Document Detail


Effect of selected exercises on in-shoe plantar pressures in people with diabetes and peripheral neuropathy.
MedLine Citation:
PMID:  22677098     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: In people with diabetes and peripheral neuropathy (DM+PN), injury risk is not clearly known for weight bearing (WB) vs. non-weight bearing (NWB) exercise. In-shoe peak plantar pressures (PPP) often are used as a surrogate indicator of injury to the insensitive foot.
OBJECTIVE: Compare PPPs in people with DM+PN during selected WB and NWB exercises.
METHODS: Fifteen subjects with DM+PN participated. PPPs were recorded for the forefoot, midfoot, and heel during level walking and compared to; WB exercises--treadmill walking, heel and toe raises, sit to stands, stair climbing, single leg standing; and NWB exercises--stationary bicycling, balance ball exercise and plantar flexion exercise.
RESULTS: Compared to level walking; mean forefoot PPP during treadmill walking was 13% higher, but this difference was eliminated when walking speed was used as a covariate. Mean PPPs were similar or substantially lower for other exercises, except for higher forefoot PPP with heel raise exercises.
CONCLUSIONS: Slow progression and regular monitoring of insensitive feet are recommended for all exercises, but especially for heel raises, and increases in walking speed. The remaining WB and NWB exercises pose no greater risk to the insensitive foot due to increases in PPP compared to level walking.
Authors:
Kshamata M Shah; Michael J Mueller
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2012-06-06
Journal Detail:
Title:  Foot (Edinburgh, Scotland)     Volume:  22     ISSN:  1532-2963     ISO Abbreviation:  Foot (Edinb)     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-09-05     Completed Date:  2013-02-12     Revised Date:  2013-09-03    
Medline Journal Info:
Nlm Unique ID:  9109564     Medline TA:  Foot (Edinb)     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  130-4     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Elsevier Ltd. All rights reserved.
Affiliation:
Movement Science Program, Program in Physical Therapy, Washington University School of Medicine, St. Louis, MO, USA. shahk@wusm.wustl.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Diabetic Neuropathies / physiopathology*
Exercise / physiology*
Female
Foot / physiopathology*
Humans
Male
Pressure*
Shoes
Weight-Bearing / physiology*
Grant Support
ID/Acronym/Agency:
R21 HD058938/HD/NICHD NIH HHS; R21 HD058938/HD/NICHD NIH HHS; UL1 RR024992/RR/NCRR NIH HHS; UL1 TR000448/TR/NCATS NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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