Biomedical subjects

M Dhanendran

Publications and source records attributed to M Dhanendran.

7 recordsLinked to original sources

PubMed1981

Vertical forces acting on the feet of diabetic patients with neuropathic ulceration.

The vertical forces acting on the sole of the foot in walking have been measured in 24 diabetic patients with neuropathic ulceration of the foot using a load-sensitive surface divided into 128 load cells, and compared with those in two groups of controls: (a), 21 diabetic patients with peripheral neuropathy but no ulceration and (b) 47 normal individuals. The results showed that the patients with neuropathic ulceration were significantly heavier, that diabetic patients with neuropathy, with or without ulceration, transmitted proportionally less force through the toes than normal individuals, and showed a medial shift of the force transmitted through the metatarsal heads. All plantar ulcers occurred at the site of maximum loading. The absolute force at the site of maximum loading was significantly greater in the patients with ulcers than in both control groups, through there was a considerable overlap. A significant difference remained even when the absolute force had been corrected for differences in toe loading and body weight, indicating that a further factor (or factors) must contribute to the development of these localized areas of high loading.

Adult↗

PubMed1981

The mechanics of normal and hallux valgus feet--a quantitative study.

Accurate measurements of the vertical load under areas of the foot were made with a computerized instrumentation system. In a study of 148 normal feet, the normal force distribution and its variation with age was quantified. This showed the hallux to be important in sharing the load on the first ray. comparative studies of feet with hallux valgus before and after Keller's operation showed the changes that accompany reduced hallux loading. A model of the foot was used to calculate the force across the metatarsophalangeal joint and the forces and moments acting on the metatarsals.

Adolescent↗

PubMed1980

Foot function in juvenile chronic arthritis.

Measurement of the force distribution under the foot has been used to assess the effect of juvenile chronic arthritis on foot function. The results obtained from the feet of eight patients were compared with the feet of 11 normal children. The peak forces and contact times were measured for functional areas of the foot. When considered as a group, the patients had significantly reduced loading under all the toes and the two medial metatarsal heads, and increased contact time for the heel.

Adolescent↗

PubMed1980

Mechanics of the hallux valgus foot and the effect of Keller's operation.

Using a system for measuring the load distribution under the foot, patients with hallux valgus were compared, before and after undergoing Keller's operation, with a group of normal subjects. Preoperatively the patients showed reduced loading under all their toes and increased loading under their lateral metatarsal heads; the decrease under the hallux was found to correlate with an increase in hallux valgus angle. Postoperatively there was a further decrease in loading under the hallux and an increase under the first metatarsal head.

Adolescent↗

PubMed1979

A study of the distribution of load under the normal foot during walking.

A computerised instrumentation system which measures the distribution of vertical load under the foot has been used to measure and record the loading under 148 normal feet during walking. The correlations and variations with load, contact time, sex, age and angle of the toe out are discussed.

Adolescent↗

PubMed1979

Changes in load bearing in the rheumatoid foot.

A study of peak force exerted under areas of the foot was made in 27 patients with rheumatoid disease and in 30 normal persons. Patients were found to exert considerably less force under their toes and under the first metatarsal head and more force under the 3 outer metatarsal heads. It was possible to correlate these changes with increasing clinical and radiological severity.

Adult↗

PubMed1976

A method of measuring the temporal/distance factors of gait.

There exist many clinical situations where it is desirable to have some measure of a patient's ability to walk. The complex nature of human locomotion is reflected by the number of parameters that have been measured in previous studies of gait analysis. The temporal/distance factors of gait have been found to be extremely useful as a measure of a person's functional mobility. This paper describes a system which has been developed to measure these parameters of gait.

Adult↗