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Elisabetta Iacopi, MD
EWMA-GNEAUPP 2014
Madrid 14-16 May 2014
Gait Alterations
and Microvascular
Chronic
Complication in
Type 2 Diabetes
Mellitus
A.Coppelli, R.Giannarelli, I.Teobaldi,
M.Venturi, G.Lamola, D.Martelli,
C.Chisari, A.Piaggesi
Diabetic Foot Section, University of Pisa, Italy
We evaluated 36 type 2 diabetic patients attending
our outpatients clinic and divided them into 3 groups
as reported below according to the presence of
diabetic retinopathy and foot ulcerations.
We analyzed biomechanical alterations of lower
limbs with a motion analysis system1. Spatio-temporal
and kinematics data were collected through
photogrammetric infrared cameras while kinetics data
with two forces plates. Data were correlated with
patients’ clinical characteristics.
Characteristics of the
study
To evaluate the characteristics of gait alterations in
type 2 diabetic patients and correlate them with the
presence and severity of microvascular chronic
complications.
AIM	
  OF	
  THE	
  STUDY	
  
PATIENTS	
  AND	
  METHODS	
  
1BTS Elite Clinic, BTS Bioengineering, Milan, Italy
n	
  
Characteristics of the
patients
CLINICAL CHARACTERISTICS IN THE GENERAL
POPULATION
Patients (n) 36
Male/Female (n) 27/9
Age (yr) 63 ± 10
Duration of diabetes (yr) 12 ± 11
HbA1c (%) 8.1 ± 0.9
BMI (Kg/m2) 29.2 ± 5.6
Group 1 Group 2 Group 3
Diabetic Neuropathy No Yes Yes
Foot ulceration No No Yes
CHARACTERSTICS	
  OF	
  THE	
  GROUPS	
  
Results
mm	
  
STEP	
  WIDTH	
   RANGE	
  OF	
  MOTION	
  
°	
  °	
   p<0.02	
  p<0.02	
  
p<0.05	
  
A significantly positive correlation was demonstrated
between the presence and severity of diabetic
retinopathy, previously assessed in the same patients with
fundus retinoscopy, and step width (p<0.02, r=0.6),
ankle range of motion (p<0.02, r=0.6) and foot range of
motion (p<0.05, r=0.65).
CORRELATION	
  WITH	
  DIABETIC	
  RETINOPATHY	
  
Thanks for attention
Conclusions
ü  Our study confirms biomechanical
alterations previously described in type 2
diabetic patients.
ü  We demonstrated a positive correlation
between these biomechanical alterations
with the presence and severity of diabetic
neuropathy and diabetic retinopathy and
with the prevalence of foot ulcerations.

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Ep4EWMA 2014 - EP493 GAIT ALTERATIONS AND MICROVASCULAR CHRONIC COMPLICATIONS IN TYPE 2 DIABETES MELLITUS (T2DM)93 283

  • 1. Elisabetta Iacopi, MD EWMA-GNEAUPP 2014 Madrid 14-16 May 2014 Gait Alterations and Microvascular Chronic Complication in Type 2 Diabetes Mellitus A.Coppelli, R.Giannarelli, I.Teobaldi, M.Venturi, G.Lamola, D.Martelli, C.Chisari, A.Piaggesi Diabetic Foot Section, University of Pisa, Italy
  • 2. We evaluated 36 type 2 diabetic patients attending our outpatients clinic and divided them into 3 groups as reported below according to the presence of diabetic retinopathy and foot ulcerations. We analyzed biomechanical alterations of lower limbs with a motion analysis system1. Spatio-temporal and kinematics data were collected through photogrammetric infrared cameras while kinetics data with two forces plates. Data were correlated with patients’ clinical characteristics. Characteristics of the study To evaluate the characteristics of gait alterations in type 2 diabetic patients and correlate them with the presence and severity of microvascular chronic complications. AIM  OF  THE  STUDY   PATIENTS  AND  METHODS   1BTS Elite Clinic, BTS Bioengineering, Milan, Italy
  • 3. n   Characteristics of the patients CLINICAL CHARACTERISTICS IN THE GENERAL POPULATION Patients (n) 36 Male/Female (n) 27/9 Age (yr) 63 ± 10 Duration of diabetes (yr) 12 ± 11 HbA1c (%) 8.1 ± 0.9 BMI (Kg/m2) 29.2 ± 5.6 Group 1 Group 2 Group 3 Diabetic Neuropathy No Yes Yes Foot ulceration No No Yes CHARACTERSTICS  OF  THE  GROUPS  
  • 4. Results mm   STEP  WIDTH   RANGE  OF  MOTION   °  °   p<0.02  p<0.02   p<0.05   A significantly positive correlation was demonstrated between the presence and severity of diabetic retinopathy, previously assessed in the same patients with fundus retinoscopy, and step width (p<0.02, r=0.6), ankle range of motion (p<0.02, r=0.6) and foot range of motion (p<0.05, r=0.65). CORRELATION  WITH  DIABETIC  RETINOPATHY  
  • 5. Thanks for attention Conclusions ü  Our study confirms biomechanical alterations previously described in type 2 diabetic patients. ü  We demonstrated a positive correlation between these biomechanical alterations with the presence and severity of diabetic neuropathy and diabetic retinopathy and with the prevalence of foot ulcerations.