Do Clinical Examination Variables Predict High Plantar Pressures in the Diabetic Foot?

2003 ◽  
Vol 93 (5) ◽  
pp. 367-372 ◽  
Author(s):  
James S. Wrobel ◽  
Nancy J. Birkmeyer ◽  
Jennifer L. Dercoli ◽  
John E. Connolly
Keyword(s):  
Body Weight ◽  
Surface Area ◽  
Clinical Examination ◽  
Diabetic Foot ◽  
Cross Sectional Study ◽  
Position Sense ◽  
Joint Position Sense ◽  
Cross Sectional ◽  
Plantar Pressures ◽  
Male Veterans

Elevated plantar pressures are an important predictor of diabetic foot ulceration. The objective of this study was to determine which clinical examination variables predict high plantar pressures in diabetic feet. In a cross-sectional study of 152 male veterans with diabetes mellitus, data were collected on demographics, comorbid conditions, disease severity, neuropathy status, vascular disease, and orthopedic and gait examinations. Univariate predictors included height, weight, body surface area, body weight per square inch of foot surface area, bunion deformity, hammer toe, Romberg’s sign, insensitivity to monofilament, absent joint position sense, decreased ankle dorsiflexion, and fat pad atrophy. Variables that remained significantly associated with high plantar pressures (≥4 kg/cm2) in multivariate analysis included height, body weight per square inch of foot surface area, Romberg’s sign, and insensitivity to monofilament. These results may be useful in identifying patients who would benefit from interventions designed to decrease plantar foot pressures. (J Am Podiatr Med Assoc 93(5): 367-372, 2003)

scholarly journals Limbs joint position sense in patients with chronic non-specific back pain

2018 ◽  
Vol 51 ◽  
pp. 02015
Author(s):  
Natalija Pahomova ◽  
Daina Smite
Keyword(s):  
Back Pain ◽  
Pain Intensity ◽  
Cross Sectional Study ◽  
Position Sense ◽  
Joint Position Sense ◽  
Lower Limbs ◽  
Knee Joints ◽  
Cross Sectional ◽  
Study Results ◽  
General Data

Purpose: To analyze limbs joint positions’ sense and its relationship with pain intensity and duration in patients with chronic non-specific back pain. Methods: Study design: cross-sectional study. For assessment of patients, the following elements were used: general data collection protocol; evaluation of pain intensity using the Visual Analogue Scale; assessment of limb kinesthesia: determination of reposition precision of a 90-degree flexion angle in shoulder, elbow, hip and knee joints. Subjects. The study included 100 patients (88 women, 12 men) with chronic non-specific back pain, who met the selection criteria for the study. The average age of patients was 45.9 ± 11.6 years, and it ranged from 19 to 64 years. Results: All participants of the study were found to have diminished upper and lower limbs kinesthesia. The study results showed plausible (p < 0.05) relation between limbs kinesthesia and pain intensity and duration, and these correlations were significantly determined by pain localization. Conclusion: Limb kinesthesia is plausibly related to the manifestation of pain in patients with chronic non-specific back pain.

scholarly journals Kinesio Tape and Shoulder-Joint Position Sense

2015 ◽  
Vol 50 (8) ◽  
pp. 785-791 ◽  
Author(s):  
Lindsay M. Aarseth ◽  
David N. Suprak ◽  
Gordon R. Chalmers ◽  
Lonnie Lyon ◽  
Dylan T. Dahlquist
Keyword(s):  
Effect Size ◽  
Absolute Error ◽  
Cross Sectional Study ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Cross Sectional ◽  
Kinesio Tape ◽  
University Laboratory ◽  
Shoulder Elevation

Context  Joint position sense (JPS) is a key neuromuscular factor for developing and maintaining control of muscles around a joint. It is important when performing specialized tasks, especially at the shoulder. No researchers have studied how Kinesio Tape (KT) application affects JPS. Objective  To investigate the effects of KT application and no tape on shoulder JPS at increasing shoulder elevations in athletes. Design  Cross-sectional study. Setting  University laboratory. Patients or Other Participants  A total of 27 healthy athletes who did not participate in overhead sports (age = 20.44 ± 1.05 years, height = 175.02 ± 11.67 cm, mass = 70.74 ± 9.65 kg) with no previous pathologic shoulder conditions volunteered for the study. All participants were from 1 university. Intervention(s)  Shoulder JPS was assessed at increasing elevations with and without KT application. Participants attempted to actively replicate 3 target positions with and without the KT and without visual guidance. Main Outcome Measure(s)  We examined absolute and variable repositioning errors at increasing shoulder-elevation levels with and without KT application. Results  Data revealed an interaction between tape and position for absolute error (F2,52 = 4.07, P = .02); simple effects revealed an increase in error, with KT demonstrating a 2.65° increase in error at 90° of elevation compared with no tape (t26 = 2.65, P = .01). The effect size was medium (ω2 = .135). Variable error showed no interaction of tape and position (F2,52 = .709, P = .50). Further analysis of simple effects was not needed. However, we still calculated the effect size and observed small effect sizes for tape (ω2 = .002), position (ω2 = .072), and tape by position (ω2 = .027). Conclusions  At 90° of elevation, shoulder JPS was impaired by the application of KT.

Clinical Utility of the Ankle-Brachial Index and Toe Brachial Index in Patients with Diabetic Foot Ulcers

2020 ◽  
Vol 16 (3) ◽  
pp. 270-277 ◽  
Author(s):  
Mutasem Ababneh ◽  
Mousab Y. Al Ayed ◽  
Asirvatham A. Robert ◽  
Mohamed A. Al Dawish
Keyword(s):  
Diabetic Foot ◽  
Statistical Significance ◽  
Ankle Brachial Index ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Arterial Disease ◽  
Cross Sectional Study ◽  
Screening Tests ◽  
Cross Sectional ◽  
Toe Brachial Index

Background: This cross sectional study investigated the clinical use of the ankle-brachial index (ABI) and toe brachial index (TBI) in 91 type 2 diabetic foot ulcer patients who visited the diabetic foot clinic, Prince Sultan Military Medical City, Saudi Arabia during July 2017 and January 2018. Materials and Methods: The ABI and TBI facilitated the detection of peripheral arterial disease (PAD) and the patients’ medical records were used to collect the clinical and demographic variables. The variables of duration (p = 0.047) and treatment (p = 0.046) of the ABI showed significant differences. Age (p = 0.034) and duration (p = 0.001) were the factors related to the diagnosis of TBI by the “χ2” test. Results: From the TBI, 26.4% of the patients were found to have PAD, while the ABI showed that 21.8% of patients had the condition. However, no statistical significance was noted. From the regression analysis, the variable duration of diabetes (≥ 20 years of age) was recognized as an independent risk factor for TBI. Conclusion: In conclusion, it is recommended both the ABI and TBI to be used as screening tests for PAD in diabetic foot ulcer patients.

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