VERTICAL FORCES ACTING ON THE FEET OF DIABETIC-PATIENTS WITH NEUROPATHIC ULCERATION
VERTICAL FORCES ACTING ON THE FEET OF DIABETIC-PATIENTS WITH NEUROPATHIC ULCERATION
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DOI：
10.1002/bjs.1800680904
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发表时间：
1981-01-01
影响因子：
9.6
通讯作者：
LEQUESNE, LP
中科院分区：
文献类型：
--
作者：
CTERCTEKO, GC;DHANENDRAN, M;LEQUESNE, LP
用载荷敏感面法测量了24例糖尿病神经性足底溃烂患者步行时足底的垂直作用力，并与21例糖尿病周围神经病变但无溃疡的糖尿病患者和47例正常人进行了比较。结果表明，糖尿病周围神经病变患者的足底垂直作用力明显大于正常人，糖尿病神经病变患者，无论有无溃烂，通过足趾传递的力都比正常人少，并显示出通过跖头传递的力的内移。所有足底溃疡均发生在最大负荷部位。溃疡患者最大负荷部位的绝对力明显大于两个对照组，尽管有相当大的重叠。即使当绝对力已经校正了脚趾负荷和体重的差异时，仍然存在显著的差异，这表明进一步的因素(或多个因素)肯定有助于这些局部高负荷区域的发展。
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, though 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.