Manual Therapy in Diabetic Patients with Tibio-tarsal Dorsiflexion Deficit and Forefoot Overload: A Case Report

Roberto Tedeschi; Federica Giorgi

doi:10.52547/ijmcl.4.3.25

Journal of Motor Control and Learning

Current Issue All Issues In Press Accepted Manuscripts Search

Journal Information Editors & Boards Indexing and Listing Sources Journal Metrics Open Peer Review (OPR)Publication Ethics and Publication Malpractice Statement Contact Us Support Reviewer and AE Registration Form

Authors Guide Submit Manuscript

https://doi.org/10.52547/ijmcl.4.3.25

Manual Therapy in Diabetic Patients with Tibio-tarsal Dorsiflexion Deficit and Forefoot Overload: A Case Report

Author(s):

Roberto Tedeschi

^1,*,

Federica Giorgi

²

1Msc Unibo, Bologna, Italy

2MD Ausl Bologna, Bologna, Italy

Journal of Motor Control and Learning:Vol. 4, issue 3; 25-30

Published online:Aug 25, 2022

Article type:Case Report

Received:Apr 18, 2022

Accepted:Jul 22, 2022

How to Cite:Roberto TedeschiFederica GiorgiManual Therapy in Diabetic Patients with Tibio-tarsal Dorsiflexion Deficit and Forefoot Overload: A Case Report.J Motor Control Learn.4(3):e144322.https://doi.org/10.52547/ijmcl.4.3.25.

Abstract

Introduction: Limitation of tibia-tarsal joint mobility in diabetic patients can occur within a few years of diagnosis, even in young patients. This joint movement deficit is believed to be due to stiffness in muscles, tendons, joint capsules, ligaments, and skin. With this in mind, the aim of this study is to design an experimental protocol of orthopedic manual therapy and therapeutic exercise in the future for subjects with diabetes, reduced joint mobility, and subsequent insufficient dorsal flexion of the tibia-ankle, and to test the reduced avampodalic pressure that correlates with an increased ulcerative risk.
Case presentation: A patient aged 64, male, overweight, family history of type II diabetes, self-employed, and diagnosed with diabetes type 2.
Results: The patient was evaluated with inertial motion sensors, a Baropodometric platform, a Lounge test, and MWM. Already after the first session, an improvement in plantar pressures was observed with a decrease both in the peaks from 413.6 Kpa to 99 Kpa in both feet and in the average plantar pressures from 129.8 Kpa to 54.5 Kpa for both feet with a decrease in plantar pressures at the forefoot from 43.7 % to 33.2 %. Tissue elasticity was assessed with the Lunge Test, and increased from 8 cm to 9.5 cm.
Conclusion: The results suggest that the role of manual treatment combined with an exercise program could increase tarsal dorsiflexion and consequently decrease plantar pressures.

Keywords

Physical Therapy

Mobilization

Gait

Functional Assessment

Manual Therapy

Fulltext

Full-text is available in PDF format.

comments

Crossmark

Checking

Share on

Comments

Number of Comments:0

Cited by

CrossRef 0

Metrics

Get Permission (article level)

Purchasing Reprints

Copyright Clearance Center (CCC) handles bulk orders for article reprints for Brieflands. To place an order for reprints, please click here ( https://www.copyright.com/landing/reprintsinquiryform/ ). Clicking this link will bring you to a CCC request form where you can provide the details of your order. Once complete, please click the ‘Submit Request’ button and CCC’s Reprints Services team will generate a quote for your review.

Search Relations

Author(s):

Roberto Tedeschi:[PubMed][Scholar]
Federica Giorgi:[PubMed][Scholar]