Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/17700
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dc.contributor.authorFernando, Malindu-
dc.contributor.authorCrowther, Robert-
dc.contributor.authorLazzarini, Peter-
dc.contributor.authorSangla, Kunwarjit-
dc.contributor.authorCunningham, Margaret-
dc.contributor.authorButtner, Petra-
dc.contributor.authorGolledge, Jonathan-
dc.date.accessioned2014-09-06T02:13:48Z-
dc.date.issued2013-10-
dc.identifier.urihttp://hdl.handle.net/1893/17700-
dc.description.abstractBACKGROUND Diabetic peripheral neuropathy is an important cause of foot ulceration and limb loss. This systematic review and meta-analysis investigated the effect of diabetic peripheral neuropathy on gait, dynamic electromyography and dynamic plantar pressures. METHODS Electronic databases were searched systematically for articles reporting the effect of diabetic peripheral neuropathy on gait, dynamic electromyography and plantar pressures. Searches were restricted to articles published between January 2000 and April 2012. Outcome measures assessed included spatiotemporal parameters, lower limb kinematics, kinetics, muscle activation and plantar pressure. Meta-analyses were carried out on all outcome measures reported by ≥3 studies. FINDINGS Sixteen studies were included consisting of 382 neuropathy participants, 216 diabetes controls without neuropathy and 207 healthy controls. Meta-analysis was performed on 11 gait variables. A high level of heterogeneity was noted between studies. Meta-analysis results suggested a longer stance time and moderately higher plantar pressures in diabetic peripheral neuropathy patients at the rearfoot, midfoot and forefoot compared to controls. Systematic review of studies suggested potential differences in the biomechanical characteristics (kinematics, kinetics, EMG) of diabetic neuropathy patients. However these findings were inconsistent and limited by small sample sizes. INTERPRETATION Current evidence suggests that patients with diabetic peripheral neuropathy have elevated plantar pressures and occupy a longer duration of time in the stance-phase during gait. Firm conclusions are hampered by the heterogeneity and small sample sizes of available studies.en_UK
dc.language.isoen-
dc.publisherElsevier-
dc.relationFernando M, Crowther R, Lazzarini P, Sangla K, Cunningham M, Buttner P & Golledge J (2013) Biomechanical characteristics of peripheral diabetic neuropathy: A systematic review and meta-analysis of findings from the gait cycle, muscle activity and dynamic barefoot plantar pressure, Clinical Biomechanics, 28 (8), pp. 831-845.-
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.-
dc.subjectBiomechanicsen_UK
dc.subjectDiabetes complicationsen_UK
dc.subjectDiabetes mellitusen_UK
dc.subjectDiabetic footen_UK
dc.subjectDiabetic peripheral neuropathyen_UK
dc.subjectElectromyographyen_UK
dc.subjectGaiten_UK
dc.subjectMeta-analysisen_UK
dc.subjectMovement analysisen_UK
dc.subjectPlantar pressureen_UK
dc.subjectSystematic reviewen_UK
dc.subjectType 1 diabetesen_UK
dc.subjectType 2 diabetesen_UK
dc.titleBiomechanical characteristics of peripheral diabetic neuropathy: A systematic review and meta-analysis of findings from the gait cycle, muscle activity and dynamic barefoot plantar pressureen_UK
dc.typeJournal Articleen_UK
dc.rights.embargodate2999-12-31T00:00:00Z-
dc.rights.embargoreasonThe publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.-
dc.identifier.doihttp://dx.doi.org/10.1016/j.clinbiomech.2013.08.004-
dc.identifier.pmid24035444-
dc.citation.jtitleClinical Biomechanics-
dc.citation.issn0268-0033-
dc.citation.volume28-
dc.citation.issue8-
dc.citation.spage831-
dc.citation.epage845-
dc.citation.publicationstatusPublished-
dc.citation.peerreviewedRefereed-
dc.type.statusPublisher version (final published refereed version)-
dc.author.emailmc52@stir.ac.uk-
dc.citation.date27/08/2013-
dc.contributor.affiliationJames Cook University-
dc.contributor.affiliationJames Cook University-
dc.contributor.affiliationQueensland University of Technology-
dc.contributor.affiliationQueensland Health-
dc.contributor.affiliationPsychology-
dc.contributor.affiliationJames Cook University-
dc.contributor.affiliationJames Cook University-
dc.rights.embargoterms2999-12-31-
dc.rights.embargoliftdate2999-12-31-
dc.identifier.isi000328312800001-
Appears in Collections:Psychology Journal Articles

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