The relationship between geriatric type 2 diabetes mellitus, fear of falling and gait: A controlled study

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Işıntaş Arık M., Kiloatar H. , Onbaşı K.

Kuwait Medical Journal, vol.51, no.3, pp.278-282, 2019 (Journal Indexed in SCI Expanded)

  • Publication Type: Article / Article
  • Volume: 51 Issue: 3
  • Publication Date: 2019
  • Title of Journal : Kuwait Medical Journal
  • Page Numbers: pp.278-282


Objectives: To investigate the fear of falling (FoF) and spatiotemporal and phase parameters of gait in geriatric type 2 diabetes mellitus (DM) patients

Design: Controlled trial

Setting: Department of Internal Medicine and Physical Therapy, Dumlupinar University, Kütahya

Subjects: Thirty-one patients who were diagnosed with type 2 DM and 29 healthy individuals were included in the study.

Intervention: FoF was assessed on the Falls Efficacy Scale International (FES-I). The timed up and go test (TUG) was used to assess the mobility of the participants. Spatiotemporal and phase parameters of gait were measured with the Zebris ™ FDM-2 instrument and recorded instantaneously.

Main outcome measures: FoF, mobility, spatiotemporal and phase parameters of gait

Results: There was a statistically significant difference between the TUG scores (p <0.05) of the two groups but not between the FES-I scores (p >0.05). There was a statistically significant difference between the two groups’ step length and gait velocity (p <0.05), but there was no difference in step width, cadence and step time (p >0.05). In the diabetes group, FoF showed a significantly negative correlation with step length, cadence, gait velocity, left swing phase, and right swing phase. Step duration was in positive correlation

with left stance phase, right stance phase, and double support phase (p <0.05). In the control group, there was no statistically significant correlation between FoF and gait parameters (p >0.05).

Conclusion: FoF can affect spatiotemporal and phase parameters of gait in diabetic patients, but not in healthy geriatric individuals.