DIABETES AND PERIPHERAL NEUROPATHY ARE RELATED TO HIGHER PASSIVE TORQUE AND STIFFNESS OF THE KNEE AND ANKLE JOINTS

Authors

  • Jean P. Ferreira Department of Physical Therapy, Federal University of São Carlos, SP, Brazil; Department of Morphology, Faculty Morgana Potrich, Mineiros, GO, Brazil https://orcid.org/0000-0002-8460-0024
  • Vanessa L. Araújo Department of Physical Therapy, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil
  • Ângela M. O. Leal Department of Medicine, Federal University of São Carlos, São Carlos, SP, Brazil https://orcid.org/0000-0001-6843-4559
  • Paula R. M. S. Serrão Department of Physical Therapy, Federal University of São Carlos, SP, Brazil https://orcid.org/0000-0002-4547-9161
  • Julya P. M. Perea Department of Physical Therapy, Federal University of São Carlos, SP, Brazil
  • Afonso H. A. Santune Department of Physical Therapy, Federal University of São Carlos, SP, Brazil
  • Henrique Pott-Júnior Department of Medicine, Federal University of São Carlos, São Carlos, SP, Brazil https://orcid.org/0000-0003-3126-2946
  • Ricardo A. S. Fernandes Department of Electrical Engineering, Federal University of São Carlos, SP, Brazil https://orcid.org/0000-0003-2361-6505
  • Gabriel D. A. Aranha Department of Electrical Engineering, Federal University of São Carlos, SP, Brazil; Department of Computer Science, Federal University of São Carlos, SP, Brazil
  • Isabel C. N. Sacco Department of Physical Therapy, Speech and Occupational Therapy, School of Medicine, University of São Paulo, São Paulo, SP, Brazil https://orcid.org/0000-0003-1254-0007
  • Tania F. Salvini Department of Physical Therapy, Federal University of São Carlos, SP, Brazil https://orcid.org/0000-0002-6353-6393

Abstract

The aim of this study was to investigate the ankle and knee stiffness and passive torque in individuals with diabetes mellitus type 2 (DM2), with and without diabetic peripheral neuropathy (DPN) at different speed of motion. Forty-nine male individuals of a similar age were studied (17 with DM2 without DPN, 15 with DM2 and DPN, and 17 controls). Knee and ankle flexion and extension passive torques were assessed on an isokinetic dynamometer at 5°/s, 30°/s, and 60°/s. Our results showed that the individuals with DM2 exhibited greater knee stiffness compared to the controls and the individuals with DPN presented greater ankle stiffness and passive torque compared to the controls and those with DM2 without DPN. The mechanical impairments at the ankle passive structures were most evident at low speeds while the knee alterations were at 30°/s and 60°/s. Although the presence of DPN was a key factor for the increased passive ankle stiffness and torque, it was not related to the increase in the knee passive stiffness. Preventive measures for avoiding stiffness and motion impairments at the ankle and knee could be adopted in the early stages of DM2.

Key words: ankle, knee, joint stiffness, passive torque, range of motion, diabetes mellitus

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Published

2022-07-01

How to Cite

Ferreira, J. P., Araújo, V. L. ., Leal, Ângela M. O. ., Serrão, P. R. M. S. ., Perea, J. P. M. ., Santune, A. H. A. ., Pott-Júnior, H. ., Fernandes, R. A. S. ., Aranha, G. D. A. ., Sacco, I. C. N. ., & Salvini, T. F. . (2022). DIABETES AND PERIPHERAL NEUROPATHY ARE RELATED TO HIGHER PASSIVE TORQUE AND STIFFNESS OF THE KNEE AND ANKLE JOINTS. Kinesiology, 54(1), 92–104. Retrieved from https://hrcak.srce.hr/ojs/index.php/kinesiology/article/view/20271

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Articles