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Foot progression angle and medial loading in individuals with diabetes mellitus, peripheral neuropathy, and a foot ulcer.

机译:患有糖尿病,周围神经病变和足溃疡的个体的足部进角和内侧负荷。

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Foot progression angle (FPA) and duration of foot medial column loading during walking were studied in individuals with diabetes mellitus (DM), peripheral neuropathy (PN), and a forefoot ulcer (DMPN), and in age-matched control subjects. FPA was calculated from EMED-ST P-2 pressure maps as the angle formed between the longitudinal axis of the foot and the forward line of progression during walking. The medial loading duration was calculated as the amount of time the center of pressure line spent in the medial side of the foot pressure map. FPA was increased in the DMPN group, on the involved and uninvolved sides [15(9) degrees and 13(4) degrees respectively] compared the control group [9(4) degrees ]. FPA and medial loading duration were significantly correlated in the DMPN group on the involved and uninvolved sides (r>0.54, p<0.036), but were not significantly correlated in the control group (r<|0.07|, p>0.82). This study provides evidence that FPA is an important biomechanical contributor to the pattern of foot loading in individuals with DM, PN, and a forefoot ulcer.
机译:研究了患有糖尿病(DM),周围神经病变(PN)和前足溃疡(DMPN)的个体以及年龄匹配的对照对象的步行过程中足部前进角度(FPA)和足部内侧柱负荷的持续时间。根据EMED-ST P-2压力图,将FPA计算为步行过程中脚的纵轴与前进的前进线之间的夹角。将内侧负荷持续时间计算为压力线中心在足部压力图的内侧花费的时间量。与对照组相比,DMPN组的FPA升高,受累侧和未受累侧分别为[15(9)度和13(4)度]。 DMPN组受累侧和未受累侧的FPA和内侧负荷持续时间显着相关(r> 0.54,p <0.036),而对照组则无显着相关性(r <| 0.07 |,p> 0.82)。这项研究提供了证据,表明FPA是DM,PN和前足溃疡患者脚负荷模式的重要生物力学贡献者。

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