TY  - JOUR
PY  - 2020//
TI  - The effect of dual-task testing on balance and gait performance in adults with type 1 or type 2 diabetes mellitus: a systematic review
JO  - Current diabetes reviews
A1  - Omana, Humberto
A1  - Madou, Edward
A1  - Montero-Odasso, Manuel
A1  - Payne, Michael
A1  - Viana, Ricardo
A1  - Hunter, Susan
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND: Individuals with diabetes mellitus (DM) are susceptible to balance, gait and cognitive impairments. Importantly, diabetes affects executive function, a set of cognitive processes critical to everyday cortical function and mobility. Reduced executive function is a risk factor for falls in people with DM. Dual-task testing, the completion of two tasks at once, enables the examination of the cognitive-mobility relationship. A synthesis of the literature on the effects of dual-task testing on the balance and gait of individuals with DM has not been performed.     OBJECTIVE: To systematically review the literature on the effect of dual-task testing on balance and gait in people with DM.     METHODS: Databases EMBASE, CINAHL, MEDLINE, PsycINFO, Scopus and Web of Science were searched (inception-April 2020).     INCLUSION CRITERIA: participants were adults with a diagnosis of DM, instrumented dual-task balance and/or gait was assessed, and articles were published in English.     RESULTS: Ten articles met inclusion criteria- three examined dual-task balance and seven dual-task gait. In people with DM with or without peripheral neuropathy, dual-task resulted in larger sway velocities during standing tests. Individuals with DM and peripheral neuropathy had impaired dual-task gait; specifically, and more consistently, reduced pace and rhythm compared to controls or people with DM without peripheral neuropathy.     CONCLUSION: The findings support a compromise in the cognitive-mobility relationship of people with DM, and especially in those with peripheral neuropathy. Future research should continue to examine the cognitive-mobility relationship in order to understand the increased prevalence of falls in this population.<p />  <p>Language: en</p>
LA  - en
SN  - 1573-3998
UR  - http://dx.doi.org/10.2174/1573399816999201001203652
ID  - ref1
ER  -