A comparison of the anatomical and biomechanical parameters of the foot in Maori and non-Maori

作者: Belinda Ihaka

DOI:

关键词:

摘要: Background: Māori have poorer health outcomes compared to non-Māori and are over-represented in amputation age-standardised mortality rates Aotearoa. There is limited knowledge on the biomechanical parameters of feet with diabetes peripheral neuropathy. Aims: The primary aim was evaluate differences plantar fascia thickness, peak forefoot pressures pressure time integrals under region between without A secondary determine relationship thickness diabetes. Method: cross-sectional observational study conducted 36 participants recruited from two clinical sites (South Auckland North Shore, Auckland). Participants who met inclusion criteria were divided into four groups: diabetes, no diabetes. Plantar measured by ultrasound. Forefoot evaluated. Data groups analysed using a Kruskal Wallis test Pearson’s r-correlation analyse pressure. Results: No significant found age, gender, body mass index (BMI) or duration (for people diabetes) across (p>0.05). showed (p=0.02). Post-hoc analysis demonstrated increases (p=0.04); (p=0.01). Peak for 2nd/3rd MPJ (p=0.01) 4th/5th (p=0.02), but difference 1st (p=0.10). In at (r = 0.77; p =0.01). Conclusion: The preliminary results changes increased lateral Evaluating other risk factors may be used future studies predictors that contribute diabetic foot complications

参考文章(113)
Kirsten J Coppell, Paul L Drury, Winsome R Parnell, Sheila M Williams, Jody C Miller, Jim I Mann, Emmanuel Jo, Prevalence of diagnosed and undiagnosed diabetes and prediabetes in New Zealand: findings from the 2008/09 Adult Nutrition Survey. The New Zealand Medical Journal. ,vol. 126, pp. 23- 42 ,(2013)
David G Armstrong, James S Wrobel, Vickie R Driver, Vickie R Driver, Stephanie C Wu, Foot ulcers in the diabetic patient, prevention and treatment Vascular Health and Risk Management. ,vol. 3, pp. 65- 76 ,(2007)
John Parkinson, Tom Samiric, MZ Ilic, Jillianne Cook, CJ Handley, None, Involvement of proteoglycans in tendinopathy. Journal of Musculoskeletal & Neuronal Interactions. ,vol. 11, pp. 86- 93 ,(2011)
K M Heinemeier, M Kjaer, In vivo investigation of tendon responses to mechanical loading. Journal of Musculoskeletal & Neuronal Interactions. ,vol. 11, pp. 115- 123 ,(2011)
Elena Cuaderes, Gary Lawrence, W. Lyndon Lamb, Myrna Khan, Weight-bearing activity and foot parameters in Native Americans with diabetes with and without foot sensation. Journal of cultural diversity. ,vol. 16, pp. 10- 20 ,(2009)
Solomon Tesfaye, Recent advances in the management of diabetic distal symmetrical polyneuropathy. Journal of Diabetes Investigation. ,vol. 2, pp. 33- 42 ,(2011) , 10.1111/J.2040-1124.2010.00083.X
Adrienne E. Hunt, Richard M. Smith, Marg Torode, Extrinsic Muscle Activity, Foot Motion and Ankle Joint Moments During the Stance Phase of Walking Foot & Ankle International. ,vol. 22, pp. 31- 41 ,(2001) , 10.1177/107110070102200105
P. A. Butterworth, K. B. Landorf, W. Gilleard, D. M. Urquhart, H. B. Menz, The association between body composition and foot structure and function: a systematic review Obesity Reviews. ,vol. 15, pp. 348- 357 ,(2014) , 10.1111/OBR.12130
R. R. de Oliveira, A. Lemos, P. V. de Castro Silveira, R. J. da Silva, S. R. A. de Moraes, Alterations of tendons in patients with diabetes mellitus: a systematic review Diabetic Medicine. ,vol. 28, pp. 886- 895 ,(2011) , 10.1111/J.1464-5491.2010.03197.X
William R. Ledoux, Jane B. Shofer, Jessie H. Ahroni, Douglas G. Smith, Bruce J. Sangeorzan, Edward J. Boyko, Biomechanical differences among pes cavus, neutrally aligned, and pes planus feet in subjects with diabetes. Foot & Ankle International. ,vol. 24, pp. 845- 850 ,(2003) , 10.1177/107110070302401107