scholarly journals Metatarsophalangeal Hyperextension Movement Pattern Related to Diabetic Forefoot Deformity

2016 ◽  
Vol 96 (8) ◽  
pp. 1143-1151 ◽  
Author(s):  
Victor A. Cheuy ◽  
Mary K. Hastings ◽  
Michael J. Mueller
Keyword(s):  
Diabetic Neuropathy ◽  
Plantar Flexion ◽  
Metatarsophalangeal Joint ◽  
Movement Pattern ◽  
Cross Sectional Study ◽  
Ankle Dorsiflexion ◽  
Cross Sectional ◽  
3 Dimensional ◽  
Foot Motion ◽  
Standing Up

Abstract Background Metatarsophalangeal joint (MTPJ) hyperextension deformity is common in people with diabetic neuropathy and a known risk factor for ulceration and amputation. An MTPJ hyperextension movement pattern may contribute to the development of this acquired deformity. Objective The purpose of this study was to determine, in people with diabetes mellitus and peripheral neuropathy (DM+PN), the ankle and MTPJ ranges of motion that characterize an MTPJ hyperextension movement pattern and its relationship to MTPJ deformity severity. It was hypothesized that severity of MTPJ deformity would be related to limitations in maximum ankle dorsiflexion and increased MTPJ extension during active ankle dorsiflexion movement tasks. Design A cross-sectional study design was used that included 34 people with DM+PN (mean age=59 years, SD=9). Methods Computed tomography and 3-dimensional motion capture analysis were used to measure resting MTPJ angle and intersegmental foot motion during the tasks of ankle dorsiflexion and plantar flexion with the knee extended and flexed to 90 degrees, walking, and sit-to/from-stand. Results The MTPJ extension movement pattern during all tasks was directly correlated with severity of MTPJ deformity: maximum ankle dorsiflexion with knee extended (r=.35; 95% confidence interval [CI]=.02, .62), with knee flexed (r=.35; 95% CI=0.01, 0.61), during the swing phase of gait (r=.47; 95% CI=0.16, 0.70), during standing up (r=.48; 95% CI=0.17, 0.71), and during sitting down (r=.38; 95% CI=0.05, 0.64). All correlations were statistically significant. Limitations This study was cross-sectional, and causal relationships cannot be made. Conclusions A hyperextension MTPJ movement pattern associated with limited ankle dorsiflexion has been characterized in people with diabetic neuropathy. Increased MTPJ extension during movement and functional tasks was correlated with severity of resting MTPJ alignment. Repetition of this movement pattern could be an important factor in the etiology of MTPJ deformity and future risk of ulceration.

scholarly journals Parameters for gait rehabilitation in Tropical Spastic Paraparesis: cross sectional study

2019 ◽  
Vol 9 (1) ◽  
pp. 18-27 ◽  
Author(s):  
Sandra Corradini ◽  
Renata de Sousa Mota ◽  
Maíra Macêdo ◽  
Marina Brasil ◽  
Selena Márcia Dubois-Mendes ◽  
...  
Keyword(s):  
Plantar Flexion ◽  
Spastic Paraparesis ◽  
Cross Sectional Study ◽  
Tropical Spastic Paraparesis ◽  
Foot Drop ◽  
Sectional Study ◽  
Cross Sectional ◽  
Time Asymmetry ◽  
Swing Time ◽  
Flexion And Extension

INTRODUCTION: The gait in people with HTLV-1 associated myelopathy or tropical spastic paraparesis (HAM / TSP) is little known. OBJECTIVE: To evaluate the kinematic profile of gait in people with HAM/TSP. METHODS: A cross-sectional study with 25 people with HAM/TSP and 25 healthy participants. Spatiotemporal and angular data from filming of gait were submitted to kinematic analysis using CVMob software. The gait of partipants with HAM/TSP was analized quantitatively through t Student test (alpha 5% and Power of 80%). The project was approved by Ethical Committee of the Bahiana School of Medicine and Public Health with CAAE 13568213.8.0000.5544. RESULTS: The HAM/TSP group showed significant changes in two different domains of biomechanical gait analysis when compared to healthy controls. The angular variables showed increased trunk inclination, flexion and extension (p<0.05); increased hip flexion and decreased hip extension (p<0.05); decreased knee flexion and extension (p<0.05); decreased ankle dorsi and plantar flexion (p<0.05). Range of Motion was also reduced in all those joints. The spatiotemporal variables showed decreased stride length and increased stride time and speed gait cycle (p<0.001). Those changes point out to reduction in joint amplitudes of hip, knee and ankle, changes in support base and double support time asymmetry between right and left sides, reduction of pre-swing time, hip lift in the mid-swing, and foot drop throughout the swing. CONCLUSION: People with HAM/TSP have gait characterized by reduction in joint amplitudes of hip, knee and ankle, asymmetry between right and left sides and reduction of pre-swing time, hip lift in the mid-swing, and foot drop throughout the swing.

scholarly journals A diurnal fetal movement pattern: Findings from a cross-sectional study of maternally perceived fetal movements in the third trimester of pregnancy

PLoS ONE ◽  
2019 ◽  
Vol 14 (6) ◽  
pp. e0217583 ◽  
Author(s):  
Billie F. Bradford ◽  
Robin S. Cronin ◽  
Christopher J. D. McKinlay ◽  
John M. D. Thompson ◽  
Edwin A. Mitchell ◽  
...  
Keyword(s):  
Movement Pattern ◽  
Cross Sectional Study ◽  
Fetal Movement ◽  
Sectional Study ◽  
Third Trimester ◽  
Cross Sectional ◽  
The Third ◽  
Fetal Movements

scholarly journals Prevalence and characteristics of diabetic polyneuropathy in Passo Fundo, South of Brazil

2007 ◽  
Vol 51 (6) ◽  
pp. 987-992 ◽  
Author(s):  
Gláucia Sarturi Tres ◽  
Hugo R. Kurtz Lisbôa ◽  
Roger Syllos ◽  
Luis Henrique Canani ◽  
Jorge Luiz Gross
Keyword(s):  
Diabetic Neuropathy ◽  
Predictive Value ◽  
Deep Tendon Reflex ◽  
Diabetic Polyneuropathy ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Peripheral Diabetic Neuropathy ◽  
Type 2 Diabetic Mellitus ◽  
South Of Brazil

PURPOSE: The aim of the study was to investigate the prevalence of peripheral diabetic neuropathy (PDN) and associated characteristics among type 2 diabetic mellitus (DM2) patients in Passo Fundo, a city on Southern Brazil. BASIC PROCEDURES: A cross-sectional study was conducted with 340 patients with type 2 diabetes mellitus. Tests were performed to evaluate vibration (tuning fork), light touch (10-g monofilament), temperature, and pain (pinprick) sensations, as well as ankle reflexes and heel walking. The condition was classified as peripheral diabetic neuropathy when results in at least three of these tests were negative. The electrically induced Hoffmann reflex test was performed in a group of patients to define the criterion standard used in the assessment of clinical examination sensibility in the diagnosis of neuropathy. Sensitivity was 83%, specificity, 91%, positive predictive value, 63%, and negative predictive value, 90%. The monofilament, pinprick and deep tendon reflex were the most accurate tests in the diagnosis of neuropathy. MAIN FINDINGS: Seventy-five patients (22.1%) had peripheral diabetic neuropathy, nephropathy in 29.5% and retinopathy in 28.8%. CONCLUSIONS: Logistic regression revealed that only duration of diabetes, creatinine and glycated hemoglobin concentrations were significantly associated with neuropathy.

scholarly journals Metatarsophalangeal joint pain in psoriatic arthritis: a cross-sectional study

Rheumatology ◽  
2013 ◽  
Vol 53 (4) ◽  
pp. 737-740 ◽  
Author(s):  
D. E. Turner ◽  
E. Hyslop ◽  
R. Barn ◽  
I. B. McInnes ◽  
M. P. M. Steultjens ◽  
...  
Keyword(s):  
Psoriatic Arthritis ◽  
Joint Pain ◽  
Metatarsophalangeal Joint ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals A cross-sectional study on the quality of life of patients with peripheral diabetic neuropathy pain in Hospital Tegku Ampaun Afzan, Kuantan, Malaysia

2018 ◽  
Vol 17 (1) ◽  
pp. 161 ◽  
Author(s):  
Sinan Mohammed Abdullah AL-Mahmood ◽  
Tariq Abdul Razak ◽  
Nik Nur Fatnoon Nik Ahmad ◽  
Abdul Hadi Bin Mohamed ◽  
Shahrin Tarmizi Bin Che Abdullah
Keyword(s):  
Quality Of Life ◽  
Diabetic Neuropathy ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Peripheral Diabetic Neuropathy

scholarly journals Ankle Dorsiflexion Among Healthy Men With Different Qualities of Lower Extremity Movement

2014 ◽  
Vol 49 (5) ◽  
pp. 617-623 ◽  
Author(s):  
Alon Rabin ◽  
Zvi Kozol ◽  
Elad Spitzer ◽  
Aharon Finestone
Keyword(s):  
Lower Extremity ◽  
Weight Bearing ◽  
Movement Patterns ◽  
Movement Pattern ◽  
Ankle Dorsiflexion ◽  
Healthy Male ◽  
Cross Sectional ◽  
Quality Of Movement ◽  
Step Down

Context: Lower extremity movement patterns have been implicated as a risk factor for various knee disorders. Ankle-dorsiflexion (DF) range of motion (ROM) has previously been associated with a faulty movement pattern among healthy female participants. Objective: To determine the association between ankle DF ROM and the quality of lower extremity movement during the lateral step-down test among healthy male participants. Design: Cross-sectional study. Setting: Training facility of the Israel Defense Forces. Patients or Other Participants: Fifty-five healthy male Israeli military recruits (age = 19.7 ± 1.1 years, height = 175.4 ± 6.4 cm, mass = 72.0 ± 7.6 kg). Intervention(s): Dorsiflexion ROM was measured in weight-bearing and non–weight-bearing conditions using a fluid-filled inclinometer and a universal goniometer, respectively. Lower extremity movement pattern was assessed visually using the lateral step-down test and classified categorically as good or moderate. All measurements were performed bilaterally. Main Outcome Measure(s): Weight-bearing and non–weight-bearing DF ROM were more limited among participants with moderate quality of movement than in those with good quality of movement on the dominant side (P = .01 and P = .02 for weight-bearing and non–weight-bearing DF, respectively). Non–weight-bearing DF demonstrated a trend toward a decreased range among participants with moderate compared with participants with good quality of movement on the nondominant side (P = .03 [adjusted P = .025]). Weight-bearing DF was not different between participants with good and moderate movement patterns on the nondominant side (P = .10). Weight-bearing and non–weight-bearing ankle DF ROM correlated significantly with the quality of movement on both sides (P &lt; .01 and P &lt; .05 on the dominant and nondominant side, respectively). Conclusions: Ankle DF ROM was associated with quality of movement among healthy male participants. The association seemed weaker in males than in females.

scholarly journals Effects of plantar flexion resistive moment generated by an ankle-foot orthosis with an oil damper on the gait of stroke patients: a pilot study

2012 ◽  
Vol 37 (3) ◽  
pp. 212-221 ◽  
Author(s):  
Sumiko Yamamoto ◽  
Naoki Tomokiyo ◽  
Tadashi Yasui ◽  
Toshikazu Kawaguchi
Keyword(s):  
Plantar Flexion ◽  
Reaction Force ◽  
Three Dimensional ◽  
Chronic Phase ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Ankle Foot Orthosis ◽  
Paretic Limb ◽  
Gait Parameters ◽  
Foot Orthosis

Background: An ankle-foot orthosis with an oil damper was previously developed to assist the first rocker function during gait, but the effects of the amount of resistive moment generated on gait have not been clarified. Objectives: To measure the amount of resistive moment generated by the ankle-foot orthosis with an oil damper during gait and determine its effect on the gait of patients with stroke. Study Design: Preliminary cross-sectional study. Methods: The gait of four patients with stroke in the chronic phase was measured in four conditions: without an ankle-foot orthosis and with the ankle-foot orthosis with an oil damper generating three different amounts of resistive moment. Measurements were taken with a three-dimensional motion analysis system and a specially designed device to determine the resistive moment. Results: The resistive moment was observed in the former half in stance of the paretic limb, and its magnitude was less than 10 N m. Some gait parameters related to terminal stance and preswing were affected by the amount of resistive moment. The forward component of floor reaction force and the shank vertical angle showed peak values when the patients reported feeling most comfortable during gait. Conclusion: Although the resistive moment generated by the ankle-foot orthosis with an oil damper was small, it was sufficient to alter gait. Clinical relevance To maximize the effectiveness of ankle-foot orthoses, it is necessary to know the effects of resistive moment on the gait of patients with stroke. The ankle-foot orthosis with an oil damper assists the first rocker function in gait and also affects the gait in a later phase in stance. The peak values of some gait parameters coincided with patients reporting gait to be most comfortable. It is important to know that ankle-foot orthosis with an oil damper assistance in the first rocker alters the weight acceptance on the paretic limb and affects the gait parameters related to propulsion ability in stance.

Sign in / Sign up

Export Citation Format

Share Document