Passive ankle stiffness in subjects with diabetes and peripheral neuropathy versus an age-matched comparison group.

Abstract:

BACKGROUND AND PURPOSE:Patients with diabetes mellitus and peripheral neuropathy (DM and PN) often complain of joint stiffness. Although stiffness may contribute to some of the impairments and functional limitations found in these patients, it has not been quantified in this population. The purpose of this study was to quantify and compare passive ankle stiffness and dorsiflexion (DF) range of motion in subjects with DM and PN versus an age-matched comparison group. SUBJECTS:Thirty-four subjects were tested (17 subjects with DM and PN and 17 subjects in an age-matched comparison group). There were 10 male subjects and 7 female subjects in each group. METHODS:A Kin-Com dynamometer was used to measure passive plantar flexor torque as each subject's ankle was moved from plantar flexion into dorsiflexion at 60(/s. The following variables were compared using a Student t test: initial angle (angle of onset of plantar flexor torque), maximal dorsiflexion angle, plantar flexor muscle excursion (difference between initial angle and maximal dorsiflexion angle), slope of the first half of the plantar flexor torque curve (stiffness 1 measurement), and slope of the second half of the plantar flexor torque curve (stiffness 2 measurement). RESULTS:The subjects with DM and PN had smaller maximal dorsiflexion angles and less plantar flexor muscle excursion than the comparison group. There was no difference in initial angle, stiffness 1 measurement, or stiffness 2 measurement. CONCLUSION AND DISCUSSION:Although the subjects with DM and PN had less dorsiflexion range of motion than did the comparison group, there was no difference in stiffness between the groups. This finding suggests that people with DM and PN have "short" versus "stiff" plantar flexor muscles.

journal_name

Phys Ther

journal_title

Physical therapy

authors

Salsich GB,Mueller MJ,Sahrmann SA

doi

10.1093/ptj/80.4.352

subject

Has Abstract

pub_date

2000-04-01 00:00:00

pages

352-62

issue

4

eissn

0031-9023

issn

1538-6724

journal_volume

80

pub_type

临床试验,杂志文章
  • Neuromuscular electrical stimulation and volitional exercise for individuals with rheumatoid arthritis: a multiple-patient case report.

    abstract:BACKGROUND AND PURPOSE:Muscle atrophy is common in patients with rheumatoid arthritis (RA). Although neuromuscular electrical stimulation (NMES) is a viable treatment for muscle atrophy, there is no evidence about the use of NMES in patients with RA. The purposes of this multiple-patient case report are: (1) to describ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20060123

    authors: Piva SR,Goodnite EA,Azuma K,Woollard JD,Goodpaster BH,Wasko MC,Fitzgerald GK

    更新日期:2007-08-01 00:00:00

  • Physical Activity and Exercise Outcomes in Huntington Disease (PACE-HD): Protocol for a 12-Month Trial Within Cohort Evaluation of a Physical Activity Intervention in People With Huntington Disease.

    abstract:BACKGROUND:Exercise is emerging as an important aspect in the management of disease-related symptoms and functional decline in people with Huntington disease (HD). Long-term evaluation of physical activity and exercise participation in HD has yet to be undertaken. OBJECTIVE:The objective is to investigate the feasibil...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzz075

    authors: Drew CJG,Quinn L,Hamana K,Williams-Thomas R,Marsh L,Dimitropoulou P,Playle R,Griffin BA,Kelson M,Schubert R,Muratori L,Reilmann R,Rosser A,Busse M

    更新日期:2019-09-01 00:00:00

  • Mandatory continuing education--a survey of current activity. A special communication.

    abstract::The purposes of this article are 1) to present a review of the literature addressing issues related to mandatory continuing education (MCE) and 2) to report the responses from three surveys conducted by the Task Force on Mandatory Continuing Education of the Florida Physical Therapy Association, Inc. Questionnaires we...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审

    doi:10.1093/ptj/68.3.374

    authors: Finley C

    更新日期:1988-03-01 00:00:00

  • Effectiveness of nonpharmacological and nonsurgical interventions for patients with rheumatoid arthritis: an overview of systematic reviews.

    abstract::Conclusions based on systematic reviews of randomized controlled trials are considered to provide the highest level of evidence about the effectiveness of an intervention. This overview summarizes the available evidence from systematic reviews on the effects of nonpharmacological and nonsurgical interventions for rheu...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审

    doi:10.2522/ptj.20070039

    authors: Christie A,Jamtvedt G,Dahm KT,Moe RH,Haavardsholm EA,Hagen KB

    更新日期:2007-12-01 00:00:00

  • Finding the "Right-Size" Physical Therapy Workforce: International Perspective Across 4 Countries.

    abstract::Finding the "right-size" physical therapy workforce is an increasingly important issue, but it has had limited study, particularly across nations. This perspective article provides a comprehensive examination of physical therapy workforce issues across 4 countries (United States, Singapore, Portugal, and Bangladesh), ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20160014

    authors: Jesus TS,Koh G,Landry M,Ong PH,Lopes AM,Green PL,Hoenig H

    更新日期:2016-10-01 00:00:00

  • Instructional style preferences: physical therapy faculty members in the United States.

    abstract::The purpose of this study was to describe the instructional styles of physical therapy faculty in basic professional programs in the United States in the academic year 1977-78. The Instructional Styles Inventory of Canfield and Canfield was used to test 311 respondents (61% of the total basic preparation faculty membe...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/60.10.1277

    authors: Payton OD,Hueter AE,McDonald M,Hirt S

    更新日期:1980-10-01 00:00:00

  • Electrode placements for transcutaneous electrical nerve stimulation.

    abstract::Even though transcutaneous electrical nerve stimulation is gaining increasing acceptance as a noninvasive method of pain modulation, many professionals have not been adequately instructed in the many techniques involved in electrode placement. Alternative methods are presented that can be used when more commonly used ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/58.12.1455

    authors: Mannheimer JS

    更新日期:1978-12-01 00:00:00

  • Establishing minimal clinically important differences for scores on the pediatric evaluation of disability inventory for inpatient rehabilitation.

    abstract:BACKGROUND AND PURPOSE:Standardized pediatric assessment tools such as the Pediatric Evaluation of Disability Inventory (PEDI) numerically quantify changes during rehabilitation through test scores, but they are unable to provide client-specific information regarding important changes in function. The purpose of this s...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:

    authors: Iyer LV,Haley SM,Watkins MP,Dumas HM

    更新日期:2003-10-01 00:00:00

  • Test-Retest Reliability of Dual-Task Outcome Measures in People With Parkinson Disease.

    abstract:BACKGROUND:Dual-task (DT) training is gaining ground as a physical therapy intervention in people with Parkinson disease (PD). Future studies evaluating the effect of such interventions need reliable outcome measures. To date, the test-retest reliability of DT measures in patients with PD remains largely unknown. OBJE...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20150244

    authors: Strouwen C,Molenaar EA,Keus SH,Münks L,Bloem BR,Nieuwboer A

    更新日期:2016-08-01 00:00:00

  • Clinical reliability of manual muscle testing. Middle trapezius and gluteus medius muscles.

    abstract::The purposes of this study were to develop a protocol to examine the reliability of manual muscle testing in a clinical setting and to use that protocol to assess the interrater reliability of manually testing the strength of the middle trapezius and gluteus medius muscles. One hundred ten patients with various diagno...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/67.7.1072

    authors: Frese E,Brown M,Norton BJ

    更新日期:1987-07-01 00:00:00

  • Clinical and Ambulatory Gait Speed in Older Adults: Associations With Several Physical, Mental, and Cognitive Health Outcomes.

    abstract:BACKGROUND:Although clinical gait speed may indicate health and well-being in older adults, there is a lack of studies comparing clinical tests with ambulatory gait speed with regard to several health outcomes. OBJECTIVE:The objective of this study was to examine the associations of clinical gait speed, measured by th...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzz186

    authors: De la Cámara MÁ,Higueras-Fresnillo S,Sadarangani KP,Esteban-Cornejo I,Martinez-Gomez D,Veiga ÓL

    更新日期:2020-04-17 00:00:00

  • Effects of exercise on hip range of motion, trunk muscle performance, and gait economy.

    abstract:BACKGROUND AND PURPOSE:The purposes of this study were (1) to examine the effects of a passive hip extension stretching exercise program on hip extension range of motion (ROM), (2) to examine the effects of a trunk flexor exercise program on trunk flexor muscle performance, and (3) to examine the effects of passive hip...

    journal_title:Physical therapy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/ptj/73.7.468

    authors: Godges JJ,MacRae PG,Engelke KA

    更新日期:1993-07-01 00:00:00

  • Relationship of knee extension force to independence in sit-to-stand performance in patients receiving acute rehabilitation.

    abstract:BACKGROUND AND PURPOSE:The ability to rise from a chair is important for independence in everyday life. This study was conducted to determine to what extent knee extension force (KEF) could explain independence in sit-to-stand (STS) performance from a standard chair. SUBJECTS AND METHODS:This was a descriptive and cor...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:

    authors: Eriksrud O,Bohannon RW

    更新日期:2003-06-01 00:00:00

  • Fitkids Treadmill Test: Clinical Utility and Factors Associated With Its Use Among Physical Therapists.

    abstract:BACKGROUND:Although the Fitkids Treadmill Test (FTT) has been validated and normative values are available for healthy 6- to 18-year-old children and adolescents, these facts do not automatically imply uptake of the test in routine practice of physical therapists. OBJECTIVE:The objectives of this study were to evaluat...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzy142

    authors: Kotte EMW,de Groot JF,Winkler AMF,Veenhof C,Takken T

    更新日期:2019-04-01 00:00:00

  • Management of falls in community-dwelling older adults: clinical guidance statement from the Academy of Geriatric Physical Therapy of the American Physical Therapy Association.

    abstract:BACKGROUND:Falls in older adults are a major public health concern due to high prevalence, impact on health outcomes and quality of life, and treatment costs. Physical therapists can play a major role in reducing fall risk for older adults; however, existing clinical practice guidelines (CPGs) related to fall preventio...

    journal_title:Physical therapy

    pub_type: 杂志文章,实务指引

    doi:10.2522/ptj.20140415

    authors: Avin KG,Hanke TA,Kirk-Sanchez N,McDonough CM,Shubert TE,Hardage J,Hartley G,Academy of Geriatric Physical Therapy of the American Physical Therapy Association.

    更新日期:2015-06-01 00:00:00

  • What Influences Patient-Therapist Interactions in Musculoskeletal Physical Therapy? Qualitative Systematic Review and Meta-Synthesis.

    abstract:BACKGROUND:Musculoskeletal physical therapy involves both specific and nonspecific effects. Nonspecific variables associated with the patient, therapist, and setting may influence clinical outcomes. Recent quantitative research has shown that nonspecific factors, including patient-therapist interactions, can influence ...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审

    doi:10.2522/ptj.20150240

    authors: O'Keeffe M,Cullinane P,Hurley J,Leahy I,Bunzli S,O'Sullivan PB,O'Sullivan K

    更新日期:2016-05-01 00:00:00

  • Assessing the reliability of measurements from the Krusen limb load monitor to analyze temporal and loading characteristics of normal gait.

    abstract::This study assessed the reliability of measurements made by four physical therapists on healthy subject gait data recorded from the Krusen limb load monitor. The five components of step (stance time, time up, time to second peak, and force at the first and second peaks) were analyzed. Six components contributing to ga...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/64.2.199

    authors: Carey PB,Wolf SL,Binder-MacLeod SA,Bain RL

    更新日期:1984-02-01 00:00:00

  • Statistical analysis of productivity in one physical therapy department.

    abstract::The purposes of this retrospective study were to document productivity-relevant measurements, describe the relationships between these measurements, and discuss the implications of the relationships in one physical therapy department. The department's inputs (clinician and staff hours worked), outputs (patient visits,...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/67.10.1553

    authors: Bohannon RW

    更新日期:1987-10-01 00:00:00

  • Utilization and Payments of Office-Based Physical Rehabilitation Services Among Individuals With Commercial Insurance in New York State.

    abstract:BACKGROUND:Limited research exists on the utilization and payments of physical rehabilitation services, especially among individuals with commercial insurance. OBJECTIVE:This study aimed to characterize the utilization and payments of office-based physical rehabilitation services among nonelderly individuals with comm...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20150060

    authors: Liu X,Hanney WJ,Masaracchio M,Kolber MJ

    更新日期:2016-02-01 00:00:00

  • Core journals that publish clinical trials of physical therapy interventions.

    abstract:OBJECTIVE:The objective of this study was to identify core journals in physical therapy by identifying those that publish the most randomized controlled trials of physical therapy interventions, provide the highest-quality reports of randomized controlled trials, and have the highest journal impact factors. DESIGN:Thi...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20090419

    authors: Costa LO,Moseley AM,Sherrington C,Maher CG,Herbert RD,Elkins MR

    更新日期:2010-11-01 00:00:00

  • Implementation of the problem-oriented progress note in a skilled nursing facility.

    abstract::Problem-oriented style progress notes were implemented in a skilled nursing facility where problem-oriented medical records were not in use. The problem-oriented note consists of subjective information, objective information, analysis or assessment of the problems, and plan for treatment, and is called a SOAP note. Si...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/59.2.160

    authors: Shaughnessy MK,Burnett CN

    更新日期:1979-02-01 00:00:00

  • Effects of high voltage stimulation on cutaneous wound healing in rabbits.

    abstract::The primary purpose of this study was to determine whether high voltage stimulation (HVS) enhances wound healing. Forty female rabbits were assigned to experimental or control groups and followed for four or seven days. We classified the groups as Exp4, Con4, Exp7, and Con7, respectively. Each animal was anesthetized,...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/67.5.662

    authors: Brown M,Gogia PP

    更新日期:1987-05-01 00:00:00

  • Value-Based Care for Musculoskeletal Pain: Are Physical Therapists Ready to Deliver?

    abstract::Early physical therapy models hold great promise for delivering high-value care for individuals with musculoskeletal pain. However, existing physical therapist practice and research standards are misaligned with value-based principles, which limits the potential for growth and sustainability of these models. This Pers...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzz171

    authors: Lentz TA,Goode AP,Thigpen CA,George SZ

    更新日期:2020-04-17 00:00:00

  • Influence of Hip Abductor Strength on Functional Outcomes Before and After Total Knee Arthroplasty: Post Hoc Analysis of a Randomized Controlled Trial.

    abstract:Background:Total knee arthroplasty (TKA) is associated with declines in hip abductor (HA) muscle strength; however, a longitudinal analysis demonstrating the influence of TKA on trajectories of HA strength change has not been conducted. Objective:The purpose of this study was to quantify changes in HA strength from pr...

    journal_title:Physical therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/ptj/pzx066

    authors: Loyd BJ,Jennings JM,Judd DL,Kim RH,Wolfe P,Dennis DA,Stevens-Lapsley JE

    更新日期:2017-09-01 00:00:00

  • After-effect of microneurography in humans. Part IV.

    abstract::Twenty subjects were followed up to three months after microneurographic recording of sympathetic nerve fiber activity to determine the nature and incidence of sequelae to the invasive microneurographic procedure. Skin or muscle parethesias lasting two weeks on the average were reported by the majority of subjects. Ni...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/61.11.1585

    authors: Littell EH

    更新日期:1981-11-01 00:00:00

  • Development of a test of motor-planning ability.

    abstract::Two hundred ten children ranging in age from 6 to 12 years were tested on a battery of items involving motor-planning ability. The most significant items from the original battery were selected through statistical analysis. From this selection, a brief and easy-to-administer test battery was devised that does not requ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/60.9.1129

    authors: Cornish SV

    更新日期:1980-09-01 00:00:00

  • Teaching. A skill in clinical practice.

    abstract::I surveyed by questionnaire a random sample of 585 physical therapists and the administrators of all accredited and developing entry-level educational programs on record with the American Physical Therapy Association in March 1981 to determine attitudes toward, involvement in, and preparation for teaching as a skill i...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/63.10.1627

    authors: May BJ

    更新日期:1983-10-01 00:00:00

  • Effects of length on the catchlike property of human quadriceps femoris muscle.

    abstract:BACKGROUND AND PURPOSE:Recent reports have suggested that electrical stimulation trains that take advantage of the catchlike property of skeletal muscle can produce higher forces from skeletal muscle than traditionally used constant-frequency trains. This study investigated the effects of catchlike-inducing trains on h...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:

    authors: Lee SC,Gerdom ML,Binder-Macleod SA

    更新日期:1999-08-01 00:00:00

  • Glossopharyngeal and neck accessory muscle breathing in a young adult with C2 complete tetraplegia resulting in ventilator dependency.

    abstract:BACKGROUND AND PURPOSE:This case report describes the use of glossopharyngeal breathing (GPB) and neck accessory muscle breathing (NAMB) in the treatment of an individual who was dependent on a ventilator secondary to a spinal cord injury. CASE DESCRIPTION:The patient was a 19-year-old man with C2 complete tetraplegia...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审

    doi:

    authors: Warren VC

    更新日期:2002-06-01 00:00:00

  • Spasticity: its physiology and management. Part I. Neurophysiology of spasticity: classical concepts.

    abstract::Spasticity, seen so frequently in clinical situations, presents motor signs resembling those produced experimentally by transecting the brain stem of a cat at the intercollicular level. This paper reviews experimental results which elucidate the roles of different brain regions in the genesis of classical decerebrate ...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审

    doi:10.1093/ptj/57.4.371

    authors: Bishop B

    更新日期:1977-04-01 00:00:00