The effect of limited joint mobility and claw toe for foot plantar pressure on diabetic foot

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  • Kawabe Nobuhide
    Department of Physical Therapy, Chigasaki Rehabilitation College
  • Tabuse Tomohiko
    Department of Rehabilitation, Japan Community Health Care Organization, Yokohama Hodogaya Central Hospital
  • Yamasaka Nanako
    Department of Rehabilitation, Japan Community Health Care Organization, Yokohama Hodogaya Central Hospital
  • Hirose Noriko
    Department of Rehabilitation, Japan Community Health Care Organization, Yokohama Hodogaya Central Hospital
  • Yonemoto Ryuma
    Department of Physical Therapy, Chigasaki Rehabilitation College

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Other Title
  • 糖尿病足病変における関節可動域制限およびclaw toe が歩行時足底圧へ及ぼす影響
  • トウニョウビョウ ソク ビョウヘン ニ オケル カンセツ カドウイキ セイゲン オヨビ claw toe ガ ホコウジ アシゾコアツ エ オヨボス エイキョウ

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Abstract

Objectives: It is clear that abnormality of foot pressure of diabetes foot is related to limited ankle dorsiflexion (LA) and claw toe (CT). However it is not clear how the abnormality is influenced by these two factors. We investigated the effects of LA and CT on foot pressure during gait. Method: The subjects were 55 feet (F) of 55 type2 diabetic patients. We divided into 3 groups: group N (without LA/CT, 27 patients/F), group L (with LA without CT, 23 patients/F), group LC (with LA/CT, 5 patients/F). We made a comparison of these 3 groups about foot pressure during gait. Result: Compared with group N, maximal foot pressure of group LC and maximal forefoot pressure of group L were higher. Foot pressure during gait had a correlation with LA and limited 1st MTP joint extension. Conclusion: This study suggested the following two things. LA mainly lead to abnormality of foot pressure. The combination of CT and LA lead to foot pressure ascent.

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