{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T10:27:15Z","timestamp":1771324035457,"version":"3.50.1"},"reference-count":56,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T00:00:00Z","timestamp":1765929600000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Foot and Ankle Research"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Purpose<\/jats:title>\n                    <jats:p>Proficient ankle functioning provides a key contribution to everyday activities, such as walking and stair ascent and descent, where many falls occur. The up\u2010on\u2010the\u2010toes stand test (UTTS), involves rising from standing to an up\u2010on\u2010the\u2010toes position and holding it for 5\u00a0s, before lowering back to standing. Here, we explore whether the balance\u2010related UTTS test scores differ between two groups with expected differences in ankle functioning, that is, between older adults with diabetic peripheral neuropathy (DPN) in comparison to young healthy adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Case\u2013control study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>On a force platform, 13 older adults with DPN and 14 young adults completed repeated UTTS. Outcome measures were the peak forwards and backwards centre of pressure (CoP) velocity when rising and lowering, the average CoP displacement and variability in CoP velocity when holding the up\u2010on\u2010the\u2010toes position, and the time it was held.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In older adults with DPN compared to young adults, the forwards CoP velocity and displacement when rising up\u2010on\u2010the\u2010toes were reduced (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), indicating a slower speed and range of movement; variability in CoP velocity when up\u2010on\u2010the\u2010toes was greater, indicating reduced stability (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.021); and time up\u2010on\u2010the\u2010toes was shorter (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.002), indicating a reduced ability to hold this position.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Findings indicate that older adults with DPN had poorer UTTS performance in comparison to young adults. This suggests the test might be useful for highlighting how deficits in ankle mobility and function can impact balance when moving up\u2010on\u2010the\u2010toes. Future research should compare (a) older DPN patients with healthy older adults and (b) young adults with older adults, to determine whether UTTS test can validly assess age\u2010related decline. In addition, case\u2013control designs within the same age group are necessary to determine whether UTTS test can distinguish disease\u2010specific balance deficits.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jfa2.70112","type":"journal-article","created":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T06:17:16Z","timestamp":1766038636000},"source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Up\u2010on\u2010the\u2010Toes Stand Test Performance in Young Adults and Older Adults With Diabetic Peripheral Neuropathy"],"prefix":"10.1002","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4085-4743","authenticated-orcid":false,"given":"John G.","family":"Buckley","sequence":"first","affiliation":[{"name":"School of Engineering, Faculty of Engineering and Digital Technologies University of Bradford  Bradford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asma","family":"Sabouni","sequence":"additional","affiliation":[{"name":"School of Engineering, Faculty of Engineering and Digital Technologies University of Bradford  Bradford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andre L. F.","family":"Rodacki","sequence":"additional","affiliation":[{"name":"Department of Physical Education Federal University of Paran\u00e1  Curitiba Paran\u00e1 Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steve","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Sport and Exercise Science, Faculty of Science and Engineering Manchester Metropolitan University  Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil D.","family":"Reeves","sequence":"additional","affiliation":[{"name":"Medical School, Faculty of Health and Medicine Lancaster University  Lancaster UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,17]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afh218"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/11.1.11"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0167\u20104943(03)00082\u20107"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronj\/49.2.m72"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2020.101117"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1152\/japplphysiol.00390.2010"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afx083"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002060\u2010200301000\u201000007"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0088247"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11845\u2010023\u201003287\u20109"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877\u2010025\u201005737\u20108"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2012.03.033"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0018720820957466"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2017.12.005"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/2065201"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2008.05.022"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afl077"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/0197\u20104580(89)90010\u20109"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.exger.2012.11.003"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00421\u2010003\u20100981\u20105"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.4085\/1062\u20106050\u2010472\u201017"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102474\u201013\u201036"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.56553"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzab096"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2013.06.007"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2018.07.038"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc09\u20100264"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc06\u20102537"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2016.03.007"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532\u20105415.2010.02941.x"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0159339"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjd.2015.08.005"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afw140"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532\u20105415.1992.tb04477.x"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/50a.4.m211"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.3390\/biomechanics3030024"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.1152\/jn.2000.84.5.2440"},{"key":"e_1_2_13_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00221\u2010001\u20100974\u20108"},{"key":"e_1_2_13_40_1","doi-asserted-by":"publisher","DOI":"10.1109\/tnsre.2020.2974784"},{"key":"e_1_2_13_41_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0307365"},{"key":"e_1_2_13_42_1","doi-asserted-by":"publisher","DOI":"10.3758\/brm.41.4.1149"},{"key":"e_1_2_13_43_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.1100080310"},{"key":"e_1_2_13_44_1","doi-asserted-by":"publisher","DOI":"10.1177\/875647939000600106"},{"key":"e_1_2_13_45_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/78.5.502"},{"key":"e_1_2_13_46_1","doi-asserted-by":"publisher","DOI":"10.1007\/bf00426309"},{"key":"e_1_2_13_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2014.10.007"},{"key":"e_1_2_13_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2019.02.020"},{"key":"e_1_2_13_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532\u20105415.1994.tb06081.x"},{"key":"e_1_2_13_50_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnagi.2014.00336"},{"key":"e_1_2_13_51_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/61.8.866"},{"key":"e_1_2_13_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2010.09.024"},{"key":"e_1_2_13_53_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2011.03.004"},{"key":"e_1_2_13_54_1","doi-asserted-by":"publisher","DOI":"10.1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