Plantar pressure distribution in diverse stages of diabetic neuropathy
Plantar pressure distribution in diverse stages of diabetic neuropathy
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DOI：
10.1007/s40200-019-00387-1
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发表时间：
2019-06-01
影响因子：
2.8
通讯作者：
Larijani, Bagher
中科院分区：
文献类型：
--
作者：
Abri, Homa;Aalaa, Maryam;Larijani, Bagher
糖尿病足溃疡可能与糖尿病神经病变引起的足底压力增高有关。因此，似乎在患有神经病变的糖尿病患者中识别高风险腿的方法之一是表征升高的足底压力分布。比较患有神经病变的糖尿病患者与没有神经病变的糖尿病患者的足底压力分布。方法和材料足底压力分布记录在以下类别中：38例无神经病变的糖尿病患者，轻度神经病变30例，中度神经病变40例，重度神经病变34例。中足的峰值压力在以下类别中也有显著差异：无神经病变患者（32.317.9kPa），轻度神经病变（24.0 +/- 17.9kPa），中度神经性（21.5 +/- 12.6kPa），和严重的神经病（22.9 ± 10.7kPa）组（p=0.02）。结论糖尿病神经病变的进展随着足底压力峰值的增加而加快。
BackgroundDiabetic Foot Ulceration in patients with diabetes could be associated with high plantar pressure caused by diabetes neuropathy. Therefore, it seems that one of the ways of identifying high-risk legs in diabetic patients with neuropathy would be characterization of elevated plantar pressure distributions.ObjectiveComparing the plantar pressure distribution in diabetic patients who suffered neuropathy with those without neuropathy.Methods and materialsPlantar pressure distribution was recorded in the following categories: 38 diabetic patients without neuropathy, 30, 40 and 34 patients with mild neuropathy, moderate and severe neuropathy respectively.ResultsPatients suffered from severe neuropathy suggested higher maximum peak plantar pressure at midfoot, heel, and medial forefoot. The peak pressure of midfoot was significantly different in the following categories as well: patient without neuropathy (32.317.9kPa), mild neuropathic (24.0 +/- 17.9kPa), moderate neuropathic (21.5 +/- 12.6kPa), and severe neuropathic (22.9 +/- 10.7kPa) groups (p=0.02).Conclusion The progression of diabetic neuropathy would have been increased followed by the peak plantar pressure.