Correlation between the range of motion of the tibiotarsal joint and blood circulation in the lower limbs in diabetic individuals

Autor(es)

Catarina Clapis Zordão ^[1] ; Aline Gobbi ^[2] ; André Timóteo Sapalo ^[3] ; Gabriela de Carvalho ^[4] ; Rinaldo Roberto de Jesus Guirro ^[5] ; Elaine Caldeira de Oliveira Guirro ^[6]

Afiliação do(s) autor(es)

^[1] Universidade de São Paulo. Ribeirão Preto Medical School. Department of Health Sciences - Brasil

^[2] Universidade de São Paulo. Medical School of Ribeirão Preto. Department of Health Sciences - Brasil

^[3] Universidade de São Paulo. Medical School of Ribeirão Preto. Department of Health Sciences - Brasil

^[4] Universidade de São Paulo. Medical School of Ribeirão Preto. Department of Health Sciences - Brasil

^[5] Universidade de São Paulo. Medical School of Ribeirão Preto. Department of Health Sciences - Brasil

^[6] Universidade de São Paulo. Medical School of Ribeirão Preto. Department of Health Sciences - Brasil

• Tipo de documento: Artigo Científico
• Fonte: Revista da Associação Médica Brasileira; v. 68, n. 3, p. 356-361, 2022-04-15.

Resumo

SUMMARY OBJECTIVE: The aim of this study was to evaluate the relationship between the range of motion and lower-limb hemodynamic indices in the tibiotarsal joint of individuals with diabetic neuropathy. METHODS: Twenty volunteers of both sexes, with a mean age of 61.45±7.05 years, were diagnosed with type 2 diabetes mellitus and diabetic peripheral neuropathy. Arterial blood flow was assessed using Doppler ultrasound, and the variables such as average velocity, pulsatility index, and resistivity index were also evaluated. A range of dorsiflexion and plantar flexion joint movements were assessed using digital goniometry before and after exercise. Data distribution was assessed using the Shapiro-Wilk test, followed by Pearson's correlation for normal data and Spearman's correlation for non-normal data, in order to verify the association between variables. RESULTS: A moderate correlation was found between dorsiflexion and pulse rate on two occasions before (rs=0.497) and after initial evaluation (rs=0.511). A low correlation was found between plantar flexion and mean velocity (rs=-0.357), pulsatility index (rs=0.439), and resistivity index (rs=0.328); dorsiflexion and mean velocity (rs=0.374), pulse rate (rs=0.332), and resistance index (rs=0.327) before evaluation, and peak (rs=0.346) was observed after the evaluation of blood circulation. CONCLUSION: There is a correlation between the range of motion of the tibiotarsal joint and the blood circulation of diabetics, ranging from moderate to poor for the different variables evaluated. (AU)

• Processo FAPESP: 18/18194-0 - Correlação entre a amplitude de movimento da articulação tibiotársica de indivíduos diabéticos e a circulação sanguínea
• Beneficiário: Catarina Clapis Zordão
• Modalidade de apoio: Bolsas no Brasil - Iniciação Científica