Evidence map›Paper›PMID 19921145›Full record

Trial reportDiabetologia2010

The gait and balance of patients with diabetes can be improved: a randomised controlled trial.

L Allet, S Armand, R A de Bie, A Golay, D Monnin, K Aminian, J B Staal, E D de Bruin

3 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Diabetologia, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 108 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
108citing papers in PubMed, 8 pooled it
4.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00637546 phase2 / phase3completednot on this map

Efficacy of a Specific Physiotherapy Group Treatment on Gait and Balance in Patients With Diabetic Neuropathy

TypeinterventionalSponsorUniversity Hospital, GenevaRan2007 to 2009Enrolled71ConditionsDiabetes Type 2ArmsPhysiotherapy
NCT05407207 narecruitingnot on this mapstarted 2018, after this paper: background citation

Therapeutic Plantar Electrical Stimulation Intervention During Hemodialysis to Improve Balance and Mobility

TypeinterventionalSponsorHamad Medical CorporationRan2018 to 2022Enrolled100ConditionsDiabetes Mellitus, Hemodialysis Complication, Cardiovascular Complication, Quality of LifeArmsTennant Biomodulator ®
NCT05422235 nacompletednot on this mapstarted 2022, after this paper: background citation

Comparison of the Effects of Different Exercise Programs on Lower Extremity Distal Tissue Mechanics, Muscle Strength and Neuropathy Symptoms in Type 2 Diabetics With Peripheral Neuropathy

TypeinterventionalSponsorEastern Mediterranean UniversityRan2022 to 2025Enrolled74ConditionsDiabetic Foot, Peripheral Neuropathy With Type 2 DiabetesArmsRoutine Medical Treatment, Aerobic Exercise, Aerobic Exercise+ Foot-Related Exercise
3 · Its place in the literature

Who cites it

108 citing papers in PubMed, 8 syntheses or guidelines pooled it, 307 citations in OpenAlex.

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  5. Treatment of Diabetes in Older Adults: An Endocrine Society* Clinical Practice Guideline.The Journal of clinical endocrinology and metabolism · 2019
    Guideline
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48 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

L AlletDepartment of Epidemiology, Maastricht University and Caphri Research School, Maastricht, the Netherlands. lara.allet@hcuge.ch
S Armand
R A de Bie
A Golay
D Monnin
K Aminian
J B Staal
E D de Bruin
Maastricht University · NLUniversity of Geneva · CHÉcole Polytechnique Fédérale de Lausanne · CHETH Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aims/hypothesisGait characteristics and balance are altered in diabetic patients. Little is known about possible treatment strategies. This study evaluates the effect of a specific training programme on gait and balance of diabetic patients.

methodsThis was a randomised controlled trial (n=71) with an intervention (n=35) and control group (n=36). The intervention consisted of physiotherapeutic group training including gait and balance exercises with function-orientated strengthening (twice weekly over 12 weeks). Controls received no treatment. Individuals were allocated to the groups in a central office. Gait, balance, fear of falls, muscle strength and joint mobility were measured at baseline, after intervention and at 6-month follow-up.

resultsThe trial is closed to recruitment and follow-up. After training, the intervention group increased habitual walking speed by 0.149 m/s (p<0.001) compared with the control group. Patients in the intervention group also significantly improved their balance (time to walk over a beam, balance index recorded on Biodex balance system), their performance-oriented mobility, their degree of concern about falling, their hip and ankle plantar flexor strength, and their hip flexion mobility compared with the control group. After 6 months, all these variables remained significant except for the Biodex sway index and ankle plantar flexor strength. Two patients developed pain in their Achilles tendon: the progression for two related exercises was slowed down. CONCLUSIONS/

interpretationSpecific training can improve gait speed, balance, muscle strength and joint mobility in diabetic patients. Further studies are needed to explore the influence of these improvements on the number of reported falls, patients' physical activity levels and quality of life.

trial registrationClinicalTrials.gov NCT00637546

fundingThis work was supported by the Swiss National Foundation (SNF): PBSKP-123446/1/

Indexed as

GaitAgedDiabetes Mellitus, Type 2Diabetic FootDiabetic NeuropathiesHumansJointsMaleMiddle AgedMovementMuscle StrengthPhysical Therapy ModalitiesProspective StudiesQuality of Life

Identifiers

PMID19921145
PMCPMC2815802
OpenAlexW1964065884

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.