Assessment of lower leg muscle force distribution during isometric ankle dorsi and plantar flexion in patients with diabetes: a preliminary study

被引：18

作者：

Blazkiewicz, Michalina ^{[1
,2
]}

Sundar, Lakshmi ^{[2
,3
]}

Healy, Aoife ^{[2
]}

Ramachandran, Ambady ^{[3
]}

Chockalingam, Nachiappan ^{[2
]}

Naemi, Roozbeh ^{[2
]}

机构：

[1] Jozef Pilsudski Univ Phys Educ, Dept Physiotherapy, PL-00968 Warsaw, Poland

[2] Staffordshire Univ, CSHER, Fac Hlth Sci, Stoke On Trent ST4 2DF, Staffs, England

[3] India Diabet Res Fdn, AR Hosp, Madras, Tamil Nadu, India

来源：

JOURNAL OF DIABETES AND ITS COMPLICATIONS | 2015年 / 29卷 / 02期

关键词：

Diabetic Neuropathy; Musculoskeletal model; Biomechanics; Agonist; Antagonist; HAND-HELD DYNAMOMETRY; PERIPHERAL NEUROPATHY; GAIT CHARACTERISTICS; DYNAMIC SIMULATIONS; LATE COMPLICATION; HUMAN WALKING; STRENGTH; MOVEMENT; MOBILITY; JOINT;

D O I：

10.1016/j.jdiacomp.2014.10.007

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Aim: The aim of this study was to evaluate the differences in ankle muscle strength using hand-held dynamometry and to assess difference in the isometric muscle force distribution between the people with diabetes and control participants. Methods: The maximal muscle strength of ankle plantarflexion, dorsiflexion, eversion, inversion, lesser toes flexors and extensors, hallux flexors, and extensors was assessed in 20 people with diabetes and 20 healthy participants using hand-held dynamometry. The maximal isometric ankle plantarflexion and dorsiflexion were imported to OpenSim software to calculate 12 individual muscle (8 plantarflexors and 4 dorsiflexors) forces acting on ankle joint. Results: A significant reduction in ankle strength for all measured actions and a significant decrease in muscle force for each of the 12 muscles during dorsi and plantar flexion were observed. Furthermore, the ratios of agonist to antagonist muscle force for 6 of the muscles were significantly different between the control group and the group with diabetes. Conclusions: It is likely that the muscles for which the agonist/antagonist muscle force ratio was significantly different for the healthy people and the people with diabetes could be more affected by diabetes. (C) 2015 Elsevier Inc. All rights reserved.

引用

页码：282 / 287

页数：6

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