further research is warranted to explore whether increases in lower extremity strength lead to improvements in gait in this population. (C) 2014 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.
URI
http://hdl.handle.net/YU.REPOSITORY/32800http://dx.doi.org/10.1097/MRR.0b013e3283643d76
ISSN
0342-5282
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생활과학대학 > 체육학부 > Articles
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