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dc.contributor.authorJ. Cronin, Neilen_US
dc.contributor.authorPeltonen, Jussien_US
dc.contributor.authorIshikawa, Masakien_US
dc.contributor.authorV. Komi, Paavoen_US
dc.contributor.authorAvela, Janneen_US
dc.contributor.authorSinkjaer, Thomasen_US
dc.contributor.authorVoigt, Michaelen_US
dc.date.accessioned2017-04-24T13:24:48Z
dc.date.available2017-04-24T13:24:48Z
dc.date.issued2010en_US
dc.date.modified2010-09-17T07:06:19Z
dc.identifier.issn02680033en_US
dc.identifier.doi10.1016/j.clinbiomech.2010.01.018en_AU
dc.identifier.urihttp://hdl.handle.net/10072/34076
dc.description.abstractBackground Diabetes leads to numerous side effects, including an increased density of collagen fibrils and thickening of the Achilles tendon. This may increase tissue stiffness and could affect stretch distribution between muscle and tendinous tissues during walking. The primary aim of this study was to examine stretch distribution between muscle and tendinous tissues in the medial gastrocnemius muscle-tendon unit in long-term diabetes patients and control subjects during walking. Methods Achilles tendon length changes were investigated in 13 non-neuropathic diabetes patients and 12 controls, whilst walking at a self selected speed across a 10 m force platform. Electromyographic activity was recorded in the medial gastrocnemius, soleus and tibialis anterior muscles, goniometers were used to detect joint angle changes, and ultrasound was used to estimate tendon length changes. Findings Achilles tendon length changes were attenuated in diabetes patients compared to controls, and were inversely correlated with diabetes duration (r = -0.628; P < 0.05), as was ankle range of motion (r = -0.693; P < 0.01). Tendon length changes were also independent of walking speed (r = -0.299; P = 0.224) and age (r = 0.115; P = 0.721) in the diabetic group. Interpretation Stretch distribution between muscle and tendon during walking is altered in diabetic patients, which could decrease walking efficiency, a factor that may be exacerbated with increasing diabetes duration. Diabetes-induced changes in mechanical tendon properties may be at least partly responsible for attenuated tendon length changes during walking in this patient group.en_US
dc.description.peerreviewedYesen_US
dc.description.publicationstatusYesen_AU
dc.languageEnglishen_US
dc.language.isoen_AU
dc.publisherElsevieren_US
dc.publisher.placeAmsterdamen_US
dc.relation.ispartofstudentpublicationNen_AU
dc.relation.ispartofpagefrom476en_US
dc.relation.ispartofpageto482en_US
dc.relation.ispartofissue5en_US
dc.relation.ispartofjournalClinical Biomechanicsen_US
dc.relation.ispartofvolume25en_US
dc.rights.retentionYen_AU
dc.subject.fieldofresearchMotor Controlen_US
dc.subject.fieldofresearchBiomechanicsen_US
dc.subject.fieldofresearchSensory Systemsen_US
dc.subject.fieldofresearchcode110603en_US
dc.subject.fieldofresearchcode110601en_US
dc.subject.fieldofresearchcode110906en_US
dc.titleAchilles tendon length changes during walking in long-term diabetes patientsen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
gro.date.issued2010
gro.hasfulltextNo Full Text


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