Distribution of the Highest Plantar Pressure Regions in Patients with Diabetes and Its Association with Peripheral Neuropathy, Gender, Age, and BMI: One Centre Study

The abnormal plantar pressure distribution and value play a key role in the formation of plantar calluses and diabetic foot ulcer. The prevalence of the highest pressure different distribution and its association with various factors among patients with diabetes is not well known. The study purpose...

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Main Authors: Edyta Sutkowska, Krzysztof Sutkowski, Michał Sokołowski, Edward Franek, Szymon Dragan
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2019/7395769
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author Edyta Sutkowska
Krzysztof Sutkowski
Michał Sokołowski
Edward Franek
Szymon Dragan
author_facet Edyta Sutkowska
Krzysztof Sutkowski
Michał Sokołowski
Edward Franek
Szymon Dragan
author_sort Edyta Sutkowska
collection DOAJ
description The abnormal plantar pressure distribution and value play a key role in the formation of plantar calluses and diabetic foot ulcer. The prevalence of the highest pressure different distribution and its association with various factors among patients with diabetes is not well known. The study purpose was to evaluate the prevalence of different regions for the highest pressure on the sole and its association with selected factors among patients with diabetes. Medical records of nonulcer patients were retrospectively analysed. The relationship between pressure patterns on the sole obtained during a pedobarographic test as a semiquantitative assessment with colourful print analysis and neuropathy, gender, age, and BMI was searched. The most common location of the highest pressure was the central part of the forefoot. No association was found between the different highest pressure regions and age, sensory neuropathy, calluses, and foot deformities. The highest pressure on the lateral part of the foot and midfoot was observed more often in females and in patients with a BMI≥35. The prevalence of the highest pressure on the forefoot was more common in patients with a BMI<35. Conclusions. The most frequent regions of the highest pressure on the sole in patients with diabetes were the central part of the forefoot (2-3 metatarsal heads) with no simple relationship to the assessed variables other than BMI<35. Female gender and higher BMI seem to be responsible for shifting the place of the highest pressure to other places of the foot.
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series Journal of Diabetes Research
spelling doaj-art-725e6fd3f9494714b807f109f9d4d35f2025-02-03T01:11:11ZengWileyJournal of Diabetes Research2314-67452314-67532019-01-01201910.1155/2019/73957697395769Distribution of the Highest Plantar Pressure Regions in Patients with Diabetes and Its Association with Peripheral Neuropathy, Gender, Age, and BMI: One Centre StudyEdyta Sutkowska0Krzysztof Sutkowski1Michał Sokołowski2Edward Franek3Szymon Dragan4Department and Division of Medical Rehabilitation, Wroclaw Medical University, PolandDepartment of General, Minimally Invasive and Endocrine Surgery, Wroclaw Medical University, PolandDepartment and Division of Medical Rehabilitation, Wroclaw Medical University, PolandMossakowski Clinical Research Centre, Polish Academy of Sciences, Warsaw, PolandDepartment and Clinic of Orthopaedic and Traumatologic Surgery, Wroclaw Medical University, PolandThe abnormal plantar pressure distribution and value play a key role in the formation of plantar calluses and diabetic foot ulcer. The prevalence of the highest pressure different distribution and its association with various factors among patients with diabetes is not well known. The study purpose was to evaluate the prevalence of different regions for the highest pressure on the sole and its association with selected factors among patients with diabetes. Medical records of nonulcer patients were retrospectively analysed. The relationship between pressure patterns on the sole obtained during a pedobarographic test as a semiquantitative assessment with colourful print analysis and neuropathy, gender, age, and BMI was searched. The most common location of the highest pressure was the central part of the forefoot. No association was found between the different highest pressure regions and age, sensory neuropathy, calluses, and foot deformities. The highest pressure on the lateral part of the foot and midfoot was observed more often in females and in patients with a BMI≥35. The prevalence of the highest pressure on the forefoot was more common in patients with a BMI<35. Conclusions. The most frequent regions of the highest pressure on the sole in patients with diabetes were the central part of the forefoot (2-3 metatarsal heads) with no simple relationship to the assessed variables other than BMI<35. Female gender and higher BMI seem to be responsible for shifting the place of the highest pressure to other places of the foot.http://dx.doi.org/10.1155/2019/7395769
spellingShingle Edyta Sutkowska
Krzysztof Sutkowski
Michał Sokołowski
Edward Franek
Szymon Dragan
Distribution of the Highest Plantar Pressure Regions in Patients with Diabetes and Its Association with Peripheral Neuropathy, Gender, Age, and BMI: One Centre Study
Journal of Diabetes Research
title Distribution of the Highest Plantar Pressure Regions in Patients with Diabetes and Its Association with Peripheral Neuropathy, Gender, Age, and BMI: One Centre Study
title_full Distribution of the Highest Plantar Pressure Regions in Patients with Diabetes and Its Association with Peripheral Neuropathy, Gender, Age, and BMI: One Centre Study
title_fullStr Distribution of the Highest Plantar Pressure Regions in Patients with Diabetes and Its Association with Peripheral Neuropathy, Gender, Age, and BMI: One Centre Study
title_full_unstemmed Distribution of the Highest Plantar Pressure Regions in Patients with Diabetes and Its Association with Peripheral Neuropathy, Gender, Age, and BMI: One Centre Study
title_short Distribution of the Highest Plantar Pressure Regions in Patients with Diabetes and Its Association with Peripheral Neuropathy, Gender, Age, and BMI: One Centre Study
title_sort distribution of the highest plantar pressure regions in patients with diabetes and its association with peripheral neuropathy gender age and bmi one centre study
url http://dx.doi.org/10.1155/2019/7395769
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