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Pressure distribution of diabetic patients after sensory-motor training with unstable shoe construction

      In 2000,
      • Abboud R.J.
      • et al.
      Lower limb muscle dysfunction may contribute to foot ulceration in diabetic patients.
      showed an earlier initial contact time for all five metatarsal heads and a later occurrence of the maximum pressure in diabetic patients indicating an increased pressure contact time of the forefoot in diabetic patients. In addition, they found a delay of eccentric contraction of the tibialis anterior muscle (TA) which supports the view that TA-dysfunction leads to forefoot slap which in turn leads to higher pressure values and longer contact duration under the metatarsal heads in diabetic patients when compared to normal subjects.
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      References

        • Abboud R.J.
        • et al.
        Lower limb muscle dysfunction may contribute to foot ulceration in diabetic patients.
        Clinical Biomechanics. 2000; 15: 37-45
        • Nigg B.M.
        • et al.
        Effect of an unstable shoe construction on lower extremity gait characteristics.
        Clinical Biomechanics. 2006; 21: 82-88
        • Romkes J.
        • et al.
        Changes in gait and EMG when walking with the Masai Barefoot Technique.
        Clinical Biomechanics. 2006; 21: 75-81
        • Vernon T.
        • et al.
        Changes in Gait Characteristics of a Normal, Healthy Population due to an Unstable Shoe Construction.
        University of Sheffield, 2004