Diabetic peripheral neuropathy in ankles and feet: muscle strength and plantar pressure
International Journal Of Diabetes In Developing Countries. New Delhi: Springer India, v. 34, n. 2, p. 82-88, 2014.
Lourenco Nozabieli, Andrea Jeanne
Martinelli, Alessandra Rezende
Camargo, Marcela Regina de
Souza Fortaleza, Ana Claudia de
Sgobbi de Faria, Claudia Regina
Prado Teles Fregonesi, Cristina Elena
This study aims to evaluate and correlate the vascular, sensory and motor components related to the plantar surface in individuals with diabetic peripheral neuropathy. 68 patients were categorized into two groups: 28 in the neuropathic group and 40 in the control group. In each patient, we assessed: circulation and peripheral perfusion of the lower limbs; somatosensory sensitivity; ankle muscle strength; and pressure on the plantar surface in static, dynamic and gait states. We used the Mann-Whitney test and analysis of variance (ANOVA and MANOVA) for comparison between groups, and performed Pearson and Spearman linear correlations amongst the variables (P < 0.05). The somatosensory sensitivity, peripheral circulation and ankle muscle strength were reduced in the neuropathic group. In full peak plantar pressures, no differences were seen between groups, but differences did appear when the foot surface was divided into regions (forefoot, midfoot and hindfoot). In the static condition, the plantar surface area was greater in the neuropathic group. In the dynamic state, peak pressures in the neuropathic group, were higher in the forefoot and lower in the hindfoot, as well as lower in the hindfoot during gait. There were positive or negative correlations between the sensitivity deficit, dorsal ankle flexor strength, plantar surface area, and peak pressure by plantar region. The sensitivity deficit contributed to the increased plantar surface area.
Showing items related by title, author, creator and subject.
Relación entre el apoyo social y las complicaciones agudas de la diabetes tipo 2: un estudio de corte transversal Teherán Valderrama, Aníbal Alfonso; Mejía Guatibonza, María Camila; Álvarez Meza, Luz; Muñoz Ramírez, Yenny José; Barrera Céspedes, María; Cadavid González, Vanessa (Universidad del Rosario, 2017)Objective: To evaluate the relationship between social support and the frequency of patients with acute complications of type 2diabetes. Materials and methods: A cross-sectional study was carried out on type 2 diabetic ...
Negrato, Carlos Antonio; Montenegro Junior, Renan Magalhães; Von Kostrisch, Lilia Maria; Guedes, Maria Fatima; Mattar, Rosiane; Gomes, Marilia de Brito (Sociedade Brasileira de Endocrinologia e Metabologia, 2012-10-01)Pregnancy affects both maternal and fetal metabolism, and even in non-diabetic women, it exerts a diabetogenic effect. Among pregnant women, 2% to 14% develop gestational diabetes. Pregnancy can also occur in women with ...
Negrato, Carlos Antonio; Montenegro Junior, Renan Magalhães; Von Kostrisch, Lilia Maria; Guedes, Maria Fatima; Mattar, Rosiane; Gomes, Marilia B. (Sociedade Brasileira de Endocrinologia e Metabologia, 2012)Pregnancy affects both maternal and fetal metabolism, and even in non-diabetic women, it exerts a diabetogenic effect. Among pregnant women, 2% to 14% develop gestational diabetes. Pregnancy can also occur in women with ...