Role of ankle mobility in foot rollover during gait in individuals with diabetic neuropathy

Sacco, Isabel de Camargo Neves; Hamamoto, Adriana Naomi; Gomes, Aline A.; Onodera, Andrea Naomi; Hirata, Rogério Pessoto; Hennig, Ewald M.

doi:10.1016/j.clinbiomech.2009.05.003

Cited by 100 publications

(102 citation statements)

References 47 publications

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“…Sacco et al [11] evaluated the plantar pressure in the anterior, middle, and posterior areas. The results showed that diabetic patients have less motion in the ankle joint in the static phase and less ankle flexion in the heel while contacting the ground.…”

Section: Introductionmentioning

confidence: 99%

“…The results showed that diabetic patients have less motion in the ankle joint in the static phase and less ankle flexion in the heel while contacting the ground. The maximum amount of pressure and maximum time for its application in diabetic patients is in the middle part of the foot and separation phase of the heels from the ground, compared to the heel contact with the ground [11]. The results of study by Menez et al (2004) on the old people with diabetic neuropathy indicate that the gait speed, motion rhythm, and stride length in these people decrease and instances of rhythmic acceleration in the head and pelvis is lower compared to the control group [12].…”

Section: Introductionmentioning

confidence: 99%

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The Effects of Various Orthotic Treatments on the Standing and Walking Performance of Diabetic Patients

Rezaeian

Karimi

2017

PTJ

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Purpose: Today considering the high prevalence of diabetes and its associated pressure ulcers, also irreparable consequences such as amputation and death, the use of orthotic devices is increasing. A variety of devices have designed to prevent ulcers in the patients' feet, however other aspects of the treatment, especially the performance of these patients in standing and walking, which are their main daily activities, have not been considered in designing and use of orthotic devices. In addition, the differences between the available devices and their effects have not been described yet. Therefore the aim of this review article is to answer these issues. Methods:A comprehensive research was done in databases of PubMed, Google Scholar, and ISI Web of Knowledge. The keywords such as "diabetic neuropathy", "orthosis", "plantar pressure", "balance", "energy consumption", and "spatial-temporal parameters of gait" and their results were analyzed. The quality of articles were evaluated by Downs and Black tool.Results: After proper search, 245 English articles were found with the related keywords. Then, 184 articles were excluded because of a common title or incomplete text. Also, 25 articles were excluded from the study, because their contents did not relate highly to this study or have reasonable conclusion based on the findings of other articles. Eventually the results of 36 articles were examined and reported. Conclusion:This study has examined the various articles from randomized control trial to case report. Most studies emphasized on the reduction of plantar pressures and ulcer treatment with orthotic devices. A few studies are available on the effects of orthosis in standing balance and walking parameters. However, no study was found with regard to the effect of orthotic treatments on energy consumption in these patients. Because this topic is very important, it is suggested that future studies be focused on these issues.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Effects of Various Orthotic Treatments on the Standing and Walking Performance of Diabetic Patients

Rezaeian

Karimi

2017

PTJ

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“…A premature plantar flexion at the heel-strike of the diabetic subjects results in a early foot flattening causing an increase in the load on the anterior regions of the foot that may lead to ulcerations, as observed in previous works (van Sacco et al, 2009). …”

Section: Effect Of the Diabetic Neuropathy And Cadence On Joint Kinemmentioning

confidence: 60%

“…A Biomecânica da Marcha de Diabéticos: ativação muscular de membro inferior A representação da atividade eletromiográfica através de envoltórios lineares é considerada uma técnica interessante para descrever padrões locomotores (Shiavi e Green, 1983;Shiavi, 1985 Reduzidas amplitudes de movimento ativas e na marcha (Mueller et al, 1994a;Sauseng e Kastenbauer, 1999;Sacco e Amadio, 2000;Sacco et al, 2009a), diferenças nos padrões cinéticos com modificações nas forças reação do solo verticais e horizontais e momentos de força articulares (Mueller et al, 1994a;Sacco e Amadio, 2000;, além de reduzidas e atrasadas atividades elétricas musculares de membros inferiores Sacco e Amadio, 2003; , o que prejudica a ação inicial de vasto lateral, músculo mais solicitado nesta tarefa (Joseph e Watson, 1967;McFadyen e Winter, 1988), para a elevação do corpo no degrau superior. Sendo a locomoção na escada uma tarefa simétrica, pode-se concluir que a ativação observada no membro ipsilateral ocorre de forma similar no membro contralateral.…”

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“…Smaller range of motion in the ankle, alterations in spatio-temporal patterns Sauseng and Kastenbauer, 1999;Sacco and Amadio, 2000;Sacco et al, 2009), differences in kinetic patterns with modified ground reaction forces and joint moments of force Sacco and Amadio, 2000;, and delayed lower limbs muscle activity , are some of the biomechanical changes observed in the stance phase during self selected cadence in neuropathic. Particularly, changes in the lower limb EMG activity observed in diabetics are subtle (4-7% delayed activation in the stance phase) and also controversial between authors ).…”

Section: Introductionmentioning

confidence: 99%

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Contribuições da biomecânica para o estudo da neuropatia diabética e suas consequências para o movimento plantar

Sacco¹

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From treatment to preventive actions: improving function in patients with diabetic polyneuropathy

Sacco

Sartor

2016

Diabetes Metabolism Res

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Diabetic polyneuropathy is an insidious and long-term complication of this disease. Synergistic treatments and preventive actions are crucial because there are no clear boundaries for determining when health professionals should intervene or what intervention would best avoid the consequences of neuropathy. Until now, most therapies to any diabetic individual were applied only after the patient's limb was ulcerated or amputated. The loss of muscle and joint functions is recognized as the main cause of plantar overloading. However, if foot and ankle exercises are performed following the early diagnosis of diabetes, they can enable the patient to maintain sufficient residual function to interact with the environment. This article summarizes the current knowledge about the musculoskeletal deficits and biomechanical alterations caused by neuropathy. It also describes the potential benefits of foot and ankle exercises for any diabetic patient that is not undergoing the plantar ulcer healing process. We concentrate on the prevention of the long-term deficits of neuropathy. We also discuss the main strategies and protocols of therapeutic exercises for joints and muscles with deficits, which are applicable to all diabetic patients with mild to moderate neuropathy. We describe further efforts in exploiting the applicability of assistive technologies to improve the adherence to an exercise program. Following the contemporary trends towards self-monitoring and self-care, we developed a software to monitor and promote personalized exercises with the aim of improving autonomous performance in daily living tasks. Initiatives to prevent the complications of functional diabetes are highly recommended before it is too late for the patient and there is no longer an opportunity to reverse the tragic consequences of neuropathy progression.

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Role of ankle mobility in foot rollover during gait in individuals with diabetic neuropathy

Cited by 100 publications

References 47 publications

The Effects of Various Orthotic Treatments on the Standing and Walking Performance of Diabetic Patients

The Effects of Various Orthotic Treatments on the Standing and Walking Performance of Diabetic Patients

Contribuições da biomecânica para o estudo da neuropatia diabética e suas consequências para o movimento plantar

From treatment to preventive actions: improving function in patients with diabetic polyneuropathy

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