%0 Journal Article
%T Foot and Ankle Muscles Activation and Plantar Sensory Deficit in Leprosy and Its Implication to Foot Deformity and Walking Capacity
%A Fitri Anestherita
%A Ibrahim Agung
%A Nelfidayani Nelfidayani
%A Andri Setiawan Kokok
%A Johanes Putra
%J Open Journal of Therapy and Rehabilitation
%P 123-131
%@ 2332-1830
%D 2021
%I Scientific Research Publishing
%R 10.4236/ojtr.2021.94010
%X <strong>Objective</strong><span style=\"font-family:;\" \"=\"\"><strong>:</strong> To observe extrinsic foot muscle activity ratio and sensory disturbance
in Leprosy and its implication to foot deformity and walking capacity. <b>Design: </b>Cross sectional study in Singkawang, West Kalimantan. <b>Materials and
Methods</b>: Thirty-three leprosy patients without walking aids and/or orthotic
prosthetic were enrolled using consecutive sampling. Foot deformity score was
calculated and muscle<span style=\"color:red;\"> </span>activity w</span><span style=\"font-family:;\" \"=\"\">as</span><span style=\"font-family:;\" \"=\"\"> measured
using surface EMG. Muscle activation ratio was calculated in Tibialis anterior-to-Gastrocnemius
(TA/GA) and Tibialis Anterior-to-Peroneal (TA/PE). Walking capacity was
assessed using Timed up and Go test.<b> Results</b>: Significant
differences of foot ulcer (p = 0.001) and foot deformities (p = 0.001) were
found in plantar sensory deficit group. There was strong correlation between
foot deformities and decreased TA/GA ratio (p = 0.001, r = <span style=\"white-space:nowrap;\">©�</span>0.787) and
decreased TA/PE ratio (p = 0.001, r = <span style=\"white-space:nowrap;\">©�</span>0.663). There were significant
differences of TA/GA ratio (p = 0.00) and TA/PE ratio (p = 0.09) based on the
foot ulcer, and no significant <span>difference of
Timed Up and Go Test result within plantar sensory deficit </span>group (p =
0.427). No significant correlation was found between walking capacity and TA/GA
ratio (p = 0.055), and TA/PE ratio (p = 0.165). <b>Conclusion</b>: Plantar
sensory deficit and decreased extrinsic muscle activation ratio during gait had
been proven to affect foot impairment, but have not been proven to inhibit
walking capacity.</span>
%K Leprosy
%K Foot Impairment
%K Walking Capacity
%K Muscle Activity
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=113005