ArticleBMC musculoskeletal disorders2008
Muscle performance and ankle joint mobility in long-term patients with diabetes.
Article in BMC musculoskeletal disorders, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 72 citations in OpenAlex.
- Could an Internet-Based Foot-Ankle Therapeutic Exercise Program Modify Clinical Outcomes and Gait Biomechanics in People with Diabetic Neuropathy? A Clinical Proof-of-Concept Study.Sensors (Basel, Switzerland) · 2022Trial
- Reliability of Gait Analysis Using ORPHE ANALYTICS in Patients with Type 2 Diabetes: A Single-center Observational Study.JMA journal · 2025Article
- Effect of three-week exercise program on muscle strength and joint mobility in patients with diabetic polyneuropathy: Randomized controlled trial.World journal of diabetes · 2024Review
- The Impact of Peripheral Artery Disease (PAD) on Lower Limb Kinematics in Type 2 Diabetes Mellitus.The review of diabetic studies : RDS · 2021Article
- Relationships within and between lower and upper extremity dysfunction in people with diabetes.Foot (Edinburgh, Scotland) · 2020Article
- Evaluation of the use of therapeutic footwear in people with diabetes mellitus - a scoping review.Journal of diabetes and metabolic disorders · 2019Article
- Influence of Diabetic Distal Symmetric Polyneuropathy on the Performance of the Musculoskeletal System of Lower Leg and Foot.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2019Article
- History, Prevalence and Assessment of Limited Joint Mobility, from Stiff Hand Syndrome to Diabetic Foot Ulcer Prevention: A Narrative Review of the Literature.Current diabetes reviews · 2018Article
- Muscle force distribution of the lower limbs during walking in diabetic individuals with and without polyneuropathy.Journal of neuroengineering and rehabilitation · 2017Article
- Safety of lower extremity neurodynamic exercises in adults with diabetes mellitus: a feasibility study.The Journal of manual & manipulative therapy · 2017Article
- Reduced Lower-Limb Muscle Strength and Volume in Patients With Type 2 Diabetes in Relation to Neuropathy, Intramuscular Fat, and Vitamin D Levels.Diabetes care · 2016Article
- Static and Dynamic Predictors of Foot Progression Angle in Individuals with and without Diabetes Mellitus and Peripheral Neuropathy.Annals of gerontology and geriatric research · 2016Article
- The effects of Task-Oriented Motor Training on gait characteristics of patients with type 2 diabetes neuropathy.Journal of diabetes and metabolic disorders · 2015Article
- Decrease in Talocrural Joint Mobility is Related to Alteration of the Arterial Blood Flow Velocity in the Lower Limb in Diabetic Women.Journal of physical therapy science · 2014Article
- Diabetic foot and exercise therapy: step by step the role of rigid posture and biomechanics treatment.Current diabetes reviews · 2014Review
- Effect of diabetic neuropathy severity classified by a fuzzy model in muscle dynamics during gait.Journal of neuroengineering and rehabilitation · 2014Article
- Predictors of diabetic foot and leg ulcers in a developing country with a rapid increase in the prevalence of diabetes mellitus.PloS one · 2013Article
- Frontal plane hip and ankle sensorimotor function, not age, predicts unipedal stance time.Muscle & nerve · 2012Article
- Mechanosensitivity during lower extremity neurodynamic testing is diminished in individuals with Type 2 Diabetes Mellitus and peripheral neuropathy: a cross sectional study.BMC neurology · 2010Article
- A comparison of lower limb EMG and ground reaction forces between barefoot and shod gait in participants with diabetic neuropathic and healthy controls.BMC musculoskeletal disorders · 2010Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLong-term patients with diabetes and peripheral neuropathy show altered foot biomechanics and abnormal foot loading. This study aimed at assessing muscle performance and ankle mobility in such patients under controlled conditions.
methodsForty six long-term diabetes patients with (DN) and without (D) peripheral neuropathy, and 21 controls (C) were examined. Lower leg muscle performance and ankle mobility were assessed by means of a dedicated equipment, with the patient seated and the examined limb unloaded. 3D active ranges of motion and moments of force were recorded, the latter during maximal isometric contractions, with the foot blocked in different positions.
resultsAll patients showed reduced ankle mobility. In the sagittal and transversal planes reduction vs C was 11% and 20% for D, 20% and 21% for DN, respectively.Dorsal-flexing moments were significantly reduced in all patients and foot positions, the highest reduction being 28% for D and 37% for DN. Reductions of plantar-flexing moments were in the range 12-15% for D (only with the foot blocked in neutral and in dorsal-flexed position), and in the range 10-24% for DN. In all patients, reductions in the frontal and transversal planes ranged 14-41%.
conclusionThe investigation revealed ankle functional impairments in patients with diabetes, with or without neuropathy, thus suggesting that other mechanisms besides neuropathy might contribute to alter foot-ankle biomechanics. Such impairments may then play a role in the development of abnormal gait and in the onset of plantar ulcers.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.