Forefoot Plantar Load Assessment While Walking in Patients witha Digital Ulcer and a History of Contralateral Minor Amputation
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- Kiyota Naruaki
- Department of Rehabilitation Medicine, Nagoya Kyoritsu Hospital
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- Kondo Eriko
- Medical Corporation Kajinokikai Training Lab Kawai
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- Ishii Tatsuya
- Department of Rehabilitation Medicine, Nagoya Kyoritsu Hospital
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- Watai Yoko
- Department of Rehabilitation Medicine, Nagoya Kyoritsu Hospital
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- Hayashi Hisae
- Aichi Shukutoku University Faculty of Health and Medical Sciences
Bibliographic Information
- Other Title
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- 小切断後に対側足趾の潰瘍形成を認めた症例の歩行時前足部負荷量の評価
- ショウセツダン ゴ ニ タイソク ソクシ ノ カイヨウ ケイセイ オ ミトメタ ショウレイ ノ ホコウジ ゼン ソクブ フカリョウ ノ ヒョウカ
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Abstract
Minor amputation reduces the contact surface area and results in an imbalance of plantar load. This imbalance of load may lead to a high risk of ulceration in previous lesions of digital amputation. In this case report, we examined the characteristics of plantar load in two walk-in diabetic patients with a history of minor amputation and contralateral digital ulcers. Both patients had peripheral neuropathy and insufficient ankle dorsiflexion was observed. Based on the investigation, the weight-bearing on forefoot ulcer lesions was markedly lower than that on the contralateral minor amputation site. However, in Case 1, the forefoot weight-bearing was higher than average for healthy elderly people, whereas in Case 2, it was lower than average. Although both patients had common physical findings, the 10-meter walking time in Case 1 was approximately 10 seconds shorter than that in Case 2. Comparing the two cases, differences in forefoot load while walking depend on kinematic factors, such as walking speed, even if patients have the same physical findings.
Journal
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- Journal of Japanese Society for Foot Care and Podiatric Medicine
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Journal of Japanese Society for Foot Care and Podiatric Medicine 3 (1), 25-29, 2022
Japanese Society for Foot Care and Podiatric Medicine
