Integrated kinematics–kinetics–plantar pressure data analysis: A useful tool for characterizing diabetic foot biomechanics

Sawacha, Z.; Guarneri, G.; Cristoferi, G.; Guiotto, Annamaria; Avogaro, Angelo; Cobelli, Claudio

doi:10.1016/j.gaitpost.2011.12.007

Cited by 75 publications

(78 citation statements)

References 26 publications

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“…On the contrary, it is a valuable element in the development of integrated approaches (Sawacha et al, 2012). A typical example is the integration of plantar pressure technology and 3D foot kinematic analysis together with clinically oriented data management, modelling and interpretation.…”

Section: Introductionmentioning

confidence: 99%

Comparison of foot segmental mobility and coupling during gait between patients with diabetes mellitus with and without neuropathy and adults without diabetes

Deschamps

Matricali

Roosen

et al. 2013

Clinical Biomechanics

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Background: Reduction in foot mobility has been identified as a key factor of altered foot biomechanics in individuals with diabetes mellitus. This study aimed at comparing in vivo segmental foot kinematics and coupling in patients with diabetes with and without neuropathy to control adults. Methods: Foot mobility of 13 diabetic patients with neuropathy, 13 diabetic patients without neuropathy and 13 non-diabetic persons was measured using an integrated measurement set-up including a plantar pressure platform and 3D motion analysis system. In this age-, sex-and walking speed matched comparative study; differences in range of motion quantified with the Rizzoli multisegment foot model throughout different phases of the gait cycle were analysed using one-way repeated measures analysis of variance (ANOVA). Coupling was assessed with cross-correlation techniques. Findings: Both cohorts with diabetes showed significantly lower motion values as compared to the control group. Transverse and sagittal plane motion was predominantly affected with often lower range of motion values found in the group with neuropathy compared to the diabetes group without neuropathy. Most significant changes were observed during propulsion (both diabetic groups) and swing phase (predominantly diabetic neuropathic group). A trend of lower cross-correlations between segments was observed in the cohorts with diabetes. Interpretation: Our findings suggest an alteration in segmental kinematics and coupling during walking in diabetic patients with and without neuropathy. Future studies should integrate other biomechanical measurements as it is believed to provide additional insight into neural and mechanical deficits associated to the foot in diabetes.

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Section: Introductionmentioning

confidence: 99%

Comparison of foot segmental mobility and coupling during gait between patients with diabetes mellitus with and without neuropathy and adults without diabetes

Deschamps

Matricali

Roosen

et al. 2013

Clinical Biomechanics

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“…One study (Sawacha et al, 2012a) reported kinematic variables of the 456 foot which were outside the scope of this review and were not included. Therefore, current findings 457 for joint angle kinematics were drawn from one publication investigating barefoot lower limb 458 kinematics (Gomes et al, 2011).…”

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confidence: 99%

Biomechanical characteristics of peripheral diabetic neuropathy: A systematic review and meta-analysis of findings from the gait cycle, muscle activity and dynamic barefoot plantar pressure

Fernando

Crowther

Lazzarini

et al. 2013

Clinical Biomechanics

186

120

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“…(14) Plantar pressure, whether dynamic or static, is measured through Baropodometry, which allows detecting altered pressure points. (18,19) Areas with maximum pressure equals to or higher than 89.22 Kg/cm² are considered susceptible to developing ulcers. (17) At the end of the assessment, it is possible to consider each indicator of the scale in accordance with its degree of compromising.…”

Section: Discussionmentioning

confidence: 99%

Instrumento para avaliação da integridade tissular dos pés de portadores de diabetes melittus

et al. 2013

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Objective: To construct and validate a scale for assessment of the feet of patients with diabetes mellitus according to NOC indicators to the outcome "Tissue Integrity: skin and mucous membranes". Methods: This study was developed using evidence-based nursing. Based on the question: "Which indicators should be employed for assessing the feet of patients with diabetes mellitus?", a search was performed in databases and textbooks and subsequently the construction of a scale and assessment by expert nurses. Results: The final version of the instrument consists of 20 indicators for assessment of the conditions of skin and hair, blood circulation, sensitivity, temperature and foot plantar pressure. Conclusion: The instrument proposed for assessment of tissue integrity of the feet of patients with diabetes mellitus was constructed and validated by expert nurses with a high level of acceptance. ResumoObjetivo: Construir e validar uma escala de avaliação dos pés de portadores de diabetes mellitus, a partir dos indicadores da NOC para o resultado "Integridade Tissular: pele e mucosas". Métodos: Utilizou-se da enfermagem baseada em evidências para realização deste estudo. A partir da questão: "Quais indicadores devem ser utilizados para a avaliação dos pés de pacientes com diabetes mellitus?" foi realizada uma busca em bases de dados e livros-textos e, posterioremente, a construção da escala e a avaliação por enfermeiros peritos. Resultados: A versão final do instrumento consiste em 20 indicadores para avaliação das condições da pele e pêlos, circulação sanguínea, sensibilidade, temperatura e pressão plantar dos pés. Conclusão: O instrumento de avaliação proposto integridade tissular dos pés de portadores de diabetes melittus foi construído e validado por enfermeiros peritos com nível excelente de aceitação.

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Integrated kinematics–kinetics–plantar pressure data analysis: A useful tool for characterizing diabetic foot biomechanics

Cited by 75 publications

References 26 publications

Comparison of foot segmental mobility and coupling during gait between patients with diabetes mellitus with and without neuropathy and adults without diabetes

Comparison of foot segmental mobility and coupling during gait between patients with diabetes mellitus with and without neuropathy and adults without diabetes

Biomechanical characteristics of peripheral diabetic neuropathy: A systematic review and meta-analysis of findings from the gait cycle, muscle activity and dynamic barefoot plantar pressure

Instrumento para avaliação da integridade tissular dos pés de portadores de diabetes melittus

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