Rehabilitation Research Laboratory, Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Champaign, IL, USA.
Physiol Meas. 2013 Jan;34(1):53-66. doi: 10.1088/0967-3334/34/1/53. Epub 2012 Dec 18.
Diabetic foot ulcers are one of the most serious complications associated with diabetes mellitus. Current research studies have demonstrated that biomechanical alterations of the diabetic foot contribute to the development of foot ulcers. However, the changes of soft tissue biomechanical properties associated with diabetes and its influences on the development of diabetic foot ulcers have not been investigated. The purpose of this study was to investigate the effect of diabetes on the biomechanical properties of plantar soft tissues and the relationship between biomechanical properties and plantar pressure distributions. We used the ultrasound indentation tests to measure force-deformation relationships of plantar soft tissues and calculate the effective Young's modulus and quasi-linear viscoelastic parameters to quantify biomechanical properties of plantar soft tissues. We also measured plantar pressures to calculate peak plantar pressure and plantar pressure gradient. Our results showed that diabetics had a significantly greater effective Young's modulus and initial modulus of quasi-linear viscoelasticity compared to non-diabetics. The plantar pressure gradient and biomechanical properties were significantly correlated. Our findings indicate that diabetes is linked to an increase in viscoelasticity of plantar soft tissues that may contribute to a higher peak plantar pressure and plantar pressure gradient in the diabetic foot.
糖尿病足溃疡是糖尿病最严重的并发症之一。目前的研究表明,糖尿病足的生物力学改变导致了足部溃疡的发生。然而,糖尿病相关的足底软组织生物力学特性的变化及其对糖尿病足溃疡发展的影响尚未得到研究。本研究旨在探讨糖尿病对足底软组织生物力学特性的影响,以及生物力学特性与足底压力分布之间的关系。我们使用超声压痕试验来测量足底软组织的力-变形关系,并计算有效杨氏模量和准线性粘弹性参数,以量化足底软组织的生物力学特性。我们还测量了足底压力,以计算峰值足底压力和足底压力梯度。我们的结果表明,与非糖尿病患者相比,糖尿病患者的有效杨氏模量和准线性粘弹性初始模量显著增加。足底压力梯度与生物力学特性显著相关。我们的研究结果表明,糖尿病与足底软组织粘弹性的增加有关,这可能导致糖尿病足的峰值足底压力和足底压力梯度升高。