Plantar fascia stiffness in patients with type 2 diabetes mellitus: Stiffness effect on fall risk and gait speed

Q2 Health Professions Foot Pub Date : 2023-09-01 DOI:10.1016/j.foot.2023.102020

Rumeysa Çakici , Tülay Çevik Saldiran , İlke Kara , Hasan Açik

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Abstract

Aims

The primary objective was to compare patients with type 2 diabetes mellitus (T2DM) and healthy peers in terms of plantar fascia (PF) stiffness, fall risk, and gait speed. The second objective was to examine the relationship between stiffness of PF and fall risk, gait speed.

Methods

Fifty patients diagnosed with T2DM (mean duration = 10.74 ± 7.07 years) were included. Myotonometer was used to evaluate the stiffness of PF. To assess the risk of falling, and gait speed, the International Fall Efficiency Scale (FES-I) and the 4-Meter Gait Speed Test (4mGST) were used, respectively.

Results

Compared to healthy controls, PF stiffness (right foot mean difference = 148.99 N/m, left foot mean difference = 113.13 N/m p < .001) was higher in the T2DM group. The FES-I and 4mGST scores were worse in the group with T2DM (p < .05). 12.8 % of FES-I and 23.4 % of 4mGST variance were explained by stiffness of PF.

Conclusions

The results of the study showed that the stiffness of PF changed in patients with T2DM. There was a decrease in gait speed and an increase in the risk of falling as PF stiffness increased.

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2型糖尿病患者足底筋膜僵硬：僵硬对跌倒风险和步态速度的影响。

目的：主要目的是比较2型糖尿病（T2DM）患者和健康同龄人的足底筋膜（PF）硬度、跌倒风险和步态速度。第二个目的是研究PF硬度与跌倒风险、步态速度之间的关系。方法：纳入50例T2DM患者（平均病程=10.74±7.07年）。使用眼压计评估PF的硬度。为了评估跌倒风险和步态速度，分别使用国际跌倒效率量表（FES-I）和4米步态速度测试（4mGST）。结果：与健康对照组相比，PF硬度（右脚平均差=148.99 N/m，左脚平均差=1113.13 N/m p）。结论：研究结果表明，T2DM患者的PF硬度发生了变化。随着PF硬度的增加，步态速度下降，跌倒风险增加。

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来源期刊

Foot Health Professions-Podiatry

CiteScore

2.00

自引率

0.00%

发文量

期刊介绍： The Foot is an international peer-reviewed journal covering all aspects of scientific approaches and medical and surgical treatment of the foot. The Foot aims to provide a multidisciplinary platform for all specialties involved in treating disorders of the foot. At present it is the only journal which provides this inter-disciplinary opportunity. Primary research papers cover a wide range of disorders of the foot and their treatment, including diabetes, vascular disease, neurological, dermatological and infectious conditions, sports injuries, biomechanics, bioengineering, orthoses and prostheses.