Individual metatarsal and forefoot kinematics during walking in people with diabetes mellitus and peripheral neuropathy
Individual metatarsal and forefoot kinematics during walking in people with diabetes mellitus and peripheral neuropathy
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DOI：
10.1016/j.gaitpost.2015.07.012
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发表时间：
2015-10-01
期刊：
影响因子：
2.4
通讯作者：
Nawoczenski, Deborah A.
中科院分区：
文献类型：
--
作者：
DiLiberto, Frank E.;Tome, Josh;Nawoczenski, Deborah A.
本研究的目的是比较无畸形或溃疡的糖尿病和周围神经病变（DMPN）患者与健康匹配对照组的单个跖骨节段和统一前足节段的体内运动学角度偏移。招募了30名受试者。使用五段足模型（第1、第3和第5跖骨、跟骨、胫骨）检查行走的最终站立阶段期间的相对3D角度偏移。使用Student t检验评估运动学的组间差异。皮尔森相关和互相关被用来评估个别跖骨和统一的前足的运动之间的关系。DMPN组在所有个体跖骨和统一前足中检测到矢状面角偏移的显著减少（p < 0.01）。DMPN组的额面第3跖骨偏移减少（p = 0.04）。第3和第5跖骨及统一前足偏移量减少（p
The purpose of this study was to compare in-vivo kinematic angular excursions of individual metatarsal segments and a unified forefoot segment in people with Diabetes Mellitus and peripheral neuropathy (DMPN) without deformity or ulceration to a healthy matched control group. Thirty subjects were recruited. A five- segment foot model (1st, 3rd, and 5th metatarsals, calcaneus, tibia) was used to examine relative 3D angular excursions during the terminal stance phase of walking. Student t-tests were used to assess group differences in kinematics. Pearson correlations and cross-correlations were used to assess relationships between the motion of the individual metatarsals and the unified forefoot. Significant reductions of DMPN group sagittal plane angular excursions were detected in all individual metatarsals and the unified forefoot (p < 0.01). Frontal plane 3rd metatarsal excursion was reduced (p = 0.04) in the DMPN group. The 3rd and 5th metatarsal and the unified forefoot excursions were reduced (p