• 1

    Boulton AJM, Hardisty CA, Betts RP, et al: Dynamic foot pressure and other studies as diagnostic and management aids in diabetic neuropathy. .Diabetes Care 6::26. ,1983. .

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  • 2

    Cavanagh PR, Ulbrecht JS: “Plantar Pressure in the Diabetic Foot,” in The Foot in Diabetes, ed by GJ Sammarco, p 54, Lea and Febiger, Philadelphia, 1991..

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  • 3

    Payne C, Florkowski C: The effect of diabetes mellitus on the foot. .Australas J Podiatr Med 32::49. ,1998. .

  • 4

    McCarty D, Zimmet P, Dalton A, et al: The rise and rise of diabetes in Australia, 1996: a review of statistics, trends and costs. Canberra: Diabetes Australia. 1996..

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    • Export Citation
  • 5

    Sims DS, Cavanagh PR, Ulbrecht JS: Risk factors in the diabetic foot: recognition and management. .Phys Ther 68::1887. ,1988. .

  • 6

    Murray H, Boulton A: The pathophysiology of diabetic foot ulceration. .Clin Podiatr Med Surg 12::1. ,1995. .

  • 7

    Brand PW, Coleman WC: “The Diabetic Foot,” in Ellenberg and Rifkin’s Diabetes Mellitus: Theory and Practice, 4th Ed, ed by H Rifkin, D Porte Jr, p 792, Elsevier, New York, 1990..

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    • Export Citation
  • 8

    Slama G, Letanoux M, Thibult N, et al: Quantification of early subclinical limited joint mobility in diabetes mellitus. .Diabetes Care 8::329. ,1985. .

  • 9

    Fernando DJ, Masson EA, Veves A, et al: Are abnormal foot pressures caused by limited joint mobility. ?Diabet Med 14::14. ,1991. .

  • 10

    Fernando DJ, Masson EA, Veves A, et al: Relationship of limited joint mobility to abnormal foot pressures and diabetic foot ulceration. .Diabetes Care 14::8. ,1991. .

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    • Search Google Scholar
    • Export Citation
  • 11

    Mueller MJ, Minor SD, Diamond JE, et al: Relationship of foot deformity to ulcer location in patients with diabetes mellitus. .Phys Ther 70::356. ,1990. .

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    • Search Google Scholar
    • Export Citation
  • 12

    Arkkila PE, Kantola IM, Viikari JS: Limited joint mobility in type 1 diabetic patients: correlation to other diabetic complications. .J Intern Med 236::215. ,1994. .

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    • Search Google Scholar
    • Export Citation
  • 13

    Taranto MJ: Analysis of Range of Motion and Plantar Pressure of the Hallux and First Metatarsal Head in People with Diabetes Mellitus [unpublished honours thesis]. Perth, Western Australia, Curtin University of Technology; 1999..

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  • 14

    Tinley PD: Two and Three Dimensional Assessment of the Foot and Ankle [unpublished PhD thesis]. Brisbane, Queensland, Australia, Queensland University of Technology; 1997..

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  • 15

    Delbridge L, Perry P, Marr S, et al: Limited joint mobility in the diabetic foot: relationship to neuropathic ulceration. .Diabet Med 5::333. ,1988. .

  • 16

    Mueller MJ, Minor SD, Sahrmann SA, et al: Differences in gait characteristics of patients with diabetes and peripheral neuropathy compared with age-matched controls. .Phys Ther 74::299. ,1994. .

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    • Search Google Scholar
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Clinical and Dynamic Range-of-Motion Techniques in Subjects With and Without Diabetes Mellitus

Paul Tinley Head of Department of Podiatry, Curtin University, Shenton Park Campus, Selby Street, Shenton Park, 6008 Western Australia.

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 PhD, BSc(Hons)
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Michael Taranto Adjunct Lecturer, Department of Podiatry, Curtin University, Shenton Park, Western Australia.

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 BSc(Hons)

Thirty subjects with type 1 diabetes, 30 subjects with type 2 diabetes, and 30 age- and sex-matched controls were evaluated through clinical goniometry and two-dimensional motion analysis systems to determine the dynamic and static range of motion of the knee, ankle, and hallux joints. The purpose of this study was to determine if the knee and ankle joints of patients with diabetes mellitus are affected by limited joint mobility syndrome. The study results support previous medical literature showing significant reduction of range of motion of the hallux in subjects with type 1 diabetes. Significant differences were found between the range of motion of male and female subjects in all lower-limb joints for both subject groups with diabetes compared to the control group, and male subjects in all groups recorded less range of motion than female subjects. (J Am Podiatr Med Assoc 92(3): 136-142, 2002)

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