Fatores preditivos da marcha em pacientes diabéticos neuropático e não neuropáticos / Predictive factors of gait in neuropathic and non-neurophatic diabetic patients
Acta ortop. bras
;
18(3): 148-151, 2010. tab
Article
in English, Portuguese
| LILACS
| ID: lil-549195
RESUMO
OBJETIVO:
Analisar a amplitude de movimento do tornozelo e as forças de reação vertical do solo envolvidas na marcha de pacientes portadores de diabetes com e sem neuropatia periférica. CASUÍSTICA EMÉTODO:
36 indivíduos divididos em três grupos Controle - GC 10 indivíduos sem diabetes, Diabetes - GD 10 indivíduos portadores de diabetes sem neuropatia periférica e Neuropatia - GDN 16 indivíduos portadores de diabetes e neuropatia diabética periférica. Foi realizada análise da marcha - AMTI® OR6/6, e da amplitude de movimento articular tíbio-társica - Sistema Vicom 640® - de todos os participantes.RESULTADOS:
O primeiro e segundo pico de força vertical de reação do solo são maiores no grupo Neuropatia e a amplitude de movimento articular do tornozelo é menor nos grupos Diabetes e Neuropatia.CONCLUSÃO:
A amplitude de movimento da articulação tíbio-társica está diminuida nos diabetéticos, independente da presença ou ausência de neuropatia periférica, e os diabéticos com neuropatia periférica, apresentaram aumento no primeiro e no segundo pico da força de reação vertical do solo durante a marcha.ABSTRACT
OBJECTIVE:
The purpose of this study was to analyze the range of movement of the ankle and the vertical ground reaction force involved in gait among diabetic patients with and without peripheral neuropathy. SAMPLE ANDMETHOD:
36 individuals were divided into three groups Control group - CG 10 individuals without diabetes, Diabetic group - DG 10 individuals with diabetes without peripheral neuropathy and Neuropathy, and Diabetic neuropathic group - DNG 16 individuals with diabetes and peripheral diabetic neuropathy. Gait - AMTI® OR6/6m and range of tibiotarsal joint movement - System Vicom 640® was carried out in all the participants.RESULTS:
The first and second vertical ground reaction force peaks were statistically higher in the neuropathy group, and the range of ankle motion was lower in the Diabetes and Neuropathy groups.CONCLUSION:
The range of movement of the tibiotarsal joint is lower in diabetics, regardless of the presence or absence of peripheral neuropathy, and diabetics with peripheral neuropathy show an increase in the first and second vertical ground reaction force peaks during walking.
Full text:
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Index:
LILACS (Americas)
Main subject:
Diabetes Mellitus
/
Diabetic Neuropathies
/
Ankle Joint
Type of study:
Prognostic study
/
Risk factors
Limits:
Female
/
Humans
/
Male
Language:
English
/
Portuguese
Journal:
Acta ortop. bras
Journal subject:
Orthopedics
Year:
2010
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade de São Paulo/BR
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