Measurement of Plantar Pressure at Callosity Sites in Patients with Diabetic Neuropathy.
|
Accession number;99A0465598
|
| Title;Measurement of Plantar Pressure at Callosity Sites in Patients with Diabetic Neuropathy. |
| Author;
KANAMORI AKIRA
(Kitasato Univ., Sch. of Med.)
AOKI CHIKARA
(Kitasato Univ. School of Allied Health Sci.)
YAJIMA YOSHITADA
(Kitasato Univ., Sch. of Med.)
|
Journal Title;Journal of the Japan Diabetic Society
|
Journal Code:Z0279B
|
ISSN:0021-437X
|
|
VOL.42;NO.3;PAGE.201-207(1999)
|
| Figure&Table&Reference;FIG.4, TBL.1, REF.17 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;We studied the effect of callus lesions on plantar pressures, and whether cellus removal or wearing well-cushioned shoes reduced pressure at callus sites. We measured plantar pressure in five patients with diabetic neuropathy and plantar callosities (six metatarsal heads and two great toes), using the foot-pressure distribution analyzing system, F-SCAN (Tek-Scan, Inc., USA). While subjects were standing berefoot, peak pressures (mean.+-.SD) were significantly higher at eight callosity sites (2,788.+-.1,772g/cm2) than at the same sites in twenty healthy subjects (451.+-.247). Furthermore, peak pressures at these sites were significantly higher while walking barefoot than while standing still. With treatment, peak pressures were reduced in these areas by 53% from 2,788.+-.1,772 to 1,313.+-.618g/cm2 (p<0.05). In addition, wearing well-cushioned Doctor shoes (Lowell Shoe, Inc., USA) reduced peak pressures by 67% before treatment of callosities and 79% after treatment. These results suggest that a callus acts as a foreign body elevation plantar pressures, which can be reduced by callus removal and by wearing well-cushioned shoes, and thus, may prevent foot ulceration in diabetic patients with neuropathy. (author abst.) |
|
|
|
Related Articles;
|
|
