Gait changes in persons with diabetes: Early risk marker for diabetic foot ulcer

被引：27

作者：

Gnanasundaram, Saraswathy ^{[1
]}

Ramalingam, Priyadharshini ^{[1
]}

Das, Bhabendra Nath ^{[2
]}

Viswanathan, Vijay ^{[3
]}

机构：

[1] CSIR Cent Leather Res Inst, Shoe & Prod Design Ctr, Gait Anal Lab, Sardar Patel Rd, Chennai 600020, Tamil Nadu, India

[2] CSIR Cent Leather Res Inst, Project Planning & Business Dev, Chennai 600020, Tamil Nadu, India

[3] Prof M Viswanathan Diabet Res Ctr, West Mada Church St, Chennai 600013, Tamil Nadu, India

来源：

FOOT AND ANKLE SURGERY | 2020年 / 26卷 / 02期

关键词：

Gait; Plantar pressure analysis; Foot deformity; Diabetic neuropathy; Diabetic foot ulcer; LIMITED JOINT MOBILITY; PEAK PLANTAR PRESSURES; WALKING;

D O I：

10.1016/j.fas.2019.01.005

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

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.

引用

页码：163 / 168

页数：6

共 31 条

[1] Plantar tissue thickness is related to peak plantar pressure in the high-risk diabetic foot [J].