Relationship between ankle-dorsiflexion range of motion and plantar wound region in diabetic and peripheral arterial disease patients

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  • 糖尿病・末梢動脈疾患患者における足関節背屈可動域と足底部創傷部位の関係
  • トウニョウビョウ ・ マッショウ ドウミャク シッカン カンジャ ニ オケル アシカンセツ ハイクツカドウイキ ト アシゾコブ ソウショウ ブイ ノ カンケイ

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Abstract

Objective: To clarify the relationship between plantar wound region and ankle-dorsiflexion range of motion in diabetic and peripheral arterial disease patients. Subjects and Methods: A total of 27 limbs of 15 diabetic and peripheral arterial disease patients (18 limbs of males and 9 limbs of females; mean age: 69.9±9.4 years) were selected as study subjects. Background information, presence or absence of diabetes mellitus and hemodialysis, ankle range of motion, knee joint range of motion, plantar wound region, shifted items in the functional independence measure (FIM), ankle-brachial index and skin perfusion pressure were retrospectively extracted from medical records. Plantar wound region was divided into the two parts, forefoot and hindfoot, defining the distal part from the transverse tarsal joint as forefoot. When ankle-dorsiflexion range of motion was not more than 0º, such a case was classified into the confined group, and inter-group comparison was made between the confined and unconfined groups. Results: There were significantly more patients with forefoot wound in the confined group (p<0.01). Conclusion: The study results suggest the necessity of training in ankle-dorsiflexion range of motion for patients with forefoot wound, as well as the possibility that adequate intervention effects may be found by expansion of ankle-dorsiflexion range of motion as part of wound prevention/healing.

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