Heel Rise and Non–Weight-Bearing Ankle Plantar Flexion Tasks to Assess Foot and Ankle Function in People With Diabetes Mellitus and Peripheral Neuropathy.
Objective The objective of this study was to examine the effects of diabetes mellitus and peripheral neuropathy (DMPN), limited joint mobility, and weight-bearing on foot and ankle sagittal movements and characterize the foot and ankle position during heel rise. Methods Sixty people with DMPN and 22...
| Publicado en: | PTJ: Physical Therapy & Rehabilitation Journal Vol. 101; no. 7; pp. 1 - 10 |
|---|---|
| Autores principales: | , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Jul2021
|
| 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=151797416&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151797416 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15386724 MZW0 jtl: PTJ: Physical Therapy & Rehabilitation Journal issn: 15386724 maglogo: N pubinfo: dt: Jul2021 vid: 101 iid: 7 pid: 622 pub: Oxford University Press / USA artinfo: ui: 151797416 151797416 151797416 10.1093/ptj/pzab096 151797416 ppf: 1 ppct: 9 formats: tig: atl: Heel Rise and Non–Weight-Bearing Ankle Plantar Flexion Tasks to Assess Foot and Ankle Function in People With Diabetes Mellitus and Peripheral Neuropathy. aug: au: Jeong, Hyo-Jung Mueller, Michael J Zellers, Jennifer A Yan, Yan Hastings, Mary K affil: Program in Physical Therapy, Washington University School of Medicine , St. Louis, Missouri, USA sug: subj: Heel Physiopathology Foot Physiopathology Ankle Physiopathology Plantarflexion Evaluation Task Performance and Analysis Diabetes Mellitus Physiopathology Peripheral Nervous System Diseases Physiopathology Joints Physiopathology Weight-Bearing Human Funding Source Diabetic Patients Comparative Studies Dorsiflexion Repeated Measures Analysis of Variance Kinematics Kinetics Male Female Middle Age Aged Descriptive Statistics Secondary Analysis Data Analysis Software Unpaired T-Tests Fisher's Exact Test Hospitalization of Older Persons Missouri Ankle Joint Physiopathology Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Objective The objective of this study was to examine the effects of diabetes mellitus and peripheral neuropathy (DMPN), limited joint mobility, and weight-bearing on foot and ankle sagittal movements and characterize the foot and ankle position during heel rise. Methods Sixty people with DMPN and 22 controls participated. Primary outcomes were foot (forefoot on hindfoot) and ankle (hindfoot on shank) plantar-flexion/dorsiflexion angle during 3 tasks: unilateral heel rise, bilateral heel rise, and non–weight-bearing ankle plantar flexion. A repeated-measures analysis of variance and Fisher exact test were used. Results Main effects of task and group were significant, but not the interaction in both foot and ankle plantar flexion. Foot and ankle plantar flexion were less in people with DMPN compared with controls in all tasks. Both DMPN and control groups had significantly less foot and ankle plantar flexion with greater weight-bearing; however, the linear trend across tasks was similar between groups. The DMPN group had a greater percentage of individuals in foot and/or ankle dorsiflexion at peak unilateral heel rise compared with controls, but the foot and ankle position was similar at peak bilateral heel rise between DMPN and control groups. Conclusion Foot and ankle plantar flexion is less in people with DMPN. Less plantar flexion in non–weight-bearing suggests that people with DMPN have limited joint mobility. However, peak unilateral and bilateral heel rise is less than the available plantar flexion range of motion measured in non–weight-bearing, indicating that limited joint mobility does not limit heel rise performance. A higher frequency of people with DMPN are in foot and ankle dorsiflexion at peak unilateral heel rise compared with controls, but the position improved with lower weight-bearing. Impact Proper resistance should be considered with physical therapist interventions utilizing heel rise because foot and ankle plantar flexion position could be improved by reducing the amount of weight-bearing. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|