Immediate Effects of Weight-Bearing Calf Stretching on Ankle Dorsiflexion Range of Motion and Plantar Pressure During Gait in Patients with Diabetes Mellitus.

IF 1.5 4区医学 Q3 DERMATOLOGY

International Journal of Lower Extremity Wounds Pub Date : 2023-09-01 DOI:10.1177/15347346211031318

Noriaki Maeshige, Mikiko Uemura, Yoshikazu Hirasawa, Yoshiyuki Yoshikawa, Maiki Moriguchi, Nobuhide Kawabe, Miki Fujii, Hiroto Terashi, Hidemi Fujino

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引用次数: 3

Abstract

High plantar pressure is a risk factor for diabetic foot ulcers, and it is known that restriction of ankle dorsiflexion range of motion (ROM) causes high plantar pressure. Stretching is a non-invasive and general means to improve ROM; however, the effect of stretching on the ROM and plantar pressure has not been clarified in patients with diabetes mellitus. We aimed to study the effects of intermittent weight-bearing stretching on ankle dorsiflexion ROM and plantar pressure during gait in patients with diabetes mellitus. Seven patients with diabetes mellitus participated, and their triceps surae was stretched using weight-bearing stretching with a stretch board. Five minutes of stretching was performed 4 times with a rest interval of 30 s. Ankle dorsiflexion ROM was measured with the knee flexed and extended. Peak pressure and pressure-time integral during gait were measured and calculated for the rearfoot, midfoot, forefoot, and total plantar surface before and after stretching. Ankle dorsiflexion ROM with the knee extended or bent increased significantly after stretching (P < .05). Peak pressure and the pressure-time integral decreased significantly, especially in the forefoot (P < .01), and these also decreased significantly in the total plantar surface (P < .05). The duration of foot-flat decreased after stretching (P < .05). Weight-bearing stretching improved ankle dorsiflexion ROM and reduced plantar pressure during gait. These results suggest that weight-bearing calf stretching may be an effective means to prevent and treat diabetic foot ulcers.

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负重小腿拉伸对糖尿病患者步态中踝关节背屈活动度和足底压力的直接影响。

高足底压力是糖尿病足溃疡的一个危险因素，众所周知，限制踝关节背屈活动范围(ROM)会导致高足底压力。拉伸是一种非侵入性的、通用的改善ROM的手段;然而，在糖尿病患者中，拉伸对ROM和足底压力的影响尚未明确。我们的目的是研究间歇性负重拉伸对糖尿病患者步态中踝关节背屈、关节活动度和足底压力的影响。7例糖尿病患者，采用负重拉伸板拉伸肱三头肌。拉伸4次，每次5分钟，休息时间30秒。在膝关节屈曲和伸展时测量踝关节背屈度ROM。测量并计算拉伸前后后脚、中足、前脚和足底总表面的峰值压力和压力-时间积分。踝关节背屈度，膝关节伸直或弯曲，拉伸后明显增加(P < 0.05)。峰值压力和压力-时间积分显著降低，尤其是前足(P .01)，足底表面的峰值压力和压力-时间积分也显著降低(P .05)。拉伸后足平底持续时间缩短(P < 0.05)。负重拉伸改善踝关节背屈，减轻步态时足底压力。这些结果表明，负重小腿拉伸可能是预防和治疗糖尿病足溃疡的有效手段。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Lower Extremity Wounds DERMATOLOGY-SURGERY

CiteScore

4.60

自引率

17.60%

发文量

审稿时长

>12 weeks

期刊介绍： The International Journal of Lower Extremity Wounds (IJLEW) is a quarterly, peer-reviewed journal publishing original research, reviews of evidence-based diagnostic techniques and methods, disease and patient management, and surgical and medical therapeutics for lower extremity wounds such as burns, stomas, ulcers, fistulas, and traumatic wounds. IJLEW also offers evaluations of assessment and monitoring tools, dressings, gels, cleansers, pressure management, footwear/orthotics, casting, and bioengineered skin. This journal is a member of the Committee on Publication Ethics (COPE).