Diabetic peripheral neuropathy in ankles and feet: muscle strength and plantar pressure

dc.contributorUniversidade Estadual Paulista (UNESP)
dc.creatorLourenco Nozabieli, Andrea Jeanne
dc.creatorMartinelli, Alessandra Rezende
dc.creatorCamargo, Marcela Regina de
dc.creatorSouza Fortaleza, Ana Claudia de
dc.creatorSgobbi de Faria, Claudia Regina
dc.creatorPrado Teles Fregonesi, Cristina Elena
dc.date2014-12-03T13:11:40Z
dc.date2016-10-25T20:14:47Z
dc.date2014-12-03T13:11:40Z
dc.date2016-10-25T20:14:47Z
dc.date2014-06-01
dc.date.accessioned2017-04-06T06:33:02Z
dc.date.available2017-04-06T06:33:02Z
dc.identifierInternational Journal Of Diabetes In Developing Countries. New Delhi: Springer India, v. 34, n. 2, p. 82-88, 2014.
dc.identifier0973-3930
dc.identifierhttp://hdl.handle.net/11449/113393
dc.identifierhttp://acervodigital.unesp.br/handle/11449/113393
dc.identifier10.1007/s13410-013-0148-9
dc.identifierWOS:000338345200005
dc.identifierhttp://dx.doi.org/10.1007/s13410-013-0148-9
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/924135
dc.descriptionThis 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.
dc.languageeng
dc.publisherSpringer
dc.relationInternational Journal of Diabetes In Developing Countries
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectDiabetes mellitus
dc.subjectDiabetic neuropathies
dc.subjectDiabetic foot
dc.subjectDiabetic vascular diseases
dc.subjectPlantar ulcer
dc.titleDiabetic peripheral neuropathy in ankles and feet: muscle strength and plantar pressure
dc.typeOtro


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