AIMS: To investigate the relationship between limited joint mobility (LJM; measured both passively and during gait) and plantar pressure measurements. METHODS: A cross-sectional study involving 28 diabetic patients with peripheral neuropathy but no plantar ulceration (DN), 25 diabetic patients with ulceration (DU), 25 diabetic control patients with no ulceration or peripheral neuropathy (DC), and 25 non-diabetic reference subjects (NDR). Movements of the ankle joint complex (AJC) and 1st metatarsophalangeal (MTP) joint were recorded, together with plantar pressures. RESULTS: The passive range of motion at the AJC was significantly reduced in all the diabetes groups, but the gait range of motion was comparable with non-diabetic subjects. At the AJC, no correlation was found between the passive and gait range of motion (ROM) and these were not correlated with plantar pressure variables. At the 1st MTP, a correlation was found between the passive and gait dorsiflexion ROM and a significant correlation existed between gait dorsiflexion ROM at the 1st MTP joint and peak forefoot pressures in the DU group. CONCLUSIONS: Despite a significant reduction in the passive ROM at the AJC in the diabetic groups, the gait ROM was indistinguishable from reference subjects and was not correlated with plantar pressure variables. At the 1st MTP joint, a correlation was found between the passive and gait ROM and furthermore the gait ROM was correlated with peak forefoot pressures, suggesting ROM measures at the 1st MTP joint may be preferable to ROM measures at the AJC.
AIMS: To investigate the relationship between limited joint mobility (LJM; measured both passively and during gait) and plantar pressure measurements. METHODS: A cross-sectional study involving 28 diabeticpatients with peripheral neuropathy but no plantar ulceration (DN), 25 diabeticpatients with ulceration (DU), 25 diabetic control patients with no ulceration or peripheral neuropathy (DC), and 25 non-diabetic reference subjects (NDR). Movements of the ankle joint complex (AJC) and 1st metatarsophalangeal (MTP) joint were recorded, together with plantar pressures. RESULTS: The passive range of motion at the AJC was significantly reduced in all the diabetes groups, but the gait range of motion was comparable with non-diabetic subjects. At the AJC, no correlation was found between the passive and gait range of motion (ROM) and these were not correlated with plantar pressure variables. At the 1st MTP, a correlation was found between the passive and gait dorsiflexion ROM and a significant correlation existed between gait dorsiflexion ROM at the 1st MTP joint and peak forefoot pressures in the DU group. CONCLUSIONS: Despite a significant reduction in the passive ROM at the AJC in the diabetic groups, the gait ROM was indistinguishable from reference subjects and was not correlated with plantar pressure variables. At the 1st MTP joint, a correlation was found between the passive and gait ROM and furthermore the gait ROM was correlated with peak forefoot pressures, suggesting ROM measures at the 1st MTP joint may be preferable to ROM measures at the AJC.
Authors: Ericka N Merriwether; Mary K Hastings; Michael J Mueller; Kathryn L Bohnert; Michael J Strube; Darrah R Snozek; David R Sinacore Journal: Ann Gerontol Geriatr Res Date: 2016-07-22
Authors: Mary K Hastings; James Woodburn; Michael J Mueller; Michael J Strube; Jeffrey E Johnson; David R Sinacore Journal: Clin Biomech (Bristol, Avon) Date: 2014-08-27 Impact factor: 2.063
Authors: Mary K Hastings; James Woodburn; Michael J Mueller; Michael J Strube; Jeffrey E Johnson; Krista S Beckert; Michelle L Stein; David R Sinacore Journal: Gait Posture Date: 2014-03-15 Impact factor: 2.840
Authors: Nick A Guldemond; Pieter Leffers; Geert H I M Walenkamp; Nicolaas C Schaper; Antal P Sanders; Fred H M Nieman; Lodewijk W van Rhijn Journal: BMC Endocr Disord Date: 2008-12-02 Impact factor: 2.763