Passive ankle stiffness in subjects with diabetes and peripheral neuropathy versus an age-matched comparison group.
BACKGROUND AND PURPOSE: Patients with diabetes mellitus and peripheral neuropathy (DM and PN) often complain of joint stiffness. Although stiffness may contribute to some of the impairments and functional limitations found in these patients, it has not been quantified in this population. The purpose...
| Publicado en: | Physical Therapy Vol. 80; no. 4; pp. 352 - 363 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Apr2000
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107113874&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107113874 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00319023 PTH jtl: Physical Therapy issn: 00319023 maglogo: N pubinfo: dt: Apr2000 vid: 80 iid: 4 pid: 10398 pub: Oxford University Press / USA artinfo: ui: 107113874 2000040469 10.1093/ptj/80.4.352 NLM10758520 107113874 ppf: 352 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Passive ankle stiffness in subjects with diabetes and peripheral neuropathy versus an age-matched comparison group. aug: au: Salsich GB Mueller MJ Sahrmann SA affil: Postdoctoral Fellow, Department of Biokinesiology and Physical Therapy, University of Southern California, 1540 E Alcazar St, CHP-155, Los Angeles, CA 90089; e-mail: salsich@hsc.usc.edu sug: subj: Diabetes Mellitus Complications Peripheral Nervous System Diseases Complications Ankle Joint Pathology Biomechanics Torque Electromyography Goniometry Dynamometry Case Control Studies T-Tests Intrarater Reliability Intraclass Correlation Coefficient Range of Motion Adult Middle Age Aged Female Male Funding Source Human Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Female Male ab: BACKGROUND AND PURPOSE: Patients with diabetes mellitus and peripheral neuropathy (DM and PN) often complain of joint stiffness. Although stiffness may contribute to some of the impairments and functional limitations found in these patients, it has not been quantified in this population. The purpose of this study was to quantify and compare passive ankle stiffness and dorsiflexion (DF) range of motion in subjects with DM and PN versus an age-matched comparison group. SUBJECTS: Thirty-four subjects were tested (17 subjects with DM and PN and 17 subjects in an age-matched comparison group). There were 10 male subjects and 7 female subjects in each group. METHODS: A Kin-Com dynamometer was used to measure passive plantar flexor torque as each subject's ankle was moved from plantar flexion into dorsiflexion at 60(/s. The following variables were compared using a Student t test: initial angle (angle of onset of plantar flexor torque), maximal dorsiflexion angle, plantar flexor muscle excursion (difference between initial angle and maximal dorsiflexion angle), slope of the first half of the plantar flexor torque curve (stiffness 1 measurement), and slope of the second half of the plantar flexor torque curve (stiffness 2 measurement). RESULTS: The subjects with DM and PN had smaller maximal dorsiflexion angles and less plantar flexor muscle excursion than the comparison group. There was no difference in initial angle, stiffness 1 measurement, or stiffness 2 measurement. CONCLUSION AND DISCUSSION: Although the subjects with DM and PN had less dorsiflexion range of motion than did the comparison group, there was no difference in stiffness between the groups. This finding suggests that people with DM and PN have 'short' versus 'stiff' plantar flexor muscles. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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