Muscle Weakness and Foot Deformities in Diabetes

Schie, Carine H.M. van; Vermigli, Cristiana; Carrington, Anne L.; Boulton, Andrew J.M.

doi:10.2337/diacare.27.7.1668

Cited by 109 publications

(95 citation statements)

References 37 publications

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“…Similar to previous research, our studies have determined a relationship between neurologic disability scores and nerve conduction values (23,24). Our study has also shown that sensory and autonomous neuropathies usually progress as the diabetes period prolongs, which is also consistent with the literature (25).…”

Section: Discussionsupporting

confidence: 91%

“…Van Schie et al determined decreased peroneal nerve conduction, particularly in the tibial nerve, with increased muscle weakness in groups with a history of diabetic neuropathy or diabetic foot ulcer, and described that this might be an independent risk factor for development of foot ulcer development (23). Comparison of muscle strength and ENG findings in our subjects demonstrated a decreased nerve conduction velocity and increased distal latency depending on the degree of muscle weakness and clinical severity of polyneuropathy.…”

Section: Discussionsupporting

confidence: 49%

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Effect of polyneuropathy on development of unilateral diabetic foot ulcer

Kaleağasi¹,

Aslan²,

Bozdemir³

et al. 2013

Turk J Med Sci

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Zinc selenide (ZnSe) thin films were deposited on glass substrate using the chemical bath deposition method at room temperature from aqueous solutions of zinc sulphate and sodium selenosulfate in which sodium hydroxide was employed as complexing agents. The 'as-deposited' ZnSe thin films are red in color and annealed in oven at 473 K for 1 hour and on a hot plate in open air at 333 K for 5 minutes, affecting the morphological and optical properties. Optical properties such as absorption coefficient α and extinction coefficient k, were determined using the absorbance and transmission measurement from Unico UV-2102 PC spectrophotometer, at normal incidence of light in the wavelength range of 200-1000 nm. The films have transmittance in VIS-NIR regions that range between 26 and 87%. From absorbance and transmittance spectra, the band gap energy determined ranged between 1.60 eV and 1.75 for the 'as deposited' samples, and the annealed samples exhibited a band gap shift of 0.15 eV. The high transmittance of the films together with its large band gap made them good materials for selective coatings for solar cells.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 49%

Effect of polyneuropathy on development of unilateral diabetic foot ulcer

Kaleağasi¹,

Aslan²,

Bozdemir³

et al. 2013

Turk J Med Sci

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“…Lower extremity problems represent the most common source of complications and hospitalization in the diabetic population [1] . Previous studies of persons with diabetes have identified neuropathy (loss of protective sensation), peripheral vascular disease, prior foot ulcer, or previous amputation as risk factors for developing a foot ulcer [2] .…”

Section: Introductionmentioning

confidence: 99%

Results of a 60 second foot screening for patients with diabetes conducted on the 2011 world diabetes day

Adejumo

Fasanmade²

2013

JNEP

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Background: One of the disabling complications of diabetes is foot ulcer and a major way of preventing this complication is access to prompt and regular foot screening. However, because of many competing health demands of the patients, foot screening does not receive adequate attention and many do not get to be screened early enough especially in the developing countries like Nigeria. This study applied a foot screening protocol on diabetic patients who converged at the 2011 annual World Diabetes Day held in Ibadan, Nigeria. Methods:This study was a one-day cross-sectional survey. Patients were screened for the risk of diabetic foot using the 60 Second Diabetic Foot Screen. The screening covered aspects of past histories of foot ulcers, circulatory disorders, foot deformities and peripheral neuropathy. Data were analysed using descriptive and inferential statistics at p=0.05. Results:Seventy-five patients with mean age of 60.0±12.6 years participated in the screening. Foot deformities (12%), thick planter calluses (13.3%), maceration between toes (16%) and peripheral neuropathy (21.3%) were seen among the patients. Overall, 29.2% of the patients presented with at least a risk for the development of foot ulcer and only random blood glucose was significantly associated (p=0.018) with peripheral neuropathy. Conclusions:This study has shown that about one out of every three of the patients with diabetes presented with at least a risk for the development of foot ulcer. This study has also demonstrated that foot screening carried out on special days like the World Diabetes Days may serve as an opportunity to provide at least once in a year foot screening access to patients with diabetes.

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“…In a follow-up study, high HbA 1c , height, female sex, and cigarette smoking were independent risk factors for progression of diabetic polyneuropathy (10). Weakness evaluated by manual testing has been reported to be an independent risk factor for the development of foot ulcers (11,12), probably because muscle weakness at the ankle and knee in diabetic neuropathy leads to abnormal application of pressure at the sole of the foot during walking (2). This indicates that motor dysfunction is of importance for this severe neuropathic complication and is relevant to monitor in the clinic and in clinical trials.…”

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confidence: 99%

Muscle Weakness

2006

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The aim of the study was to determine the progression of muscle weakness in long-term diabetes and its relation to the neuropathic condition. Thirty patients were recruited from a cohort of 92 diabetic patients who participated in a study on muscular function 6 -8 years earlier. Nine subjects were nonneuropathic, 9 had asymptomatic neuropathy, and 12 had symptomatic neuropathy. Thirty matched control subjects who participated in the initial studies were also included. At follow-up, isokinetic dynamometry at the ankle, electrophysiological studies, vibratory perception thresholds, and clinical examination (neuropathy symptom score and neurological disability score [NDS]) were repeated. The annual decline of strength at the ankle was 0.7 ؎ 1.7% in control subjects, 0.9 ؎ 1.9% in nonneuropathic patients, 0.7 ؎ 3.1% in asymptomatic neuropathic patients, and 3.2 ؎ 2.3% in symptomatic neuropathic patients. In the symptomatic patients, the decline of muscle strength at the ankle was significant when compared with matched control subjects (P ‫؍‬ 0.002) and with the other diabetic groups (P ‫؍‬ 0.023). Also, the annual decline of muscle strength at the ankle was related to the combined score of all measures of neuropathy (r ‫؍‬ ؊0.42, P ‫؍‬ 0.03) and to the NDS (r ‫؍‬ ؊0.52, P ‫؍‬ 0.01). In patients with symptomatic diabetic neuropathy, weakness of ankle plantar and dorsal flexors is progressive and related to the severity of neuropathy. Diabetes 55: 806 -812, 2006

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Muscle Weakness and Foot Deformities in Diabetes

Cited by 109 publications

References 37 publications

Effect of polyneuropathy on development of unilateral diabetic foot ulcer

Effect of polyneuropathy on development of unilateral diabetic foot ulcer

Results of a 60 second foot screening for patients with diabetes conducted on the 2011 world diabetes day

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