Lower limb gait joint coordination variability in people with diabetes-related foot ulcers

IF 1.4 3区医学 Q4 ENGINEERING, BIOMEDICAL

Clinical Biomechanics Pub Date : 2024-11-18 DOI:10.1016/j.clinbiomech.2024.106382

Robert G. Crowther , Aaron Robertson , Malindu E. Fernando , Peter A. Lazzarini , Kunwarjit S. Sangla , Jonathan Golledge

{"title":"Lower limb gait joint coordination variability in people with diabetes-related foot ulcers","authors":"Robert G. Crowther , Aaron Robertson , Malindu E. Fernando , Peter A. Lazzarini , Kunwarjit S. Sangla , Jonathan Golledge","doi":"10.1016/j.clinbiomech.2024.106382","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Diabetes-related foot ulcers pose substantial health risks globally, yet the biomechanical intricacies underlying their development remain incompletely understood. This study aimed to evaluate lower limb gait joint coordination variability in individuals with diabetes-related foot ulcers compared to those with diabetes (without diabetes-related foot ulcers) and healthy controls.</div></div><div><h3>Methods</h3><div>A total of 99 participants (diabetes-related foot ulcers cases – 16, Diabetes controls – 50, Health controls – 33) compared three self-paced walking trials. Vector coding, a technique quantifying movement coordination, was employed, analysing hip-knee, knee-ankle, and hip-angle joint couplings in the sagittal plane.</div></div><div><h3>Findings</h3><div>No significant differences in coordination variability were found among the groups. However, distinct coupling pattern frequencies emerged, with diabetes-related foot ulcers cases exhibiting unique anti-phase hip and ankle coupling frequency counts compared to healthy controls.</div></div><div><h3>Interpretation</h3><div>These findings challenge conventional understandings of diabetes-related foot ulcers biomechanics and underscore the complexity of gait in this population.</div></div>","PeriodicalId":50992,"journal":{"name":"Clinical Biomechanics","volume":"121 ","pages":"Article 106382"},"PeriodicalIF":1.4000,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Biomechanics","FirstCategoryId":"5","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0268003324002146","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ENGINEERING, BIOMEDICAL","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Diabetes-related foot ulcers pose substantial health risks globally, yet the biomechanical intricacies underlying their development remain incompletely understood. This study aimed to evaluate lower limb gait joint coordination variability in individuals with diabetes-related foot ulcers compared to those with diabetes (without diabetes-related foot ulcers) and healthy controls.

Methods

A total of 99 participants (diabetes-related foot ulcers cases – 16, Diabetes controls – 50, Health controls – 33) compared three self-paced walking trials. Vector coding, a technique quantifying movement coordination, was employed, analysing hip-knee, knee-ankle, and hip-angle joint couplings in the sagittal plane.

Findings

No significant differences in coordination variability were found among the groups. However, distinct coupling pattern frequencies emerged, with diabetes-related foot ulcers cases exhibiting unique anti-phase hip and ankle coupling frequency counts compared to healthy controls.

Interpretation

These findings challenge conventional understandings of diabetes-related foot ulcers biomechanics and underscore the complexity of gait in this population.

查看原文本刊更多论文

糖尿病足溃疡患者下肢步态关节协调变异性。

背景：与糖尿病相关的足部溃疡在全球范围内对健康构成了巨大的威胁，但人们对其发病背后的生物力学复杂性仍然知之甚少。本研究旨在评估糖尿病相关足部溃疡患者与糖尿病患者（无糖尿病相关足部溃疡）和健康对照组的下肢步态关节协调变异性：共有 99 名参与者（与糖尿病相关的足部溃疡病例-16 人，糖尿病对照组-50 人，健康对照组-33 人）进行了三次自定步行走试验比较。采用矢量编码（一种量化运动协调性的技术）分析矢状面上髋-膝、膝-踝和髋-角关节的耦合情况：研究结果：各组之间的协调变异性无明显差异。然而，出现了不同的耦合模式频率，与健康对照组相比，与糖尿病相关的足部溃疡病例表现出独特的反相髋关节和踝关节耦合频率计数：这些发现挑战了人们对糖尿病相关足部溃疡生物力学的传统理解，强调了这一人群步态的复杂性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Clinical Biomechanics 医学-工程：生物医学

CiteScore

3.30

自引率

5.60%

发文量

189

审稿时长

12.3 weeks

期刊介绍： Clinical Biomechanics is an international multidisciplinary journal of biomechanics with a focus on medical and clinical applications of new knowledge in the field. The science of biomechanics helps explain the causes of cell, tissue, organ and body system disorders, and supports clinicians in the diagnosis, prognosis and evaluation of treatment methods and technologies. Clinical Biomechanics aims to strengthen the links between laboratory and clinic by publishing cutting-edge biomechanics research which helps to explain the causes of injury and disease, and which provides evidence contributing to improved clinical management. A rigorous peer review system is employed and every attempt is made to process and publish top-quality papers promptly. Clinical Biomechanics explores all facets of body system, organ, tissue and cell biomechanics, with an emphasis on medical and clinical applications of the basic science aspects. The role of basic science is therefore recognized in a medical or clinical context. The readership of the journal closely reflects its multi-disciplinary contents, being a balance of scientists, engineers and clinicians. The contents are in the form of research papers, brief reports, review papers and correspondence, whilst special interest issues and supplements are published from time to time. Disciplines covered include biomechanics and mechanobiology at all scales, bioengineering and use of tissue engineering and biomaterials for clinical applications, biophysics, as well as biomechanical aspects of medical robotics, ergonomics, physical and occupational therapeutics and rehabilitation.