An investigation of the foot ankle joint mobility, muscle strength, and foot structure in adolescent with type 1 diabetes

Mutlu, Ebru Kaya; Ünver, Banu; TAŞKIRAN, Hanifegül; Özgen, İlker Tolga

doi:10.1007/s13410-017-0556-3

Cited by 5 publications

(6 citation statements)

References 35 publications

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“…However, no study investigated the foot type by using footprint analysis in children with ADHD. Kaya Mutlu et al [29] reported that SAI and CSI values were lower in adolescents with T1DM, which means a trend toward pes cavus. In addition, Villarroya et al [30] showed a decrease of Clarke's angle and an increase of CSI in obese adolescents compared to healthy ones and concluded that a decrease of Clarke's angle and an increase of CSI were probably due to the continuous bearing of excessive mass from childhood.…”

Section: Discussionmentioning

confidence: 98%

“…Approximately 52-53% of participants in the ADHD group had mild to severe flatfoot, while only 8-13% of participants in the control group had flatfoot. Recent studies, which investigated the foot structure in different populations, indicated that there is a tendency to deviate from normal foot structure based on the footprint evaluations [28][29][30]. However, no study investigated the foot type by using footprint analysis in children with ADHD.…”

Section: Discussionmentioning

confidence: 99%

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The investigation of foot structure within children who have attention-deficit hyperactivity disorder: a case-controlled study

Mutlu

Birinci

Aytutuldu

et al. 2021

Journal of Pediatric Orthopaedics B

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The impairments in motor performance could be related to the foot structure in children with attention-deficit/ hyperactivity disorder (ADHD) while considering the close relationship between foot structure and lower extremity alignment. This study aimed to investigate the foot structure and its relationships between disease severity, physical activity and psychiatric traits in children with ADHD. Children with ADHD (n = 50; mean age: 12.02 ± 1.83 years) and typically developing peers (n = 30; mean age: 12.86 ± 2.56 years) were included. The static footprint analysis was collected by using digital images. The ImageJ program was used to calculate Clarke's angle, Staheli arch index (SAI) and Chippaux-Smirak index (CSI). The Turgay DSM-IV disruptive behavior disorders rating scale (T-DSM-IV-S), physical activity questionnaire for older children (PQ-C), children's depression inventory and state-trait anxiety inventory for children were all used to assess symptoms of ADHD, physical activity, depression, stress and anxiety, respectively. Approximately 52-53% of children with ADHD had mild to severe flatfoot, while only 8-13% of typically developing peers had flatfoot based on SAI and CSI (P = 0.01). Significant correlation was found between Clarke's angle and PQ-C (r = 0.21, P = 0.04). Besides, T-DSM-IV-S was significantly correlated with SAI (r = 0.24, P = 0.01) and CSI (r = 0.25, P = 0.01) in children with ADHD. Children with ADHD had a significantly greater tendency of flatfoot compared to typically developing peers. Besides, the deterioration of the foot structure of children with ADHD was associated with disease severity.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

The investigation of foot structure within children who have attention-deficit hyperactivity disorder: a case-controlled study

Mutlu

Birinci

Aytutuldu

et al. 2021

Journal of Pediatric Orthopaedics B

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“…Existem evidências de alterações funcionais, metabólicas e estruturais no músculo esquelético. Alterações que incluem declínios na força, massa muscular (Andreassen et al, 2014;Kaya Mutlu et al, 2018), propriedades energéticas (Cree-Green et al, 2015;Monaco et al, 2018) e maior fadiga muscular .…”

Section: Discussionunclassified

“…No entanto, o indivíduo diabético não é euglicêmico o dia todo / todos os dias, e Monaco et al, 2019 especulam que períodos de descontrole afeta a massa muscular, mas é necessário um estudo mais aprofundado nessa área. As crianças com DM1 podem ter potência muscular reduzida e aumento da fadigabilidade (Lukács et al, 2012;Kaya Mutlu et al, 2018). Neste sentido, modelos de roedores com diabetes tipo 1 indicam que seus músculos são mais capazes de se machucar (D'Souza et al, 2016) com atraso na regeneração (Monaco et al, 2018).…”

Section: Discussionunclassified

“…Este sistema é afetado por alterações funcionais, metabólicas e estruturais. Alterações que incluem declínios na força, massa muscular (Andreassen et al, 2014;Kaya Mutlu et al, 2018), propriedades energéticas deste tecido (Cree-Green et al, 2015;Monaco et al, 2018) e aumento da fatigabilidade (Lukács et al, 2012;Kaya Mutlu et al, 2018). Além de apresentar um atraso na regeneração (Monaco et al, 2018).…”

Section: Diabetes Mellitus Tipounclassified

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Influência do diabetes tipo 1 na biomecânica corporal e queixas urinárias no terceiro trimestre de gestação

Valério¹

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Primeiramente gostaria de agradecer a Deus e aos meus pais Julio e Mara por me guiarem e me oferecerem alicerce, tranquilidade e amor ao longo da minha jornada. Amor que, ao longo de minha vida, me guia, ensina, sustenta e foi essencial para que eu aprendesse a "caminhar com as próprias pernas". Se hoje trabalho com dedicação e amor ao próximo, nossos irmãos, com respeito e fé, foi porque me espelhei e aprendi com vocês. Dedico tudo de positivo que me tornei e conquistei a vocês que lutaram dia-a-dia para me proporcionar as melhores coisas e cujo o meu amor é imensurável! Ao meu marido Fernando Passador Valerio, minha alma gêmea, companheiro de vida, que sempre me apoiou com seu amor, me ofereceu suporte e incentivou a seguir, mesmo diante das dificuldades. Você me completa, traz mais luz e alegrias para a minha vida. Cada dia perto de você é um presente! À minha avó Yolanda Ranciaro Bibbo (in memorian), por ser minha grande companheira, amiga e guia, cuja a saudade da presença física dói, mas me conforta com sua memória, carinho e ensinamentos. Aos meus irmãos Thiago e Thaisa os quais fui presenteada pelo companheirismo diário, amor e cumplicidade deles nesta vida; Aos meus sobrinhos Luca e Gabriel por me mostrarem o amor e o cuidado sem limites. Me permitem retornar a infância e partilhar de momentos únicos, tendo o prazer de vê-los sorrir e crescer diariamente. Aos meus cunhados Daniel, Maurício e Mariana meus irmãos não de sangue, mas de vida e à minha sogra Fátima pelo amor, apoio, incentivo, carinho e inúmeras alegrias compartilhadas. Aos meus amigos de toda a vida que sempre estão ao meu lado para me fortalecer, em todos os sentidos. Aprendemos juntos a necessidade de resiliência perante às ABSTRACT VALERIO, PM. Influence of type 1 diabetes on body biomechanics and urinary complaints in the third gestational trimester. 2020. 102p.

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Glycemic Control Maintained over Time and Joint Stiffness in Young Type 1 Patients: What Is the Mathematical Relationship?

Francia

Sorelli

Piccini

et al. 2018

J Diabetes Sci Technol

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Background: It is widely known that diabetes can induce stiffness and adversely affect joint mobility even in young patients with type 1 diabetes mellitus (T1D). The aim of this study was to identify a mathematical model of diabetes mellitus long-term effects on young T1D patients. Methods: Ankle joint mobility (AJM) was evaluated using an inclinometer in 48 patients and 146 healthy, sex- BMI-, and age-matched controls. Assuming time invariance and linear superposition of the effects of hyperglycemia, the influence of T1D on AJM was formalized as an impulse response putting into relationship past supernormal HbA1c concentrations with the ankle total range of motion. The proposed model was identified by means of a nonlinear evolutionary optimization algorithm. Results: AJM was significantly reduced in young T1D patients ( P < .001). AJM in both plantar and dorsiflexion was significantly lower in subjects with diabetes than in controls ( P < .001). The identified impulse response indicates that impaired metabolic control requires 3 months to bring out its maximum effect on the reduction of AJM, while the following long-lasting decay phase with the expected AJM recovery times, normally depends on the slow turnover of collagen. HbA1c concentration levels above 7.2% are sufficient to produce a reduction of ankle ROM. Conclusions: In young patients with T1D the lack of glycemic control over time affects AJM. HbA1c levels can serve as a relevant prognostic factor for assessing the progression of LJM in subjects with diabetes.

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An investigation of the foot ankle joint mobility, muscle strength, and foot structure in adolescent with type 1 diabetes

Cited by 5 publications

References 35 publications

The investigation of foot structure within children who have attention-deficit hyperactivity disorder: a case-controlled study

The investigation of foot structure within children who have attention-deficit hyperactivity disorder: a case-controlled study

Influência do diabetes tipo 1 na biomecânica corporal e queixas urinárias no terceiro trimestre de gestação

Glycemic Control Maintained over Time and Joint Stiffness in Young Type 1 Patients: What Is the Mathematical Relationship?

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