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• W3015871552 abstract "Plantar foot ulcers are a severe and common complication associated with diabetes that overwhelmingly lead to non-traumatic major amputations among diabetic individuals. There are several known factors that contribute to the development of these ulcers, however it is possible that stiffening of foot structures (i.e. muscles, tendons, ligaments) is another important factor that has yet to be fully investigated. Increased soft tissue stiffness on the plantar surface of the foot has been found in diabetic individuals, but stiffness of individual foot structures has yet to be investigated. It has been proposed in literature that stiffening of muscles and tendons in diabetic feet cause increased plantar pressures, which often precede development of ulcers. However, to date, no study has comprehensively examined stiffness of individual foot structures in diabetic individuals and the effect of stiffness on plantar pressures during gait. Therefore, the ultimate purpose of the following work was to investigate the relationship between foot structure stiffness and plantar pressures during gait in diabetic individuals. Firstly, it was hypothesized that stiffness of foot structures would be directly and linearly related to plantar pressures during gait. Secondly, it was hypothesized that diabetics would exhibit higher stiffness and higher plantar pressures than controls. There is also evidence of structural changes in the diabetic foot compared to controls, including thickening of the plantar fascia (PF) and Achilles tendon. Plantar fasciitis is a common musculoskeletal disorder that, like diabetes, is associated with thickening of the PF. To date, few studies have investigated material properties of the PF, and there are currently no studies that have assessed material properties of other arch supporting structures (i.e. muscles, tendons) . It is possible that, in addition to thickening of the PF, plantar fasciitis populations exhibit material property changes of the PF and other arch supporting structures that contribute to the plantar fasciitis injury mechanism. Investigating material properties of the PF and arch supporting structures and how these properties relate to plantar pressures in individuals with plantar fasciitis may help provide relevant information to injury development in the foot in plantar fasciitis and diabetic populations. Therefore, material properties of foot structures and plantar pressures during gait were also assessed in individuals with plantar fasciitis. First, it was hypothesized that individuals with active plantar fasciitis symptoms would exhibit altered stiffness of foot structures compared to controls and individuals with a history of plantar fasciitis who are currently asymptomatic. Secondly, it was hypothesized that stiffness of PF stiffness would inversely and linearly relate to plantar pressures during gait in individuals with plantar fasciitis.The studies herein provide evidence that: 1) relationships are present between individual foot structures and plantar pressures in diabetic…" @default.
• W3015871552 created "2020-04-17" @default.
• W3015871552 creator A5075138307 @default.
• W3015871552 date "2020-01-06" @default.
• W3015871552 modified "2023-09-27" @default.
• W3015871552 title "Stiffness of Intrinsic Foot Structures in Diabetic Individuals and the Effect of Stiffness on Plantar Pressures During Gait" @default.
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