Title:Clinical Measures of Dual Task Gait Evaluation in Individuals with Type 2
Diabetes Mellitus - A Mini-review
Volume: 19
Issue: 8
Author(s): Sumam Sunny*Dhruv Dave
Affiliation:
- Department of Physiotherapy, Ashok & Rita Patel Institute of Physiotherapy, Charotar University of Science and Technology,
Changa, Anand, Gujarat, India
Keywords:
Walking, type 2 diabetes mellitus, dual task gait evaluation, clinical measures, falls, elderly.
Abstract:
Background: Cognitive and motor deficits intertwined with type 2 diabetes mellitus
(T2DM) alter walking patterns of the individuals. As walking is combined with various challenging
cognitive tasks in daily activities, dual task testing is a promising avenue for gait evaluation
and fall prediction in various conditions. However, there is a lack of clarity on the appropriate clinical
measures for dual task gait evaluation in T2DM individuals.
Objective: The present study aims to review and identify the appropriate clinical measures for dual
task gait evaluation in T2DM.
Methods: Electronic databases of PubMed, CINAHLPlus and scholarly platforms were searched to
identify the relevant articles. Review has included studies which have subjects with T2DM, dual
task testing as a part of evaluation, has used clinical measures to assess dual task gait and was
available in English.
Results: 16 articles met the inclusión criteria. Four studies used cognitive timed up and go test
(TUG), four studies used walking while talking test; one study used extended TUG; one study used
walking and remembering test;one study used instrumented TUG along with manual TUG and
arithmetic subtractions; two studies used inertial sensors for gait evaluation along with backword
counting; one study used two dimensional video analysis for gait along with verbal fluency task
and calculation; one study used TUG with arithmetic additions task; one study used Manual TUG
and arithmetic subtraction task while walking on GAITRITE walkway.
Conclusion: The studies show a lack of valid and reliable clinical measures for dual task gait evaluation
in T2DM.
