Citation

Hearn SL, Richardson JK. Phys. Med. Rehabil. Clin. N. Am. 2018; 29(4): 645-657.

Affiliation

Department of Physical Medicine and Rehabilitation, Michigan Medicine, 325 E Eisenhower Parkway Suite 100, Ann Arbor, MI 48108-3364, USA.

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.1016/j.pmr.2018.06.001

PMID

30293620

Abstract

Walking confers numerous health benefits, particularly for middle-aged and older patients with diabetes and metabolic syndrome. Nevertheless, it brings a risk of injurious falls, especially among populations with diabetes and metabolic syndrome-related distal neuromuscular decline and frank neuropathy. Those who stand to benefit most from walking are at greatest risk. Development of practical clinical tools to more precisely quantify neuromuscular function and link it to mobility outcomes will help clinicians target interventions toward those at risk for falls. Electrodiagnosis, with inclusion of several newer techniques, serves as a promising tool for objective evaluation of distal neuromuscular function.

Copyright © 2018 Elsevier Inc. All rights reserved.

Language: en

Keywords

Electrodiagnosis; Electromyography; Falls; Medial plantar; Nerve conduction studies; Neuromuscular decline; Neuropathy; Walking