NDLI: Gait characteristics of people with diabetes-related peripheral neuropathy, with and without a history of ulceration.

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Gait characteristics of people with diabetes-related peripheral neuropathy, with and without a history of ulceration.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Raspovic, Anita
Description	Author Affiliation: Raspovic A ( Department of Podiatry and Lower Extremity Gait Studies Program, School of Allied Health, Faculty of Health Sciences, La Trobe University, Bundoora, Victoria 3086, Australia. Electronic address: a.raspovic@latrobe.edu.au.)
Abstract	Biomechanical alterations in diabetes are believed to contribute to plantar neuropathic ulceration. This exploratory study documents clinical measures of flexibility and strength, alongside three-dimensional biomechanical gait data of the lower limb, in 10 patients with a history of neuropathic ulceration (DNU; n=10). Comparative data is presented from age and gender matched groups with; diabetes peripheral neuropathy and no ulcer history (DWN; n=10), diabetes and no peripheral neuropathy (DNN; n=10) and a non-diabetes reference group (NOND; n=10). Biomechanical data were collected at a comfortable walking speed with a Vicon motion analysis system. Clinical measures showed a non-significant trend toward decreased static range of motion at the ankle and first metatarsophalangeal joints, with worsening neuropathy status. Of the diabetes groups, knee and ankle strength was significantly lower in those with an ulcer history (p=0.01-0.03), with the exception of knee extension. In the DNU group, walking speed was on average 0.17 ms slower compared to NOND (p=0.04). The DNU group demonstrated a lower range of motion than NOND at the: hips (frontal plane, by 25%: p=0.03); hips and knees (transverse plane, 31%: p=0.01 and 32%: p<0.01); ankles (sagittal plane, 22%: p<0.01) and first metatarsophalangeal joints (sagittal plane, 32%: p=0.01), with less foot rotation (24%: p=0.04). Kinetic alterations in DNU included lower: ankle maximum power (21%: p=0.03) and vertical ground reaction force 2nd peak (6%: p<0.01). The study findings identified gait alterations in people with clinically severe peripheral neuropathy and related plantar foot ulcer history. Further research is needed to explore potential casual pathways.
File Format	HTM / HTML
ISSN	09666362
Issue Number	4
Volume Number	38
e-ISSN	18792219
Journal	Gait & Posture
Language	English
Publisher	Elsevier
Publisher Date	2013-09-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Gait Diabetic Foot Complications Humans Middle Aged Male Metatarsophalangeal Joint Diabetes Mellitus Gait Disorders, Neurologic Diabetic Neuropathies Journal Article Physiopathology Leg Ankle Joint Case-control Studies Biomechanical Phenomena Range Of Motion, Articular Knee Joint Female Aged Physiology Muscle, Skeletal Muscle Strength
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Rehabilitation Biophysics Sports Science

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