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Hip strength: Ankle proprioceptive threshold ratio predicts falls and injury in diabetic neuropathy

dc.contributor.authorRichardson, James K.en_US
dc.contributor.authorDemott, Trinaen_US
dc.contributor.authorAllet, Laraen_US
dc.contributor.authorKim, Hogeneen_US
dc.contributor.authorAshton‐miller, James A.en_US
dc.date.accessioned2014-09-03T16:51:58Z
dc.date.availableWITHHELD_13_MONTHSen_US
dc.date.available2014-09-03T16:51:58Z
dc.date.issued2014-09en_US
dc.identifier.citationRichardson, James K.; Demott, Trina; Allet, Lara; Kim, Hogene; Ashton‐miller, James A. (2014). "Hip strength: Ankle proprioceptive threshold ratio predicts falls and injury in diabetic neuropathy." Muscle & Nerve 50(3): 437-442.en_US
dc.identifier.issn0148-639Xen_US
dc.identifier.issn1097-4598en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/108329
dc.description.abstractIntroduction : We determined lower limb neuromuscular capacities associated with falls and fall‐related injuries in older people with declining peripheral nerve function. Methods : Thirty‐two subjects (67.4 ± 13.4 years; 19 with type 2 diabetes), representing a spectrum of peripheral neurologic function, were evaluated with frontal plane proprioceptive thresholds at the ankle, frontal plane motor function at the ankle and hip, and prospective follow‐up for 1 year. Results : Falls and fall‐related injuries were reported by 20 (62.5%) and 14 (43.8%) subjects, respectively. The ratio of hip adductor rate of torque development to ankle proprioceptive threshold (Hip STR /Ank PRO ) predicted falls (pseudo‐R 2  = .726) and injury (pseudo‐R 2  = .382). No other variable maintained significance in the presence of Hip STR /Ank PRO . Conclusions : Fall and injury risk in the population studied is related inversely to Hip STR /Ank PRO . Increasing rapidly available hip strength in patients with neuropathic ankle sensory impairment may decrease risk of falls and related injuries. Muscle Nerve 50 : 437–442, 2014en_US
dc.publisherWiley Periodicals, Inc.en_US
dc.subject.otherAccidental Fallsen_US
dc.subject.otherAgingen_US
dc.subject.otherBalanceen_US
dc.subject.otherMobilityen_US
dc.subject.otherDiabetic Neuropathyen_US
dc.titleHip strength: Ankle proprioceptive threshold ratio predicts falls and injury in diabetic neuropathyen_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelNeurosciencesen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/108329/1/mus24134.pdf
dc.identifier.doi10.1002/mus.24134en_US
dc.identifier.sourceMuscle & Nerveen_US
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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