Plantar pressure distribution profile of type 2 diabetes mellitus with diabetic foot syndrome: A hospital-based observational study
INTRODUCTION: The prevalence of diabetic foot syndrome is increasing in the Indian population. It is a triad of neurological, vascular, and biomechanical changes due to long term diabetes mellitus (DM). Altered plantar pressure distribution is a risk factor for developing diabetic foot ulcers. The p...
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Endocrinology Research Centre
2022-02-01
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| Online Access: | https://www.dia-endojournals.ru/jour/article/view/12723 |
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| author | H. Ya. Korada E. Arora Sh. K. Rao M. Hande S. Shetty A. G. Maiya |
| author_facet | H. Ya. Korada E. Arora Sh. K. Rao M. Hande S. Shetty A. G. Maiya |
| author_sort | H. Ya. Korada |
| collection | DOAJ |
| description | INTRODUCTION: The prevalence of diabetic foot syndrome is increasing in the Indian population. It is a triad of neurological, vascular, and biomechanical changes due to long term diabetes mellitus (DM). Altered plantar pressure distribution is a risk factor for developing diabetic foot ulcers. The purpose of this study is to evaluate the altered plantar pressure distribution in diabetic peripheral neuropathy individuals with peripheral vascular disease in comparison with diabetic peripheral neuropathy and non-diabetic neuropathy. Therefore, the objective of the study is to evaluate the plantar pressure distribution and parameters in type 2 DM (T2DM) with diabetic foot syndrome.METHODS: In this study, 60 participants with T2DM were recruited in either one of the three groups: 20 Diabetic non-neuropathy (DNN), 20 Diabetic peripheral neuropathy (DPN), and 20 Diabetic peripheral neuropathy with the peripheral arterial disease (DNPAD). Then we compared the plantar pressure parameters like maximum plantar pressure, pressure-time integral, fore foot-hind foot ratio, and total contact area were measured using a WinTrack plantar pressure system.RESULTS: The diabetic peripheral neuropathy with peripheral vascular disease group shown a significant difference in all the plantar pressure parameters measured in comparison with the diabetic peripheral neuropathy group. There was increased Maximum plantar pressure, pressure-time integral and forefoot hindfoot ratio, and reduced total contact area of the foot (p < 0.05).CONCLUSION: For patients, with combined peripheral neuropathy and peripheral vascular disease have increased plantar pressure distribution, are at higher risks of developing neuro-ischemic foot, which further leads to diabetic foot ulcers. |
| format | Article |
| id | doaj-art-80ca6207ef5e4ba7a9ff15007f4b61cb |
| institution | OA Journals |
| issn | 2072-0351 2072-0378 |
| language | English |
| publishDate | 2022-02-01 |
| publisher | Endocrinology Research Centre |
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| series | Сахарный диабет |
| spelling | doaj-art-80ca6207ef5e4ba7a9ff15007f4b61cb2025-08-20T02:29:39ZengEndocrinology Research CentreСахарный диабет2072-03512072-03782022-02-0124654855210.14341/DM1272310917Plantar pressure distribution profile of type 2 diabetes mellitus with diabetic foot syndrome: A hospital-based observational studyH. Ya. Korada0E. Arora1Sh. K. Rao2M. Hande3S. Shetty4A. G. Maiya5Centre for Diabetic Foot Care and Research, Department of Physiotherapy, Kasturba Hospital, Manipal Academy of Higher EducationCentre for Diabetic Foot Care and Research, Department of Physiotherapy, Kasturba Hospital, Manipal Academy of Higher EducationDepartment of Orthopedics, Kasturba Medical College, Manipal Academy of Higher EducationComprehensive Geriatric Clinic, Kasturba Medical College, Manipal Academy of Higher EducationDepartment of Endocrinology, Kasturba Medical College, Manipal Academy of Higher EducationCentre for Diabetic Foot Care and Research, Department of Physiotherapy, Kasturba Hospital, Manipal Academy of Higher EducationINTRODUCTION: The prevalence of diabetic foot syndrome is increasing in the Indian population. It is a triad of neurological, vascular, and biomechanical changes due to long term diabetes mellitus (DM). Altered plantar pressure distribution is a risk factor for developing diabetic foot ulcers. The purpose of this study is to evaluate the altered plantar pressure distribution in diabetic peripheral neuropathy individuals with peripheral vascular disease in comparison with diabetic peripheral neuropathy and non-diabetic neuropathy. Therefore, the objective of the study is to evaluate the plantar pressure distribution and parameters in type 2 DM (T2DM) with diabetic foot syndrome.METHODS: In this study, 60 participants with T2DM were recruited in either one of the three groups: 20 Diabetic non-neuropathy (DNN), 20 Diabetic peripheral neuropathy (DPN), and 20 Diabetic peripheral neuropathy with the peripheral arterial disease (DNPAD). Then we compared the plantar pressure parameters like maximum plantar pressure, pressure-time integral, fore foot-hind foot ratio, and total contact area were measured using a WinTrack plantar pressure system.RESULTS: The diabetic peripheral neuropathy with peripheral vascular disease group shown a significant difference in all the plantar pressure parameters measured in comparison with the diabetic peripheral neuropathy group. There was increased Maximum plantar pressure, pressure-time integral and forefoot hindfoot ratio, and reduced total contact area of the foot (p < 0.05).CONCLUSION: For patients, with combined peripheral neuropathy and peripheral vascular disease have increased plantar pressure distribution, are at higher risks of developing neuro-ischemic foot, which further leads to diabetic foot ulcers.https://www.dia-endojournals.ru/jour/article/view/12723plantar pressuresdynamic gait analysistype 2 diabetes mellitusdiabetic foot |
| spellingShingle | H. Ya. Korada E. Arora Sh. K. Rao M. Hande S. Shetty A. G. Maiya Plantar pressure distribution profile of type 2 diabetes mellitus with diabetic foot syndrome: A hospital-based observational study Сахарный диабет plantar pressures dynamic gait analysis type 2 diabetes mellitus diabetic foot |
| title | Plantar pressure distribution profile of type 2 diabetes mellitus with diabetic foot syndrome: A hospital-based observational study |
| title_full | Plantar pressure distribution profile of type 2 diabetes mellitus with diabetic foot syndrome: A hospital-based observational study |
| title_fullStr | Plantar pressure distribution profile of type 2 diabetes mellitus with diabetic foot syndrome: A hospital-based observational study |
| title_full_unstemmed | Plantar pressure distribution profile of type 2 diabetes mellitus with diabetic foot syndrome: A hospital-based observational study |
| title_short | Plantar pressure distribution profile of type 2 diabetes mellitus with diabetic foot syndrome: A hospital-based observational study |
| title_sort | plantar pressure distribution profile of type 2 diabetes mellitus with diabetic foot syndrome a hospital based observational study |
| topic | plantar pressures dynamic gait analysis type 2 diabetes mellitus diabetic foot |
| url | https://www.dia-endojournals.ru/jour/article/view/12723 |
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