2 型糖尿病患者的足底筋膜僵硬：僵硬对跌倒风险和步态速度的影响。
Plantar fascia stiffness in patients with type 2 diabetes mellitus: Stiffness effect on fall risk and gait speed.
机构信息
Department of Physiotherapy and Rehabilitation, Institute of Health Sciences, Istanbul Okan University, Istanbul, Turkey.
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bitlis Eren University, Bitlis, Turkey.
出版信息
Foot (Edinb). 2023 Sep;56:102020. doi: 10.1016/j.foot.2023.102020. Epub 2023 Mar 17.
AIMS
The primary objective was to compare patients with type 2 diabetes mellitus (T2DM) and healthy peers in terms of plantar fascia (PF) stiffness, fall risk, and gait speed. The second objective was to examine the relationship between stiffness of PF and fall risk, gait speed.
METHODS
Fifty patients diagnosed with T2DM (mean duration = 10.74 ± 7.07 years) were included. Myotonometer was used to evaluate the stiffness of PF. To assess the risk of falling, and gait speed, the International Fall Efficiency Scale (FES-I) and the 4-Meter Gait Speed Test (4mGST) were used, respectively.
RESULTS
Compared to healthy controls, PF stiffness (right foot mean difference = 148.99 N/m, left foot mean difference = 113.13 N/m p < .001) was higher in the T2DM group. The FES-I and 4mGST scores were worse in the group with T2DM (p < .05). 12.8 % of FES-I and 23.4 % of 4mGST variance were explained by stiffness of PF.
CONCLUSIONS
The results of the study showed that the stiffness of PF changed in patients with T2DM. There was a decrease in gait speed and an increase in the risk of falling as PF stiffness increased.
目的
本研究旨在比较 2 型糖尿病（T2DM）患者与健康同龄人在足底筋膜（PF）硬度、跌倒风险和步态速度方面的差异。本研究的第二个目的是探讨 PF 硬度与跌倒风险和步态速度之间的关系。
方法
本研究纳入了 50 名 T2DM 患者（平均病程为 10.74±7.07 年）。采用肌动描记仪评估 PF 硬度。使用国际跌倒效率量表（FES-I）和 4 米步态速度测试（4mGST）评估跌倒风险和步态速度。
结果
与健康对照组相比，T2DM 组患者的 PF 硬度（右侧足平均差值为 148.99N/m，左侧足平均差值为 113.13N/m，p<0.001）更高。T2DM 组的 FES-I 和 4mGST 评分更差（p<0.05）。PF 硬度可以解释 FES-I 评分的 12.8%和 4mGST 评分的 23.4%的变异性。
结论
本研究结果表明，T2DM 患者的 PF 硬度发生了变化。随着 PF 硬度的增加，步态速度下降，跌倒风险增加。
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