title: Postural Control and Gait Performance in the Diabetic Peripheral Neuropathy: A Systematic Review.
abstract: Purpose. The aim of this paper is to review the published studies on the characteristics of impairments in the postural control and gait performance in diabetic peripheral neuropathy (DPN). Methods. A review was performed by obtaining publication of all papers reporting on the postural control and gait performance in DPN from Google Scholar, Ovid, SAGE, Springerlink, Science Direct (SD), EBSCO Discovery Service, and Web of Science databases. The keywords used for searching were "postural control," "balance," "gait performance," "diabetes mellitus," and "diabetic peripheral neuropathy." Results. Total of 4,337 studies were hit in the search. 1,524 studies were screened on their titles and citations. Then, 79 studies were screened on their abstract. Only 38 studies were eligible to be selected: 17 studies on postural control and 21 studies on the gait performance. Most previous researches were found to have strong evidence of postural control impairments and noticeable gait deficits in DPN. Deterioration of somatosensory, visual, and vestibular systems with the pathologic condition of diabetes on cognitive impairment causes further instability of postural and gait performance in DPN. Conclusions. Postural instability and gait imbalance in DPN may contribute to high risk of fall incidence, especially in the geriatric population. Thus, further works are crucial to highlight this fact in the hospital based and community adults.
authors.affiliation: School of Physiotherapy, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam Campus, 42300 Puncak Alam, Selangor, Malaysia.
authors.forename: Amirah
authors.initials: A
authors.lastname: Mustapa
authors.affiliation: School of Physiotherapy, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam Campus, 42300 Puncak Alam, Selangor, Malaysia.
authors.forename: Maria
authors.identifier: 0000-0002-2412-8653
authors.initials: M
authors.lastname: Justine
authors.affiliation: Discipline of Rehabilitation Medicine, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, 47000 Sungai Buloh, Selangor, Malaysia.
authors.forename: Nadia
authors.initials: N
authors.lastname: Mohd Mustafah
authors.affiliation: Digital Image, Audio & Speech Technology Research Group, Faculty of Computer and Mathematical Sciences, Universiti Teknologi MARA, 40450 Shah Alam, Selangor, Malaysia.
authors.forename: Nursuriati
authors.initials: N
authors.lastname: Jamil
authors.affiliation: School of Physiotherapy, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam Campus, 42300 Puncak Alam, Selangor, Malaysia.
authors.forename: Haidzir
authors.identifier: 0000-0003-0342-8136
authors.initials: H
authors.lastname: Manaf
mesh_terms: D003929:Diabetic Neuropathies / Q000150:complications / Q000503:physiopathology*; D019317:Evidence-Based Medicine; D005684:Gait; D020233:Gait Disorders, Neurologic / Q000209:etiology / Q000503:physiopathology*; D006801:Humans; D004856:Postural Balance; D015837:Vestibular Diseases / Q000209:etiology / Q000503:physiopathology*