Gait changes in persons with diabetes: Early risk marker for diabetic foot ulcer
Gait changes in persons with diabetes: Early risk marker for diabetic foot ulcer
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DOI：
10.1016/j.fas.2019.01.005
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发表时间：
2020-02-01
影响因子：
2.5
通讯作者：
Viswanathan, Vijay
中科院分区：
文献类型：
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作者：
Gnanasundaram, Saraswathy;Ramalingam, Priyadharshini;Viswanathan, Vijay
背景：在2型糖尿病神经病变患者中，糖尿病足溃疡(DFU)和随后的足部截肢的发病率不断增加是众所周知的事实。方法对无神经病变(D)的2型糖尿病(T2 DM)患者、足轮廓正常的糖尿病神经病变(DN)患者和足轮廓正常的健康人(C)进行足底动态压力分析。结果动态足底压力C组与正常组比较差异有统计学意义(P=0.035)，D组与DN组比较差异无统计学意义(P=0.997)。3组间仅足跟内侧的节段性最大足底压力差异有统计学意义(P=0.009)。结论糖尿病神经病变患者在足部畸形发生前，距下关节和第一跖趾关节就存在步态变异和受限。(C)2019年欧洲足踝协会。爱思唯尔有限公司出版。保留所有权利。
Background Increasing prevalence of diabetic foot ulcer (DFU) and subsequent foot amputation in persons with type 2 diabetic neuropathy is a well known fact. The present study was aimed to identify the initial risk marker for DFU.Methods Dynamic plantar pressure analysis was done for persons with type 2 diabetes mellitus (T2DM) without neuropathy (D), patients with diabetic neuropathy (DN) with normal foot profile and healthy persons with normal foot profile (C).Results The data showed a significant difference in dynamic peak plantar pressure between C and DN (P = 0.035) and no significant difference between D and DN (P = 0.997). The dynamic segmental peak plantar pressure results showed significant difference only in the medial heel region (P = 0.009) among the three groups.Conclusions Gait variations and restrictions in subtalar and first metatarsophalangeal joint are found in persons with diabetic neuropathy even before the onset of foot deformity. (C) 2019 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.