Innovative Biofeedback Training to Improve Walking in People Aged 45 to 90 with Diabetic Peripheral Neuropathy

What this Trial Is About

Researchers are studying gait function in adults with Diabetic Peripheral Neuropathy DPN, a common complication affecting foot and ankle sensation and movement in people with diabetes. The study aims to understand biomechanical factors that cause abnormal foot pressure and propulsion during walking and to test how real-time biofeedback can change these factors to improve gait in individuals with DPN. Participants will undergo clinical evaluations and 3-dimensional gait analyses on an instrumented treadmill. They will receive two types of biofeedback interventionsplantar pressure and propulsion biofeedbackdelivered via visual and auditory cues on a projector screen while walking. The order of these biofeedback interventions will be randomized, and each participant will experience both types during the study sessions. Throughout the study, participants will complete questionnaires, clinical exams, and gait analyses at multiple sessions. Researchers will measure biomechanical plantar pressure and propulsion, as well as changes induced by biofeedback, to assess immediate effects on walking function and gait mechanics. The study includes follow-up assessments occurring 24 hours up to two weeks after each session to capture lasting biomechanical changes.

Innovative Multi-Variable Biofeedback for Improving Gait Performance in Individuals With Diabetic Peripheral Neuropathy