The relationship between passive range of motion and range of motion during gait and plantar pressure measurements
Aims To investigate the relationship between limited joint mobility (LJM; measured both passively and during gait) and plantar pressure measurements. Methods A cross‐sectional study involving 28 diabetic patients with peripheral neuropathy but no plantar ulceration (DN), 25 diabetic patients with...
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| Veröffentlicht in: | Diabetic medicine 2007-11, Vol.24 (11), p.1240-1246 |
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| creator | Turner, D. E. Helliwell, P. S. Burton, A. K. Woodburn, J. |
| description | Aims To investigate the relationship between limited joint mobility (LJM; measured both passively and during gait) and plantar pressure measurements.
Methods A cross‐sectional study involving 28 diabetic patients with peripheral neuropathy but no plantar ulceration (DN), 25 diabetic patients with ulceration (DU), 25 diabetic control patients with no ulceration or peripheral neuropathy (DC), and 25 non‐diabetic reference subjects (NDR). Movements of the ankle joint complex (AJC) and 1st metatarsophalangeal (MTP) joint were recorded, together with plantar pressures.
Results The passive range of motion at the AJC was significantly reduced in all the diabetes groups, but the gait range of motion was comparable with non‐diabetic subjects. At the AJC, no correlation was found between the passive and gait range of motion (ROM) and these were not correlated with plantar pressure variables. At the 1st MTP, a correlation was found between the passive and gait dorsiflexion ROM and a significant correlation existed between gait dorsiflexion ROM at the 1st MTP joint and peak forefoot pressures in the DU group.
Conclusions Despite a significant reduction in the passive ROM at the AJC in the diabetic groups, the gait ROM was indistinguishable from reference subjects and was not correlated with plantar pressure variables. At the 1st MTP joint, a correlation was found between the passive and gait ROM and furthermore the gait ROM was correlated with peak forefoot pressures, suggesting ROM measures at the 1st MTP joint may be preferable to ROM measures at the AJC. |
| doi_str_mv | 10.1111/j.1464-5491.2007.02233.x |
| format | Article |
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Methods A cross‐sectional study involving 28 diabetic patients with peripheral neuropathy but no plantar ulceration (DN), 25 diabetic patients with ulceration (DU), 25 diabetic control patients with no ulceration or peripheral neuropathy (DC), and 25 non‐diabetic reference subjects (NDR). Movements of the ankle joint complex (AJC) and 1st metatarsophalangeal (MTP) joint were recorded, together with plantar pressures.
Results The passive range of motion at the AJC was significantly reduced in all the diabetes groups, but the gait range of motion was comparable with non‐diabetic subjects. At the AJC, no correlation was found between the passive and gait range of motion (ROM) and these were not correlated with plantar pressure variables. At the 1st MTP, a correlation was found between the passive and gait dorsiflexion ROM and a significant correlation existed between gait dorsiflexion ROM at the 1st MTP joint and peak forefoot pressures in the DU group.
Conclusions Despite a significant reduction in the passive ROM at the AJC in the diabetic groups, the gait ROM was indistinguishable from reference subjects and was not correlated with plantar pressure variables. At the 1st MTP joint, a correlation was found between the passive and gait ROM and furthermore the gait ROM was correlated with peak forefoot pressures, suggesting ROM measures at the 1st MTP joint may be preferable to ROM measures at the AJC.</description><identifier>ISSN: 0742-3071</identifier><identifier>EISSN: 1464-5491</identifier><identifier>DOI: 10.1111/j.1464-5491.2007.02233.x</identifier><identifier>PMID: 17956451</identifier><identifier>CODEN: DIMEEV</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Ankle Joint - physiopathology ; Biological and medical sciences ; Biomechanical Phenomena ; Cross-Sectional Studies ; Diabetes Mellitus - physiopathology ; Diabetic Foot - etiology ; Diabetic Foot - physiopathology ; Diabetic Neuropathies - physiopathology ; Endocrinopathies ; Feeding. Feeding behavior ; Female ; foot ulceration ; Fundamental and applied biological sciences. Psychology ; gait ; Gait - physiology ; Humans ; joint mobility ; Male ; Medical sciences ; Middle Aged ; plantar pressures ; Range of Motion, Articular - physiology ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Vertebrates: endocrinology</subject><ispartof>Diabetic medicine, 2007-11, Vol.24 (11), p.1240-1246</ispartof><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5653-e2fbd7378269e6e8ffea47dc876b6057ece954cb4feb23ec838d0493c8f6e0ef3</citedby><cites>FETCH-LOGICAL-c5653-e2fbd7378269e6e8ffea47dc876b6057ece954cb4feb23ec838d0493c8f6e0ef3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1464-5491.2007.02233.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1464-5491.2007.02233.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19203675$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17956451$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Turner, D. E.</creatorcontrib><creatorcontrib>Helliwell, P. S.</creatorcontrib><creatorcontrib>Burton, A. K.</creatorcontrib><creatorcontrib>Woodburn, J.</creatorcontrib><title>The relationship between passive range of motion and range of motion during gait and plantar pressure measurements</title><title>Diabetic medicine</title><addtitle>Diabet Med</addtitle><description>Aims To investigate the relationship between limited joint mobility (LJM; measured both passively and during gait) and plantar pressure measurements.
Methods A cross‐sectional study involving 28 diabetic patients with peripheral neuropathy but no plantar ulceration (DN), 25 diabetic patients with ulceration (DU), 25 diabetic control patients with no ulceration or peripheral neuropathy (DC), and 25 non‐diabetic reference subjects (NDR). Movements of the ankle joint complex (AJC) and 1st metatarsophalangeal (MTP) joint were recorded, together with plantar pressures.
Results The passive range of motion at the AJC was significantly reduced in all the diabetes groups, but the gait range of motion was comparable with non‐diabetic subjects. At the AJC, no correlation was found between the passive and gait range of motion (ROM) and these were not correlated with plantar pressure variables. At the 1st MTP, a correlation was found between the passive and gait dorsiflexion ROM and a significant correlation existed between gait dorsiflexion ROM at the 1st MTP joint and peak forefoot pressures in the DU group.
Conclusions Despite a significant reduction in the passive ROM at the AJC in the diabetic groups, the gait ROM was indistinguishable from reference subjects and was not correlated with plantar pressure variables. At the 1st MTP joint, a correlation was found between the passive and gait ROM and furthermore the gait ROM was correlated with peak forefoot pressures, suggesting ROM measures at the 1st MTP joint may be preferable to ROM measures at the AJC.</description><subject>Ankle Joint - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Biomechanical Phenomena</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes Mellitus - physiopathology</subject><subject>Diabetic Foot - etiology</subject><subject>Diabetic Foot - physiopathology</subject><subject>Diabetic Neuropathies - physiopathology</subject><subject>Endocrinopathies</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>foot ulceration</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>gait</subject><subject>Gait - physiology</subject><subject>Humans</subject><subject>joint mobility</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>plantar pressures</subject><subject>Range of Motion, Articular - physiology</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Vertebrates: endocrinology</subject><issn>0742-3071</issn><issn>1464-5491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUtv1DAURiMEokPhL6BsQGwS_LazYIFKGZAKbIqQurEc53rqIa_aCZ3-e5yZUbtAAry5lu_57CufLMsxKnFab7clZoIVnFW4JAjJEhFCabl7lK3uG4-zFZKMFBRJfJI9i3GLECYVrZ5mJ1hWXDCOV1m4vIY8QGsmP_Tx2o95DdMtQJ-PJkb_KzVNv4F8cHk3LExu-uaPs2YOvt_kG-OnfX9sTT-ZkI8BYpwD5B2YpXbQT_F59sSZNsKLYz3Nvn88vzz7VFx8W38-e39RWC44LYC4upFUKiIqEKCcA8NkY5UUtUBcgoWKM1szBzWhYBVVDWIVtcoJQODoafb6cO8YhpsZ4qQ7Hy20aTYY5qiFYpQSLv8JEsTTzymVwDd_BbGikmLCJE-oOqA2DDEGcHoMvjPhTmOkF4d6qxdVelGlF4d671DvUvTl8ZW57qB5CB6lJeDVETDRmtYlG9bHB64iiIr9DO8O3K1v4e6_B9Afvpwvu5QvDnkfJ9jd5034qUUSw_WPr2ut-NV6LasrzehvfqDIQg</recordid><startdate>200711</startdate><enddate>200711</enddate><creator>Turner, D. E.</creator><creator>Helliwell, P. S.</creator><creator>Burton, A. K.</creator><creator>Woodburn, J.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>7TS</scope><scope>7X8</scope></search><sort><creationdate>200711</creationdate><title>The relationship between passive range of motion and range of motion during gait and plantar pressure measurements</title><author>Turner, D. E. ; Helliwell, P. S. ; Burton, A. K. ; Woodburn, J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5653-e2fbd7378269e6e8ffea47dc876b6057ece954cb4feb23ec838d0493c8f6e0ef3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Ankle Joint - physiopathology</topic><topic>Biological and medical sciences</topic><topic>Biomechanical Phenomena</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes Mellitus - physiopathology</topic><topic>Diabetic Foot - etiology</topic><topic>Diabetic Foot - physiopathology</topic><topic>Diabetic Neuropathies - physiopathology</topic><topic>Endocrinopathies</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>foot ulceration</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>gait</topic><topic>Gait - physiology</topic><topic>Humans</topic><topic>joint mobility</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>plantar pressures</topic><topic>Range of Motion, Articular - physiology</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Vertebrates: endocrinology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Turner, D. E.</creatorcontrib><creatorcontrib>Helliwell, P. S.</creatorcontrib><creatorcontrib>Burton, A. K.</creatorcontrib><creatorcontrib>Woodburn, J.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Physical Education Index</collection><collection>MEDLINE - Academic</collection><jtitle>Diabetic medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Turner, D. E.</au><au>Helliwell, P. S.</au><au>Burton, A. K.</au><au>Woodburn, J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The relationship between passive range of motion and range of motion during gait and plantar pressure measurements</atitle><jtitle>Diabetic medicine</jtitle><addtitle>Diabet Med</addtitle><date>2007-11</date><risdate>2007</risdate><volume>24</volume><issue>11</issue><spage>1240</spage><epage>1246</epage><pages>1240-1246</pages><issn>0742-3071</issn><eissn>1464-5491</eissn><coden>DIMEEV</coden><abstract>Aims To investigate the relationship between limited joint mobility (LJM; measured both passively and during gait) and plantar pressure measurements.
Methods A cross‐sectional study involving 28 diabetic patients with peripheral neuropathy but no plantar ulceration (DN), 25 diabetic patients with ulceration (DU), 25 diabetic control patients with no ulceration or peripheral neuropathy (DC), and 25 non‐diabetic reference subjects (NDR). Movements of the ankle joint complex (AJC) and 1st metatarsophalangeal (MTP) joint were recorded, together with plantar pressures.
Results The passive range of motion at the AJC was significantly reduced in all the diabetes groups, but the gait range of motion was comparable with non‐diabetic subjects. At the AJC, no correlation was found between the passive and gait range of motion (ROM) and these were not correlated with plantar pressure variables. At the 1st MTP, a correlation was found between the passive and gait dorsiflexion ROM and a significant correlation existed between gait dorsiflexion ROM at the 1st MTP joint and peak forefoot pressures in the DU group.
Conclusions Despite a significant reduction in the passive ROM at the AJC in the diabetic groups, the gait ROM was indistinguishable from reference subjects and was not correlated with plantar pressure variables. At the 1st MTP joint, a correlation was found between the passive and gait ROM and furthermore the gait ROM was correlated with peak forefoot pressures, suggesting ROM measures at the 1st MTP joint may be preferable to ROM measures at the AJC.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>17956451</pmid><doi>10.1111/j.1464-5491.2007.02233.x</doi><tpages>7</tpages></addata></record> |
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| source | Wiley Online Library - AutoHoldings Journals; MEDLINE |
| subjects | Ankle Joint - physiopathology Biological and medical sciences Biomechanical Phenomena Cross-Sectional Studies Diabetes Mellitus - physiopathology Diabetic Foot - etiology Diabetic Foot - physiopathology Diabetic Neuropathies - physiopathology Endocrinopathies Feeding. Feeding behavior Female foot ulceration Fundamental and applied biological sciences. Psychology gait Gait - physiology Humans joint mobility Male Medical sciences Middle Aged plantar pressures Range of Motion, Articular - physiology Vertebrates: anatomy and physiology, studies on body, several organs or systems Vertebrates: endocrinology |
| title | The relationship between passive range of motion and range of motion during gait and plantar pressure measurements |
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