tailieunhanh - Báo cáo y học: "Clinical factors associated with a conservative gait pattern in older male veterans with diabetes"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Clinical factors associated with a conservative gait pattern in older male veterans with diabetes. | BioMed Central Journal of Foot and Ankle Research Research Clinical factors associated with a conservative gait pattern in older male veterans with diabetes James S Wrobel 1 Ryan T Crews1 and John E Connolly2 Address 1Center for Lower Extremity Ambulatory Research at Scholl College of Podiatric Medicine Rosalind Franklin University of Medicine and Science North Chicago Illinois USA and 2VAM ROC White River Junction Vermont USA Email James S Wrobel - Ryan T Crews - John E Connolly - Corresponding author Open Access Published 23 April 2009 Received 7 May 2008 Journal of Foot and Ankle Research 2009 2 11 doi 1757-1146-2-11 Accepted 23 April 2009 This article is available from http content 2 1 11 2009 Wrobel et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Patients with diabetes and peripheral neuropathy are at higher risk for falls. People with diabetes sometimes adopt a more conservative gait pattern with decreased walking speed widened base and increased double support time. The purpose of this study was to use a multivariate approach to describe this conservative gait pattern. Methods Male veterans mean age 67 years SD range 37-86 with diabetes n 152 participated in this study from July 2000 to May 2001 at the Veterans Affairs Medical Center White River Junction VT. Various demographic clinical static mobility and plantar pressure measures were collected. Conservative gait pattern was defined by visual gait analysis as failure to demonstrate a heel-to-toe gait during the propulsive phase of gait. Results Patients with the conservative gait pattern had lower walking speed and .