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距小腿关节活动度降低与糖尿病女性下肢动脉血流速度改变有关。

Decrease in Talocrural Joint Mobility is Related to Alteration of the Arterial Blood Flow Velocity in the Lower Limb in Diabetic Women.

作者信息

Guirro Elaine Caldeira de Oliveira, Guirro Rinaldo Roberto de Jesus, Dibai-Filho Almir Vieira, Montezuma Thais, Vaz Maíta Mara de Oliveira Lima Leite

机构信息

Department of Biomechanics, Medicine and Rehabilitation of the Locomotor Apparatus, Medical School of Ribeirão Preto, University of São Paulo, Brazil.

出版信息

J Phys Ther Sci. 2014 Apr;26(4):553-6. doi: 10.1589/jpts.26.553. Epub 2014 Apr 23.

Abstract

[Purpose] The purpose of this study was to correlate the talocrural range of motion (ROM) and blood flow velocity in the lower limb arteries of diabetic women. [Subjects and Methods] Thirty women were divided into a control group (G1), consisting of 15 sedentary right-handed subjects (41.27 ± 7.24 years old) who had no history of blood system disorder, and a diabetes group (G2), consisting of 15 sedentary right-handed subjects (57.87 ± 6.20 years old) who had type 2 diabetes mellitus. Talocrural ROM was measured by using goniometry for dorsiflexion and plantar flexion movements. In addition, blood flow velocity of the dorsalis pedis, posterior tibial, and popliteal arteries was also assessed. [Results] No significant differences were found between the groups by comparing talocrural ROM and arterial blood velocity. However, a significant association was found in G2 only between the following variables: plantar flexion and blood flow velocity of the dorsalis pedis artery (rs = 0.57), plantar flexion and blood flow velocity of the popliteal artery (rs = 0.50), and dorsiflexion and blood flow velocity of the posterior tibial artery (rs = 0.57). [Conclusion] The decrease in talocrural ROM is related to a decrease in the arterial blood flow velocity in diabetic women.

摘要

[目的] 本研究旨在关联糖尿病女性的距小腿关节活动范围(ROM)与下肢动脉血流速度。[对象与方法] 30名女性被分为对照组(G1),由15名久坐的右利手受试者组成(41.27±7.24岁),她们无血液系统疾病史;以及糖尿病组(G2),由15名久坐的右利手受试者组成(57.87±6.20岁),她们患有2型糖尿病。使用测角计测量距小腿关节背屈和跖屈运动的ROM。此外,还评估了足背动脉、胫后动脉和腘动脉的血流速度。[结果] 通过比较距小腿关节ROM和动脉血流速度,两组之间未发现显著差异。然而,仅在G2组中发现以下变量之间存在显著关联:跖屈与足背动脉血流速度(rs = 0.57)、跖屈与腘动脉血流速度(rs = 0.50)以及背屈与胫后动脉血流速度(rs = 0.57)。[结论] 糖尿病女性距小腿关节ROM的降低与动脉血流速度的降低有关。

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Pathogenesis of diabetic neuropathy: focus on neurovascular mechanisms.糖尿病性神经病的发病机制:关注神经血管机制。
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