Foot deformities, function in the lower extremities, and plantar pressure in patients with diabetes at high risk to develop foot ulcers

• DOI: 10.3402/dfa.v6.27593
• Publication Date: 2015-06-17T04:13:57Z
• Authors: Ulla Hellstrand Tang; Roland Zügner; Vera Lisovskaja; Jon Karlsson; Kerstin Hagberg; Roy Tranberg
• Keywords: Foot (prosody); Cross-sectional study

Foot deformities, neuropathy, and dysfunction in the lower extremities are known risk factors that increase plantar peak pressure (PP) and, as a result, of developing foot ulcers patients with diabetes. However, knowledge about prevalence these is still limited. The aim present study was to describe observed diabetes without explore possible connections between high pressure.Patients diagnosed type 1 (n=27) or 2 (n=47) (mean age 60.0±15.0 years) were included this cross-sectional study. Assessments registration deformities; test gross function at hip, knee, ankle joints; stratification according Swedish National Diabetes Register; walking test; self-reported questionnaires including SF-36 health survey. In-shoe PP measured seven regions interests on sole using F-Scan(®). An exploratory analysis association performed.Neuropathy 28 (38%), 39 (53%) had callosities heel region. Low forefoot arch 57 (77%). Gait-related parameters, such ability walk heel, normal all patients. Eighty percent hip joints. Gait velocity 1.2±0.2 m/s. All stratified group 3. Hallux valgus hallux rigidus associated an medial forefoot. A higher body mass index (BMI) found metatarsal heads 4 5. Pes planus decrease head 1. Neuropathy did not have PP.This identified several potential for onset diabetic (DFU). appeared under BMI lateral There need construct simple, valid, reliable assessment routine detect DFU.