Plantar fascia thickness and first metatarsal mobility in patients with diabetes and neuropathy
نویسندگان
چکیده
Introduction Individuals with Diabetes Mellitus and Neuropathy (DN) are at increased risk for ulcer development at sites exposed to repetitive, high plantar loading. Limited joint mobility may contribute to increased forefoot loading by limiting foot flexibility and restraining the forward progression of body weight during the stance phase of gait. However data substantiating the causes and consequences of limited mobility in forefoot loading is limited. The purpose of this study was to compare plantar fascia thickness, passive and active 1st metatarsal (Met) mobility and loading in patients with and without DN.
منابع مشابه
Contribution of plantar fascia to the increased forefoot pressures in diabetic patients.
OBJECTIVES Secondary to peripheral neuropathy, plantar hyperpressure is a proven risk factor for foot ulceration. But limited joint mobility (LJM) and soft tissue abnormalities may also contribute. The aim of this study was to evaluate the relationships among thickness of plantar fascia, mobility of the metatarso-phalangeal joint, and forces expressed under the metatarsal heads. RESEARCH DESI...
متن کاملSegmental foot mobility in individuals with and without diabetes and neuropathy.
BACKGROUND Impairment in intrinsic foot mobility has been identified as an important potential contributor to altered foot function in individuals with diabetes mellitus and neuropathy, however the role of limited foot mobility in gait remains poorly understood. The purpose of our study was to examine segmental foot mobility during gait in subjects with and without diabetes and neuropathy. ME...
متن کاملPlantar tissue thickness is related to peak plantar pressure in the high-risk diabetic foot.
OBJECTIVE To investigate the relationship among plantar foot pressure, plantar subcutaneous tissue thickness, severity of neuropathy (vibration perception threshold [VPT]), callus, and BMI in a large group of neuropathic diabetic patients at risk of foot ulceration. RESEARCH DESIGN AND METHODS A total of 157 diabetic neuropathic patients (VPT >25 V) without either peripheral vascular or ulcer...
متن کاملStructural changes in the forefoot of individuals with diabetes and a prior plantar ulcer.
BACKGROUND Plantar ulcers produced by diabetic foot disease are devastating and costly. Better understanding of the ulcer-producing process is important to improve detection of feet that are at risk and to improve intervention. We identified and quantified soft-tissue and osseous structural changes in the forefoot of diabetic patients with a prior plantar ulcer. METHODS Thirty-two individuals...
متن کاملPlantar fascia thickness, a measure of tissue glycation, predicts the development of complications in adolescents with type 1 diabetes.
OBJECTIVE Direct measurement of collagen glycation requires skin biopsy, which is invasive. We hypothesized that measurement of plantar fascia thickness (PFT) by ultrasound is an alternative index of tissue glycation and a marker of microvascular disease. RESEARCH DESIGN AND METHODS This was a prospective longitudinal study of microvascular complications in 344 adolescents with type 1 diabete...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Journal of Foot and Ankle Research
دوره 1 شماره
صفحات -
تاریخ انتشار 2008