Microvascular Control Mechanism of the Plantar Foot in Response to Different Walking Speeds and Durations: Implication for the Prevention of Foot Ulcers

Fu Lien Wu, Wendy T. Wang, Fuyuan Liao, Yang Liu, Jiacong Li, Yih Kuen Jan

Research output: Contribution to journalArticlepeer-review

Abstract

Physical activity has been recommended by the American Diabetes Association (ADA) as a preventive intervention of diabetes complications. However, there is no study investigating how microvascular control mechanism respond to different walking intensities in people with and without diabetes. The purpose of this study was to assess microvascular control mechanism of the plantar foot in response to various walking speeds and durations in 12 healthy people using spectral analysis of skin blood flow (SBF) oscillations. A 3×2 factorial design, including 3 speeds (3, 6, and 9 km/h) and 2 durations (10 and 20 minutes), was used in this study. Plantar SBF was measured using laser Doppler flowmetry over the first metatarsal head. Borg Rating of Perceived Exertion (RPE) scale and heart rate maximum were used to assess the walking intensity. Wavelet analysis was used to quantify regulations of metabolic (0.0095-0.02 Hz), neurogenic (0.02-0.05 Hz), myogenic (0.05-0.15 Hz), respiratory (0.15-0.4 Hz), and cardiac (0.4-2 Hz) controls. For 10-minute walking, walking at 9 km/h significantly increased the ratio of wavelet amplitudes of metabolic, neurogenic, myogenic, respiratory, and cardiac mechanisms compared with 3 km/h (P <.05). For 20-minute walking, walking at 6 km/h significantly increased the ratio of wavelet amplitudes of metabolic, myogenic, respiratory, and cardiac compared with 3 km/h (P <.05). RPE showed a significant interaction between the speed and duration factors (P <.01). This is the first study demonstrating that different walking speeds and durations caused different plantar microvascular regulations.

Original languageEnglish (US)
Pages (from-to)327-336
Number of pages10
JournalInternational Journal of Lower Extremity Wounds
Volume20
Issue number4
DOIs
StatePublished - Dec 2021

Keywords

  • diabetic foot ulcer prevention
  • laser Doppler
  • skin blood flow
  • walking duration
  • walking speed
  • wavelet analysis

ASJC Scopus subject areas

  • Surgery

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